Evidence map›Paper›PMID 41315659›Full record

ArticleScientific reports2025

Treatment outcomes of sunitinib and/or pazopanib in advanced alveolar soft part sarcoma: A Turkish Oncology Group (TOG) study.

Zehra Sucuoğlu İşleyen, Seval Ay, Ertuğrul Bayram, Şaban Seçmeler, Oğuzhan Selvi, Saadettin Kılıçkap, Deniz Can Güven, Sabin Göktaş Aydın, Teoman Sakalar, Metin Pehlivan and 17 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

27 authors.

Zehra Sucuoğlu İşleyenDepartment of Medical Oncology, Prof.Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey. zehrasucuoglu@gmail.com.
Seval AyDepartment of Medical Oncology , Kartal Dr. Lütfi Kirdar City Hospital , Istanbul, Turkey.
Ertuğrul BayramDepartment of Medical Oncology, Çukurova University Faculty of Medicine, Adana, Turkey.
Şaban SeçmelerDepartment of Medical Oncology , Medical Park Bahçelievler Hospital , Istanbul, Turkey.
Oğuzhan SelviDepartment of Medical Oncology, Prof.Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey.
Saadettin KılıçkapDepartment of Medical Oncology , Hacettepe University Cancer Institute , Ankara, Turkey.
Deniz Can GüvenDepartment of Medical Oncology , Hacettepe University Cancer Institute , Ankara, Turkey.
Sabin Göktaş AydınDepartment of Medical Oncology , Kanuni Sultan Suleyman Training and Research Hospital , Istanbul, Turkey.
Teoman SakalarDepartment of Medical Oncology, Necip Fazil City Hospital, Kahramanmaras, Turkey.
Metin PehlivanDepartment of Medical Oncology , Bulent Ecevit University Hospital , Zonguldak, Turkey.
Serkan KeskinDepartment of Medical Oncology , Memorial Sisli Hospital , Istanbul, Turkey.
Olçun Ümit ÜnalDepartment of Medical Oncology , Tepecik Training and Research Hospital , Izmir, Turkey.
Serkan MenekşeDepartment of Medical Oncology , Manisa City Hospital , Manisa, Turkey.
Engin KutDepartment of Medical Oncology , Manisa City Hospital , Manisa, Turkey.
Eyyup ÇavdarDepartment of Medical Oncology , Tekirdag Namik Kemal University , Tekirdağ, Turkey.
Özlem Aydın İsakDepartment of Medical Oncology , Ankara Etlik City Hospital , Ankara, Turkey.
İsmail ErtürkDepartment of Medical Oncology , Gulhane Training and Research Hospital , Ankara, Turkey.
Emre HafızoğluDepartment of Medical Oncology , Afyonkarahisar State Hospital , Afyonkarahisar, Turkey.
Murat AyhanDepartment of Medical Oncology , Liv Hospital , Vadistanbul, Istanbul, Turkey.
Nurgül YaşarDepartment of Medical Oncology, Prof.Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey.
Seval OrmanDepartment of Medical Oncology , Kartal Dr. Lütfi Kirdar City Hospital , Istanbul, Turkey.
Hatice Asoğlu RüzgarDepartment of Medical Oncology, Çukurova University Faculty of Medicine, Adana, Turkey.
Reşit AkyelDepartment of Nuclear Medicine , Yedikule Chest Diseases and Chest Surgery Training and Research Hospital , Istanbul, Turkey.
Mert BaşaranDepartment of Medical Oncology, Istanbul University Oncology Institute, Fatih, Istanbul, Turkey.
Kayhan ErtürkDepartment of Medical Oncology, Prof.Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey.
M Mustafa AtcıDepartment of Medical Oncology, Istinye University Faculty of Medicine, Topkapı Liv Hospital, Istanbul, Turkey.
Emir ÇelikDepartment of Medical Oncology, Istinye University Faculty of Medicine, Topkapı Liv Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alveolar soft part sarcoma (ASPS) is an ultra-rare, highly angiogenic sarcoma with limited responsiveness to chemotherapy. Tyrosine kinase inhibitors (TKIs) such as sunitinib and pazopanib have shown promising activity, but comparative real-world data remain scarce. This multicenter, retrospective study included 51 patients with metastatic ASPS treated with sunitinib and/or pazopanib between January 2013 and March 2025. Progression-free survival (PFS) and overall survival (OS) were analyzed using Kaplan-Meier methods, and prognostic factors were assessed via Cox regression. First-line TKI therapy achieved significantly longer median PFS compared with chemotherapy (24.9 vs. 5.8 months; p < 0.001), without a significant OS difference. In first-line comparisons, pazopanib demonstrated a trend toward longer PFS (27.2 vs. 15.2 months; p = 0.052) and significantly prolonged OS (45.0 vs. 21.0 months; p = 0.021) versus sunitinib. Across all lines, median PFS and OS were 24.9 and 38.3 months for pazopanib, and 17.7 and 21.0 months for sunitinib, respectively. Multivariate analysis identified prior chemotherapy and liver metastases as independent predictors of shorter PFS. Both agents were well tolerated, with mostly Grade 1-2 toxicities. In one of the largest real-world ASPS cohorts, frontline TKIs provided substantial disease control and prolonged survival compared with chemotherapy, with manageable toxicity. These findings reinforce the role of anti-angiogenic therapy as a preferred first-line approach in advanced ASPS. Prospective studies are warranted to optimize treatment sequencing in this ultra-rare sarcoma.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsPyrimidinesSarcoma, Alveolar Soft PartSulfonamidesSunitinibAdolescentAdultAgedAngiogenesis InhibitorsFemaleHumansIndazolesMaleMiddle AgedPrognosisProgression-Free SurvivalAngiogenesis InhibitorsIndazolespazopanibPyrimidinesSulfonamidesSunitinibAlveolar soft part sarcomaAnti-angiogenic therapyPazopanibSunitinibTyrosine kinase inhibitor

Identifiers

PMID41315659
PMCPMC12715186

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