Evidence map›Paper›PMID 39972254›Full record

SynthesisBMC cancer2025

Efficacy and safety of regorafenib in the treatment of bone sarcomas: systematic review and meta-analysis.

Yuanhang Han, Jiangtao Xie, Yuyang Wang, Xiaoxiao Liang, Yuanlong Xie

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors.

Yuanhang Han *Department of Spine Surgery and Musculoskeletal Tumor, Zhongnan Hospital of Wuhan University, No.169,Donghu St, Wuhan, Hubei, 430071, PR China.
Jiangtao Xie *Department of Spine Surgery and Musculoskeletal Tumor, Zhongnan Hospital of Wuhan University, No.169,Donghu St, Wuhan, Hubei, 430071, PR China.
Yuyang WangDepartment of Spine Surgery and Musculoskeletal Tumor, Zhongnan Hospital of Wuhan University, No.169,Donghu St, Wuhan, Hubei, 430071, PR China.
Xiaoxiao LiangDepartment of Bone and Soft Tissue Oncology, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, No.127,Dongming St, Zhengzhou, Henan, 450008, PR China. xiaoliangwhu@163.com.
Yuanlong XieDepartment of Spine Surgery and Musculoskeletal Tumor, Zhongnan Hospital of Wuhan University, No.169,Donghu St, Wuhan, Hubei, 430071, PR China. yuanlongxie@whu.edu.cn.

Funding

National Natural Science Foundation of China 82103285Wuhan Natural Science Foundation Exploration Program (Chenguang Program) 2024040801020356Youth interdisciplinary Special Fund of Zhongnan Hospital of Wuhan University ZNQNJC2022009
6 · The paper itself

Abstract

backgroundMetastatic or recurrent bone sarcomas are often associated with an unfavorable prognosis, posing a formidable challenge in extending patients' survival. Currently, regorafenib has shown promise in treating metastatic and recurrent bone sarcomas. However, there is a lack of consensus on its efficacy and safety. This systematic review and meta-analysis aims to consolidate existing data to assess the efficacy and safety of regorafenib in bone sarcomas.

methodsA comprehensive search strategy utilizing MeSH terms and free-text keywords was employed to systematically search the Embase, PubMed, Web of Science, and Cochrane databases up to May 26, 2024. Randomized controlled trials investigating regorafenib monotherapy for metastatic or recurrent bone sarcomas were included. The primary outcomes of interest were progression-free survival (PFS), overall survival(OS) and adverse events (AEs).

resultsWe retrieved 335 articles and included 5 of them. Regorafenib significantly extended PFS-3 months and PFS-6 months in patients with metastatic or recurrent bone sarcomas compared to the control group, exhibiting a favorable odds ratio (OR) of 2.04 (95% CI: 1.21-2.86, P < 0.01) and 1.03 (95% CI: 0.08-1.99, P < 0.05), respectively. However, regorafenib did not improve OS at any observation point compared with the control group(P > 0.05), and the frequency of AEs was higher, with an odds ratio of 1.35 (95% CI: 0.63-2.07, P < 0.01).

conclusionRegorafenib emerges as a promising therapeutic option for metastatic or recurrent bone sarcomas, demonstrating certain clinical benefits alongside manageable adverse reactions. Nevertheless, further research is warranted to refine the efficacy and safety profile of regorafenib, particularly in exploring safe dosage ranges or alternative treatment modalities. REGISTRATION NUMBER: CRD42024551705.

Indexed as

Antineoplastic AgentsBone NeoplasmsOsteosarcomaPhenylurea CompoundsPyridinesHumansNeoplasm Recurrence, LocalProgression-Free SurvivalRandomized Controlled Trials as TopicTreatment OutcomeAntineoplastic AgentsPhenylurea CompoundsPyridinesregorafenibAdverse eventsBone sarcomasOverall survivalProgression-free survivalRegorafenib

Identifiers

PMID39972254
PMCPMC11841194

What Socratic holds

Textmetadata
Read underepoch 390

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.