Evidence map›Paper›PMID 39727697›Full record

ArticleCurrent oncology (Toronto, Ont.)2024

Survival Outcomes with Regorafenib and/or Trifluridine/Tipiracil Sequencing to Rechallenge with Third-Line Regimens in Metastatic Colorectal Cancer: A Multicenter Retrospective Real-World Subgroup Comparison from the ReTrITA Study.

Carlo Signorelli, Maria Alessandra Calegari, Annunziato Anghelone, Alessandro Passardi, Giovanni Luca Frassineti, Alessandro Bittoni, Jessica Lucchetti, Lorenzo Angotti, Emanuela Di Giacomo, Ina Valeria Zurlo and 20 more

Abstract readMulticenter Study
In one paragraph

Article in Current oncology (Toronto, Ont.), 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. Article
  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

30 authors.

Carlo SignorelliMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.ORCID 0000-0001-9710-4962
Maria Alessandra CalegariOncologia Medica, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS, 00168 Rome, Italy.ORCID 0000-0001-6856-2593
Annunziato AngheloneOncologia Medica, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS, 00168 Rome, Italy.
Alessandro PassardiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47014 Meldola, Italy.ORCID 0000-0002-7099-240X
Giovanni Luca FrassinetiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47014 Meldola, Italy.ORCID 0000-0002-0277-5622
Alessandro BittoniDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47014 Meldola, Italy.ORCID 0000-0002-4056-0067
Jessica LucchettiDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Lorenzo AngottiDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Emanuela Di GiacomoDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Ina Valeria ZurloMedical Oncology, "Vito Fazzi" Hospital, 73100 Lecce, Italy.ORCID 0000-0002-8876-4691
Cristina MorelliMedical Oncology Unit, Department of Systems Medicine, Tor Vergata University Hospital, 00133 Rome, Italy.
Emanuela Dell'AquilaIRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Adele ArtemiIRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Donatello GemmaMedical Oncology Unit, ASL Frosinone, 03039 Sora, Italy.
Domenico Cristiano CorsiMedical Oncology, Isola Tiberina Hospital, Gemelli Isola, 00186 Rome, Italy.
Alessandra EmilianiMedical Oncology, Isola Tiberina Hospital, Gemelli Isola, 00186 Rome, Italy.
Marta RibelliMedical Oncology, Isola Tiberina Hospital, Gemelli Isola, 00186 Rome, Italy.
Federica MazzucaOncology Unit, Department of Clinical and Molecular Medicine, Sant' Andrea University Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Giulia ArriviOncology Unit, Department of Clinical and Molecular Medicine, Sant' Andrea University Hospital, Sapienza University of Rome, 00189 Rome, Italy.ORCID 0000-0003-0541-415X
Federica ZorattoUOC Oncologia, Ospedale Santa Maria Goretti, ASL Latina, 04100 Latina, Italy.
Mario Giovanni ChilelliMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.
Marta SchirripaMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.
Maria Grazia MorandiMedical Oncology Unit, San Camillo de Lellis Hospital, ASL Rieti, 02100 Rieti, Italy.
Fiorenza SantamariaUOC Oncology A, Policlinico Umberto I, 00161 Rome, Italy.ORCID 0000-0002-1214-9342
Manuela DettoriMedical Oncology Department, Ospedale Oncologico Armando Businco, 09121 Cagliari, Italy.
Antonella CosimatiMedical Oncology Department, UO Oncologia Universitaria della Casa della Salute di Aprilia, 04011 Aprilia, Italy.
Rosa SaltarelliUOC Oncology, San Giovanni Evangelista Hospital, ASL RM5, 00019 Tivoli, Italy.
Alessandro MinelliMedical Oncology Department, UO Oncologia, Ospedale San Paolo, ASL RM4, 00053 Civitavecchia, Italy.
Emanuela Lucci-CordiscoUOC Genetica Medica, Dipartimento di Scienze della Vita e Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00168 Rome, Italy.
Michele BassoOncologia Medica, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS, 00168 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is ongoing discussion around the optimal course of treatment for metastatic colorectal cancer (mCRC) following the second line. Trifluridine/tipiracil (T) and regorafenib (R) have been the mainstay of therapy in this situation, as they both increased overall survival (OS) in comparison to a placebo. Despite the paucity of evidence, therapy rechallenge is also recognized as an option for practical use. In the third-line scenario of mCRC, we planned to investigate the survival outcomes using (T) and (R), both with and without prior rechallenge treatment. MATERIALS AND

methodsBetween 2012 and 2023, we examined the medical records of 1156 patients with refractory mCRC who were enrolled in the multicenter retrospective ReTrITA study. We then separated the patients into two cohorts based on the rechallenge therapy that was given before regorafenib and/or trifluridine/tipiracil at 17 Italian centres.

resultsA total of 981 patients underwent T and/or R therapy, while 175 patients had therapy rechallenge before T and/or R. The median overall survival (mOS) for patients treated with T/R and R/T sequences in the rechallenge therapy cohort was 14.5 months and 17.6 months, respectively (

conclusionsThis study suggests that rechallenge therapy may improve survival rates in the third-line treatment of mCRC, particularly if it is administered before sequential R/T treatment. This could allow for the extension of mCRC treatment choices until prospective studies are finished or randomised trials are performed.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsPhenylurea CompoundsPyridinesPyrrolidinesThymineTrifluridineAdultAgedAged, 80 and overDrug CombinationsFemaleHumansMaleMiddle AgedNeoplasm MetastasisDrug CombinationsPhenylurea CompoundsPyridinesPyrrolidinesregorafenibThymineTrifluridinetrifluridine tipiracil drug combinationmetastatic colorectal cancerreal-world studyrechallenge therapyregorafenibthird-line therapytrifluridine/tipiracil

Identifiers

PMID39727697
PMCPMC11674570

What Socratic holds

Textmetadata
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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 Socratic graph.