Evidence map›Paper›PMID 41128656›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2026

First-line Anlotinib plus Anthracyclines and Ifosfamide Followed by Anlotinib Maintenance in Advanced Soft-Tissue Sarcoma: A Phase II Single-Arm Trial.

Jun-Kai Zhao, Zeng-Jun Liu, Rui Wang, Heng Fu, Meng-Yao Liu, Jing Xu, Xin Xu, Xiang-Chun Fan, Wen-Yu Hu, Hui Zhang and 9 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Trial
  3. 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

19 authors.

Jun-Kai ZhaoRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0006-5359-2072
Zeng-Jun LiuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0003-3610-1586
Rui WangRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0008-8465-0874
Heng FuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0009-7497-4063
Meng-Yao LiuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0006-0416-6253
Jing XuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0002-1008-3124
Xin XuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0005-7197-3648
Xiang-Chun FanRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0003-1706-8888
Wen-Yu HuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0002-7316-1764
Hui ZhangRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0002-5761-0841
Ni XuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0007-5164-872X
Ting HaoDepartment of Pathology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0006-8671-4726
Hong-Tu YuanDepartment of Pathology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0001-0118-0985
Jian-Bo ZhangDepartment of Pathology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0001-9021-9417
Ming-Huan LiDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0002-5349-8565
Lei ZhouDepartment of Orthopedic Oncology Surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0001-4922-8001
Chang-Sheng YangDepartment of Orthopedic Oncology Surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0004-1260-2727
Xiang-Ying WangDepartment of Orthopedic Oncology Surgery, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0002-1243-6624
Dong-Yuan ZhuRare Tumors Department, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0009-0000-5021-5964

Funding

Health and Family Planning Commission of Shandong Province () 202403110621
6 · The paper itself

Abstract

purposeThis study evaluated the efficacy and safety of first-line anlotinib combined with anthracyclines and ifosfamide, followed by anlotinib maintenance therapy, in patients with advanced soft-tissue sarcoma. PATIENTS AND

methodsPatients received four to six cycles of combination therapy administered every 21 days, comprising anlotinib (12 mg orally daily on days 1-14), anthracyclines (epirubicin 40 mg/m2 daily on days 1-2 or liposomal doxorubicin 30 mg/m2 on day 1), and ifosfamide (2 g/m2 daily on days 1-3). Following induction therapy, patients without disease progression continued anlotinib maintenance until progression, unacceptable toxicity, or death. The primary endpoint was the objective response rate. Secondary endpoints included the disease control rate, progression-free survival, overall survival, and adverse events (AE). The study was registered at the Chinese Clinical Trial Registry (ChiCTR2100054711).

resultsA total of 52 patients were enrolled. The objective response rate was 30.8% [95% confidence interval (CI), 18.7%-45.1%], and the disease control rate was 82.7% (95% CI, 69.7%-91.8%). With a median follow-up of 29.9 months (95% CI, 24.6-32.3), the median progression-free survival was 6.2 months (95% CI, 2.6-11.2). The median overall survival was not reached (95% CI, 14.4-not estimable). Treatment-related AE of any grade occurred in all patients. The most frequently reported AE included nausea (100%), fatigue (86.5%), and hypoalbuminemia (44.2%). The most common grade 3 to 4 AE included anemia (23.1%), leukopenia (17.3%), and thrombocytopenia (9.6%). No treatment-related deaths occurred.

conclusionsFirst-line anlotinib combined with anthracyclines and ifosfamide, followed by anlotinib maintenance, demonstrated encouraging efficacy with acceptable toxicities in patients with advanced soft-tissue sarcoma, warranting further investigation in randomized controlled trials.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsSarcomaAdultAgedAnthracyclinesFemaleHumansIfosfamideIndolesMaleMiddle AgedProgression-Free SurvivalQuinolinesTreatment OutcomeYoung AdultanlotinibAnthracyclinesIfosfamideIndolesQuinolines

Identifiers

PMID41128656
PMCPMC12770930

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.