Evidence map›Paper›PMID 40138604›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Methotrexate, Doxorubicin, and Cisplatin Versus Methotrexate, Doxorubicin, and Cisplatin + Ifosfamide in Poor Responders to Preoperative Chemotherapy for Newly Diagnosed High-Grade Osteosarcoma (JCOG0905): A Multicenter, Open-Label, Randomized Trial.

Hiroaki Hiraga, Ryunosuke Machida, Akira Kawai, Toshiyuki Kunisada, Tsukasa Yonemoto, Makoto Endo, Yoshihiro Nishida, Akihito Nagano, Keisuke Ae, Shinichirou Yoshida and 20 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Drug sensitivity testing of patient-derived bone sarcomas identifies selective kinase inhibitors for patients with refractory disease.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Review
  4. What's new in pediatric bone sarcomas and benign bone tumors.Journal of children's orthopaedics · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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.

Hiroaki HiragaMusculoskeletal Oncology, NHO Hokkaido Cancer Center, Sapporo, Japan.ORCID 0000-0003-1825-1070
Ryunosuke MachidaJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Akira KawaiMusculoskeletal Oncology, National Cancer Center Hospital, Tokyo, Japan.
Toshiyuki KunisadaOrthopaedic Surgery, Faculty of Medicine, Okayama University, Okayama, Japan.ORCID 0000-0002-1775-850X
Tsukasa YonemotoOrthopaedic Surgery, Chiba Cancer Center, Chiba, Japan.
Makoto EndoOrthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID 0000-0002-7956-2190
Yoshihiro NishidaDepartment of Rehabilitation Medicine, Nagoya University Hospital, Nagoya, Japan.
Akihito NaganoOrthopaedic Surgery, Gifu University School of Medicine, Gifu, Japan.ORCID 0000-0003-0261-480X
Keisuke AeOrthopaedic Surgery, Cancer Institute Hospital, Tokyo, Japan.
Shinichirou YoshidaOrthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID 0000-0003-1110-2363
Kunihiro AsanumaOrthopaedic Surgery, Mie University, Tsu, Japan.ORCID 0000-0002-1244-0236
Junya ToguchidaDepartment of Tissue Regeneration, Center for Induced Pluripotent Stem Cell Research and Application, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan.
Taisuke FurutaOrthopaedic Surgery, Hiroshima University, Hiroshima, Japan.ORCID 0000-0002-0566-2973
Robert NakayamaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0003-1985-2169
Toshihiro AkisueOrthopaedic Surgery, Kobe University, Kobe, Japan.ORCID 0000-0003-3708-4095
Toru HirumaBone and Soft Tissue Tumour Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Takeshi MoriiOrthopaedic Surgery, Kyorin University, Tokyo, Japan.
Hideki NishimuraOrthopaedic Surgery, Kagawa University Hospital, Takamatsu, Japan.ORCID 0000-0002-5622-5538
Koji HiraokaOrthopaedic Surgery, Kurume University Hospital, Kurume, Japan.ORCID 0000-0001-5897-2716
Masanobu TakeyamaOrthopaedic Surgery, Yokohama City University Hospital, Yokohama, Japan.ORCID 0000-0001-6175-3979
Makoto EmoriOrthopaedic Surgery, Sapporo Medical University Hospital, Sapporo, Japan.ORCID 0000-0003-2512-2795
Satoshi TsukushiOrthopaedic Surgery, Aichi Cancer Center, Nagoya, Japan.ORCID 0000-0002-2181-0702
Hiroshi HatanoMusculoskeletal Oncology, Niigata Cancer Center Hospital, Niigata, Japan.ORCID 0000-0001-5043-9343
Hiroyuki KawashimaOrthopaedic Surgery, Niigata University Medical & Dental Hospital, Niigata, Japan.ORCID 0000-0001-9511-9773
Kazuo IsuOrthopaedic Surgery, Higashi Sapporo Hospital, Sapporo, Japan.
Kazuhiro TanakaAdvanced Medical Sciences, Oita University Faculty of Medicine, Oita, Japan.ORCID 0000-0002-5138-8952
Tomoko KataokaJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0003-4468-2632
Haruhiko FukudaJapan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Yukihide IwamotoOrthopaedic Surgery, Kyushu Rosai Hospital, Kitakyusyu, Japan.
Toshifumi OzakiOrthopaedic Surgery, Faculty of Medicine, Okayama University, Okayama, Japan.ORCID 0000-0003-1732-9307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur previous NECO phase II studies on high-grade osteosarcoma suggested that administering ifosfamide (IF; 16 g/m

methodsJCOG0905 is a multicenter, open-label, multi-institutional, randomized trial. Eligible patients (50 years and younger) had resectable, high-grade osteosarcoma (stage II or III, Union for International Cancer Control TNM) of the extremities, limb girdles, and thoracic wall. After two MAP cycles and tumor resection, patients with PrRsp were randomly assigned to either the MAP or MAP plus 15 g/m

resultsOf the 287 patients registered between February 2010 and August 2020, 51 and 52 patients with PrRsp were assigned to the MAP and MAPIF groups, respectively. As of March 2022, DFS did not differ between groups (hazard ratio [HR], 1.05 [95% CI, 0.55 to 1.98]) and OS was numerically inferior in the MAPIF group (HR, 1.48 [95% CI, 0.68 to 3.22]). Nine and zero patients in the MAPIF and MAP groups discontinued treatment because of adverse events, respectively.

conclusionEvidence from JCOG0905 does not support the addition of IF for patients with PrRsp.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBone NeoplasmsOsteosarcomaAdolescentAdultCisplatinDoxorubicinFemaleHumansIfosfamideMaleMethotrexateMiddle AgedNeoadjuvant TherapyNeoplasm GradingYoung AdultCisplatinDoxorubicinIfosfamideMethotrexate

Identifiers

PMID40138604
PMCPMC12118622

What Socratic holds

Textmetadata
LicenceCC BY
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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.