Evidence map›Paper›PMID 40285941›Full record

ArticleJournal of cancer research and clinical oncology2025

First-line pazopanib in patients with metastatic epithelioid hemangioendothelioma: a retrospective single-center analysis.

Anton Burkhard-Meier, Vera Valerie Rechenauer, Vindi Jurinovic, Markus Albertsmeier, Michael Hoberger, Hans Roland Dürr, Alexander Klein, Thomas Knösel, Wolfgang G Kunz, Andreas Mock and 6 more

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. How I treat soft tissue sarcomas.Future oncology (London, England) · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Anton Burkhard-MeierDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany. anton.burkhardmeier@med.uni-muenchen.de.ORCID https://orcid.org/0009-0002-9801-3530
Vera Valerie RechenauerDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Vindi JurinovicDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Markus AlbertsmeierBavarian Cancer Research Center (BZKF), Munich, Germany.
Michael HobergerDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Hans Roland DürrOrthopedic Oncology, Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Munich, Germany.
Alexander KleinOrthopedic Oncology, Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Munich, Germany.
Thomas KnöselInstitute of Pathology, LMU Munich, Munich, Germany.
Wolfgang G KunzBavarian Cancer Research Center (BZKF), Munich, Germany.
Andreas MockInstitute of Pathology, LMU Munich, Munich, Germany.
Ada PusztaiInstitute of Pathology, LMU Munich, Munich, Germany.
Michael VölklDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Michael von Bergwelt-BaildonDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Lars H LindnerDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Dorit Di Gioia *Department of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Luc M Berclaz *Department of Medicine III, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEpithelioid hemangioendothelioma (EHE) represents an ultra-rare, translocated vascular sarcoma with a heterogeneous course of disease. The optimal systemic treatment for patients with advanced EHE remains unclear. We sought to evaluate the value of pazopanib (PAZ) as a first-line treatment in metastatic EHE.

methodsThirteen patients with metastatic EHE and PAZ as a first-line treatment at our institution between 2012 und 2023 were reviewed and analyzed with regard to clinical outcomes.

resultsAt a median follow-up of 51.4 months, the median progression-free survival (PFS) and overall survival (OS) were 35.1 and 53.8 months, respectively. In patients with documented prior tumor progression (n = 10), the median PFS and OS were 12.6 and 105 months, respectively. In patients with serosal effusion/ systemic symptoms (n = 4), the median PFS and OS were 6.1 and 10.3 months. The clinical benefit rate of the overall cohort was 62% with no complete or partial responses. Two of four patients experienced a reduction of symptoms (pain and ascites reduction/hemoptysis, respectively) under treatment with PAZ. Toxicity was mainly gastrointestinal and manageable with dose reductions. Permanent treatment interruption due to toxicity was necessary in one patient.

conclusionThis is the first study to systematically report survival outcomes for PAZ as a first-line treatment in patients with metastatic EHE. PAZ is active and safe in patients with metastatic EHE and may be considered as an alternative to sirolimus for specific patient subgroups. RECIST criteria should be questioned for evaluation of treatment response in EHE.

Indexed as

Angiogenesis InhibitorsHemangioendothelioma, EpithelioidPyrimidinesSulfonamidesAdultAgedFemaleHumansIndazolesMaleMiddle AgedNeoplasm MetastasisProgression-Free SurvivalRetrospective StudiesAngiogenesis InhibitorsIndazolespazopanibPyrimidinesSulfonamidesEpithelioid hemangioendotheliomaMetastasisPazopanibRare cancersTargeted therapy

Identifiers

PMID40285941
PMCPMC12033179

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.