Evidence mapPaperPMID 39279295Full record

ArticleCancer medicine2024

Neoadjuvant everolimus in renal angiomyolipoma with or without tuberous sclerosis complex: Results from a multicenter, retrospective study.

Ruopeng Su, Tingxuan Huang, Liangyou Gu, Yige Bao, Zhihong Liu, Pinghong Dao, Lin Yao, Xiaoyi Hu, Guanghou Fu, Jitao Wu and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  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

22 authors.

Ruopeng SuDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tingxuan HuangDepartment of Urology Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China.
Liangyou GuDepartment of Urology, The Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Yige BaoDepartment of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Zhihong LiuDepartment of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Pinghong DaoDepartment of Urology, Xiangya Hospital, Central South University, Changsha, China.
Lin YaoDepartment of Urology, First Hospital of Peking University, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.
Xiaoyi HuDepartment of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-7595-3004
Guanghou FuDepartment of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID https://orcid.org/0000-0003-4243-3894
Jitao WuDepartment of Urology, Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong, China.ORCID https://orcid.org/0000-0002-7924-3923
Thibault TricardDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Guangyu WuDepartment of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Minfeng ChenDepartment of Urology, Xiangya Hospital, Central South University, Changsha, China.
Chancan LiThe Department of Urology, AnHui NO.2 Provincial People Hospital, Hefei, China.
Zhiyang HuangDepartment of Urology, Quanzhou First Hospital affiliated to Fujian Medical University, Quanzhou, China.
Bing ZhengThe Department of Urology, The Second Affiliated Hospital of Nantong University, Nantong, China.
Yonghui ChenDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wei XueDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Gang GuoDepartment of Urology, The Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Pei DongDepartment of Urology Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China.ORCID https://orcid.org/0000-0001-9749-493X
Jiwei HuangDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0002-1463-670X
Jin ZhangDepartment of Urology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

Basic Oncology Research Program from Bethune Charitable Foundation BCF-NH-ZL-20201119-024Shanghai Science and Technology Commission Research Project 21ZR1438900the Incubating Program for Clinical Research and Innovation of Renji Hospital PYIII20-07the Incubating Program for Clinical Research and Innovation of Renji Hospital PYXJS16-008Wu Jieping Medical Foundation 320.6750.2022-19-92
6 · The paper itself

Abstract

objectivesTo assess the efficacy and safety of preoperative neoadjuvant everolimus in renal angiomyolipomas (AML) patients with or without Tuberous Sclerosis Complex (TSC). MATERIALS AND

methodsThis multi-institutional retrospective study enrolled renal AML patients who underwent partial nephrectomy (PN) or total nephrectomy after receiving at least 1 month of pre-operative everolimus. Imaging evaluations were collected before and after treatment, along with demographic, surgical, and follow-up information. The primary outcome was tumor volume reduction of ≥25%, with additional outcomes including recurrence, perioperative outcomes, renal function, and safety.

resultsFrom January 2015 to July 2022, 68 renal AML patients were studied-41 with TSC and 27 without. During everolimus treatment, 61.0% (25/41) of TSC patients and 44.4% (12/27) of non-TSC patients achieved tumor reduction of ≥25%. Additionally, 41.5% (17/41) of TSC patients and 18.5% (5/27) of non-TSC patients achieved a ≥ 50% reduction. Three TSC patients and 1 non-TSC patient discontinued treatment due to side-effects. Most patients (92.7% TSC, 85.2% non-TSC) underwent PN. After everolimus treatment, the necessary total nephrectomy decreased to 41.2% (7/17) from baseline. Postoperatively, 1 grade 3 and 3 grade 2 complications occurred, with no grade 4 or 5 complications. After a median follow-up of 24 months, only 1 TSC patient recurred with a diameter >3 cm. Retrospective nature is the major limitation of this study.

conclusionEverolimus was effective and well-tolerated in neoadjuvant treatment for renal AML, especially in TSC patients. This neoadjuvant combination strategy of everolimus and PN could effectively controls recurrence and preserves renal function.

Indexed as

AngiomyolipomaEverolimusKidney NeoplasmsNeoadjuvant TherapyNephrectomyTuberous SclerosisAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeEverolimusadverse eventseverolimusneoadjuvantrenal angiomyolipomastreatment responsetuberous sclerosis complex

Identifiers

PMID39279295
PMCPMC11403123

What Socratic holds

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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 Socratic graph.