Evidence map›Paper›PMID 41630035›Full record

SynthesisJournal of translational medicine2026

A systematic review and meta-analysis of pazopanib efficacy and adverse effects in sarcomas.

Fernanda Picozzi, Alessandro Ottaiano, Antonella Lucia Marretta, Mariachiara Santorsola, Lucia Cannella, Antonio Pizzolorusso, Francesco Caraglia, Giuseppina Della Vittoria Scarpati, Alessandra Bracigliano, Ottavia Clemente and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of translational medicine, 2026. 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. Review
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

13 authors.

Fernanda PicozziSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Alessandro OttaianoSSD Terapie Innovative nelle Metastasi Addominali, Istituto Nazionale Tumori, IRCCS Fondazione "G.Pascale", 80131, Naples, Italy. a.ottaiano@istitutotumori.na.it.ORCID 0000-0002-2901-3855
Antonella Lucia MarrettaMelanoma Unit, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Mariachiara SantorsolaSSD Terapie Innovative nelle Metastasi Addominali, Istituto Nazionale Tumori, IRCCS Fondazione "G.Pascale", 80131, Naples, Italy.
Lucia CannellaSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Antonio PizzolorussoSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Francesco CaragliaDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Giuseppina Della Vittoria ScarpatiSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Alessandra BraciglianoSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Ottavia ClementeSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.
Ines SimeoneHumanitas Research Hospital, 20089, Rozzano, Italy.
Michele CaragliaDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138, Naples, Italy.
Salvatore TafutoSarcoma and Rare Tumors Unit, Istituto Nazionale Tumori, IRCCS Fondazione "G. Pascale", 80131, Naples, Italy.

Funding

Regione Campania This study was funded by Regione Campania under the PRE-SARC project, supported by Fondi di Rotazione ex L. 183/1987, within the framework of the call "Malattie Rare."
6 · The paper itself

Abstract

backgroundPazopanib, a multi-targeted tyrosine kinase inhibitor, is employed in the treatment of various malignancies, including metastatic non-adipocytic soft tissue sarcoma.

methodsThis systematic review and meta-analysis adhered to PRISMA guidelines to evaluate the efficacy and toxicity of pazopanib monotherapy in treating sarcomas. A comprehensive search of PubMed/MEDLINE and Scopus/ELSEVIER databases was conducted, covering the period from 2009 to 2025. The included studies were evaluated for quality using the MINORS, Newcastle-Ottawa Scale, and RoB2 tools. The spectrum of toxicities and responses in sarcoma types was described. A meta-analysis was performed to compare the efficacy of pazopanib with non-placebo treatments, using both fixed-effect and random-effect models to calculate pooled hazard ratios (HRs) for progression-free survival (PFS) and overall survival (OS).

resultsA total of 40 studies were included, encompassing a wide range of study designs and quality. The analysis revealed variable objective response rates (ORR) across different sarcoma types, with the highest ORRs by RECIST observed in desmoid tumors (37.0%) and alveolar soft part sarcoma (35.5%). Common toxicities included hypertension, liver function test abnormalities, and fatigue, with significant variability in dose reductions and treatment interruptions across studies. The pooled HRs for PFS and OS were 1.10 (95% CI: 0.69-1.25) and 0.99 (95% CI: 0.63-1.35), respectively, indicating no significant advantage of non-placebo treatments respect to pazopanib.

conclusionsPazopanib demonstrated histology-specific efficacy in sarcomas, with a manageable toxicity profile. Furthermore, it does not appear inferior to non-placebo interventions, highlighting the need for further comparative studies to clarify its role in the therapeutic landscape of advanced sarcomas.

Indexed as

IndazolesPyrimidinesSarcomaSulfonamidesHumansPublication BiasTreatment OutcomeIndazolespazopanibPyrimidinesSulfonamidesMeta-analysisPazopanibResponseSarcomasToxicity

Identifiers

PMID41630035
PMCPMC12955024

What Socratic holds

Textmetadata
LicenceCC BY
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.