Evidence map›Paper›PMID 40902132›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Randomized Phase II Trial of Pazopanib Versus Placebo in Patients With Advanced Extrapancreatic Neuroendocrine Tumors (Alliance A021202).

Emily K Bergsland, Susan Geyer, Timothy R Asmis, Spencer C Behr, J Philip Kuebler, Priya Kumthekar, Gina Mazza, Michael L Maitland, Donna Niedzwiecki, Andrew B Nixon and 5 more

Abstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. The University of Iowa Neuroendocrine Tumor Clinic.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Medical Management of Gastroenteropancreatic Neuroendocrine Tumors.Surgical oncology clinics of North America · 2020
    Review
  11. 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

15 authors.

Emily K BergslandDepartment of Medicine, University of California San Francisco, San Francisco, CA.ORCID 0000-0001-7754-6552
Susan GeyerAlliance Statistics and Data Management Center, Mayo Clinic, Rochester, MN.
Timothy R AsmisOttawa Hospital Cancer Centre, Ottawa, ON, Canada.
Spencer C BehrDepartment of Radiology, University of California San Francisco, San Francisco, CA.
J Philip KueblerColumbus NCI Community Clinical Oncology Research Program, Columbus, OH.
Priya KumthekarNorthwestern Memorial Hospital, Chicago, IL.ORCID 0000-0001-5923-0677
Gina MazzaAlliance Statistics and Data Management Center, Mayo Clinic, Rochester, MN.ORCID 0000-0002-5305-6193
Michael L MaitlandInova Schar Cancer Institute and the University of Virginia Comprehensive Cancer Center, Falls Church, VA.ORCID 0000-0002-2476-5732
Donna NiedzwieckiDepartment of Biostatistics and Bioinformatics and Duke Cancer Institute-Biostatistics, Duke University, Durham, NC.ORCID 0000-0002-3566-0450
Andrew B NixonDepartment of Medicine and Duke Cancer Institute, Duke University, Durham, NC.ORCID 0000-0003-3971-2964
Lawrence Howard SchwartzDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Jonathan R StrosbergMoffitt Cancer Center, Tampa, FL.ORCID 0000-0001-8405-218X
Alan P VenookDepartment of Medicine, University of California San Francisco, San Francisco, CA.ORCID 0000-0001-9749-6548
Eileen M O'ReillyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-8076-9199
Jeffrey A MeyerhardtDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-1120-0898

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
Collaborations and NCORP Collective ManagementUG1CA189823 · NCI · MAYO CLINIC ROCHESTER · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$120.6M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
NCIC Clinical Trials Group - Canadian Collaborating Clinical Trials NetworkU10CA180863 · NCI · QUEEN'S UNIVERSITY AT KINGSTON · PI Janet Ellen Dancey · 2014 to 2026
$40.4M
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareUG1CA233180 · NCI · DANA-FARBER CANCER INST · PI Harold John Burstein · 2019 to 2026
$8.6M
Northwestern University Lead Academic Participating Site Supplement Year 2UG1CA233320 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BENSON, AL B, MATEI, DANIELA E · 2019 to 2025
$5.5M
The Duke University - Duke Cancer Institute National Clinical Trials Network LAPS (UG1) Support GrantUG1CA233253 · NCI · DUKE UNIVERSITY · PI John H Strickler, Alexandra Thomas · 2019 to 2026
$3.7M
NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180863NCI NIH HHS U10 CA180882NCI NIH HHS U10 CA180888NCI NIH HHS UG1 CA189823NCI NIH HHS UG1 CA233180NCI NIH HHS UG1 CA233253NCI NIH HHS UG1 CA233290NCI NIH HHS UG1 CA233320
6 · The paper itself

Abstract

purposePatients with advanced, well-differentiated extrapancreatic neuroendocrine tumors (epNETs) have limited systemic treatment options. Pazopanib, an oral multikinase inhibitor with activity against vascular endothelial growth factor receptor (VEGFR)-2 and -3, PDGFR-alpha and-beta, and c-Kit, was tested for efficacy in epNET. PATIENTS AND

methodsWe conducted a multicenter, randomized, double-blind, phase II study of pazopanib (800 mg once daily) versus placebo in low- to intermediate-grade epNET with radiologic progressive disease (PD) within 12 months of study entry. Previous somatostatin analog (SSA) was required for midgut tumors, and concurrent SSA was allowed. The primary end point was progression-free survival (PFS) by blinded independent central review. Unblinding and crossover were allowed if PD was confirmed by central review.

resultsOne hundred seventy-one patients (97 pazopanib and 74 placebo) were randomly assigned between September 2013 and October 2015. The majority had a midgut primary site (75%) and previous SSA treatment (93%). About half (49%) of the patients had functional tumors. The median follow-up was 61 months (95% CI, 60 to 63). Median PFS was 11.8 versus 7.6 months in pazopanib versus placebo, respectively (hazard ratio, 0.54 [95% CI, 0.37 to 0.79];

conclusionPazopanib compared with placebo significantly improves PFS in patients with progressive epNET, confirming that the VEGF signaling pathway is a valid target for therapy in epNET. However, after integrating the associated risks relative to the benefits, further development of pazopanib in this clinical context is not planned.

Indexed as

Angiogenesis InhibitorsNeuroendocrine TumorsPyrimidinesSulfonamidesAdultAgedAged, 80 and overDouble-Blind MethodFemaleHumansIndazolesMaleMiddle AgedProgression-Free SurvivalAngiogenesis InhibitorsIndazolespazopanibPyrimidinesSulfonamides

Identifiers

PMID40902132
PMCPMC12457709

What OpenQuestion holds

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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.