Evidence map›Paper›PMID 16508631›Full record

Trial reportBritish journal of cancer2006

Raltitrexed-eloxatin salvage chemotherapy in gemcitabine-resistant metastatic pancreatic cancer.

M Reni, L Pasetto, G Aprile, S Cordio, E Bonetto, S Dell'Oro, P Passoni, L Piemonti, C Fugazza, G Luppi and 6 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
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

19 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Oral mTOR inhibitor everolimus in patients with gemcitabine-refractory metastatic pancreatic cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2009
    Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Pancreatic cancer: New hopes after first line treatment.World journal of gastrointestinal oncology · 2016
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Second-line treatment in advanced pancreatic cancer: a comprehensive analysis of published clinical trials.Annals of oncology : official journal of the European Society for Medical Oncology · 2013
    Review
  16. Role of taxanes in pancreatic cancer.World journal of gastroenterology · 2012
    Article
  17. Overcoming drug resistance in pancreatic cancer.Expert opinion on therapeutic targets · 2011
    Review
  18. Systemic therapy for metastatic pancreatic adenocarcinoma.Therapeutic advances in medical oncology · 2010
    Article
  19. 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

16 authors at 7 institutions in 1 country.

M ReniDepartment of Oncology, S. Raffaele Hsc. Scientific Inst., via Olgettina 60, 20132 Milan, Italy. reni.michele@hsr.it
L Pasetto
G Aprile
S Cordio
E Bonetto
S Dell'Oro
P Passoni
L Piemonti
C Fugazza
G Luppi
C Milandri
R Nicoletti
A Zerbi
G Balzano
V Di Carlo
A A Brandes
San Raffaele University of Rome · ITAzienda Ospedaliera di Padova · ITVita-Salute San Raffaele University · ITOspedale Garibaldi · ITOspedale G.B. Morgagni - L.Pierantoni · ITPoliclinico di Modena · ITPoliclinico Universitario di Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Limited information on salvage treatment in patients affected by pancreatic cancer is available. At failure, about half of the patients present good performance status (PS) and are candidate for further treatment. Patients >18 years, PS >or=50, with metastatic pancreatic adenocarcinoma previously treated with gemcitabine-containing chemotherapy, and progression-free survival (PFS) <12 months received a combination of raltitrexed (3 mg m(-2)) and oxaliplatin (130 mg m(-2)) every 3 weeks until progression, toxicity, or a maximum of six cycles. A total of 41 patients received 137 cycles of chemotherapy. Dose intensity for both drugs was 92% of the intended dose. Main grade >2 toxicity was: neutropenia in five patients (12%), thrombocytopenia, liver and vomiting in three (7%), fatigue in two (5%). In total, 10 patients (24%) yielded a partial response, 11 a stable disease. Progression-free survival at 6 months was 14.6%. Median survival was 5.2 months. Survival was significantly longer in patients with previous PFS >6 months and in patients without pancreatic localisation. A clinically relevant improvement of quality of life was observed in numerous domains. Raltitrexed-oxaliplatin regimen may constitute a treatment opportunity in gemcitabine-resistant metastatic pancreatic cancer. Previous PFS interval may allow the identification of patients who are more likely to benefit from salvage treatment.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineDisease ProgressionDrug Resistance, NeoplasmFemaleGemcitabineHumansInfusions, IntravenousMaleMiddle AgedNeoplasm MetastasisOrganoplatinum CompoundsOxaliplatinDeoxycytidineGemcitabineOrganoplatinum CompoundsOxaliplatinQuinazolinesraltitrexedThiophenes

Identifiers

PMID16508631
PMCPMC2361378
OpenAlexW2052474764

What OpenQuestion 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 OpenQuestion graph.