Evidence map›Paper›PMID 40433871›Full record

Trial reportCancer2025

Impact of maintenance treatment on male gonadal function in patients treated for localized rhabdomyosarcoma in RMS2005 trial in France.

Lea Rossillon, Cécile Thomas-Teinturier, Daniel Orbach, Marie-Dominique Tabone, Amandine Bertrand, Sophie Ansoborlo, Anne-Sophie Defachelles, Angelique Rome, Stéphanie Haouy, Dominique Plantaz and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

21 authors.

Lea RossillonDepartment of Children and Adolescents Oncology, Gustave Roussy, Villejuif, France.ORCID https://orcid.org/0000-0003-3936-5595
Cécile Thomas-TeinturierDepartment of Pediatric Endocrinology and Diebetology, Bicêtre Hospital, Assistance Publique Hôpitaux de Paris, University Paris-Saclay, Le Kremlin Bicêtre, France.
Daniel OrbachSIREDO Oncology Center (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer), Institut Curie, PSL University, Paris, France.ORCID https://orcid.org/0000-0002-2520-139X
Marie-Dominique TaboneDepartment of Pediatric Hemato-Oncology, Armand-Trousseau Sorbonne University Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Amandine BertrandDepartment of Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Lyon, France.ORCID https://orcid.org/0000-0002-5928-7320
Sophie AnsoborloDepartment of Pediatric Hematology and Oncology, CHU Bordeaux, Bordeaux, France.
Anne-Sophie DefachellesDepartment of Pediatric Oncology, Centre Oscar-Lambret, Lille, France.
Angelique RomeDepartment of Pediatric Oncology, La Timone University Hospital, APHM, Marseille, France.
Stéphanie HaouyDepartment of Pediatrics, CHU Montpellier, Montpellier, France.
Dominique PlantazDepartment of Pediatric Hematology and Oncology, CHU Grenoble, Grenoble, France.
Stéphanie BolleINSERM U1018 CESP, Radiation Epidemiology Team, Paris-Saclay University, Gustave Roussy Cancer Campus, Villejuif, France.
Valérie Bernier-ChastagnerRadiation Oncology Department, Institut de Cancérologie de Lorraine Centre Alexis Vautrin, Nancy, France.
Florent GuerinPediatric Surgery Department, Bicêtre Hospital, Assistance Publique Hôpitaux de Paris, Paris-Saclay University, Le Kremlin Bicêtre, France.ORCID https://orcid.org/0000-0002-3487-3745
Sabine SarnackiDepartment of Pediatric Surgery, Necker Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Pascale Philippe-ChometteDepartment of Pediatric Surgery, Robert Debre Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Rodrigue AllodjiINSERM U1018 CESP, Radiation Epidemiology Team, Paris-Saclay University, Gustave Roussy Cancer Campus, Villejuif, France.ORCID https://orcid.org/0000-0002-1895-8415
Laura LenezDepartment of Children and Adolescents Oncology, Gustave Roussy, Villejuif, France.
Lucy MétayerDepartment of Children and Adolescents Oncology, Gustave Roussy, Villejuif, France.
Virginie Barraud-LangeDepartment of Reproductive Biology CECOS, Cochin Hospital, Assistance Publique Hôpitaux de Paris, Center-University Paris Cité, Paris, France.
Véronique Minard-ColinDepartment of Children and Adolescents Oncology, Gustave Roussy, Villejuif, France.ORCID https://orcid.org/0000-0002-0296-5207
Brice FresneauDepartment of Children and Adolescents Oncology, Gustave Roussy, Villejuif, France.ORCID https://orcid.org/0000-0001-7603-7828

Funding

Fondation Gustave RoussyInstitut National Du CancerSociété Française de Lutte Contre les Cancers et les Leucémies de l'Enfant et de l'Adolescent
6 · The paper itself

Abstract

backgroundMaintenance treatment with vinorelbine and oral cyclophosphamide (oral-CPM) improves outcome of nonmetastatic high-risk (HR) and very-high risk (VHR) rhabdomyosarcoma (RMS) patients. However, gonadal toxicity of maintenance was not yet investigated.

methodsThe authors focused their analysis on male gonadal toxicity in HR/VHR groups of RMS2005 trial, in France. In the HR group, patients were randomized to receive or not receive 6 months of maintenance (after nine or four IVADo] + five IVA). In the VHR group, patients received 6 months of maintenance (after four IVADo + five IVA). Exocrine gonadal dysfunction (EGD) was defined as followed: follicle-stimulating hormone level >10 IU/L and/or inhibin-B <80 pg/mL and/or oligoasthenozoospermia/azoospermia.

resultsAmong 86 eligible 5-year RMS survivors ≥12 years old, 49 had available gonadal evaluation (median age at diagnosis = 6.4 years, median age at evaluation =  18.7 years, 41 HR/8 VHR). Twenty-six (53%) received oral-CPM (median cumulative dose = 4.2 g/m

conclusionsOral-CPM induces additional gonadal damage to the ifosfamide-based induction regimen. Fertility preservation could be considered in patients exposed to maintenance, especially those >5 years old and exposed to ≥12 months of oral-CPM.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMaintenance ChemotherapyRhabdomyosarcomaTestisAdolescentAdultChildChild, PreschoolCyclophosphamideFranceHumansInfantMaleVinorelbineYoung AdultCyclophosphamideVinorelbinemaintenance treatmentmale gonadal functionoral cyclophosphamiderhabdomyosarcoma

Identifiers

PMID40433871
PMCPMC12117600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.