Evidence map›Paper›PMID 16622436›Full record

Trial reportBritish journal of cancer2006

Gastrazole (JB95008), a novel CCK2/gastrin receptor antagonist, in the treatment of advanced pancreatic cancer: results from two randomised controlled trials.

I Chau, D Cunningham, C Russell, A R Norman, T Kurzawinski, P Harper, P Harrison, G Middleton, F Daniels, T Hickish and 10 more

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
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 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Gastrin and Gastric Cancer.Cellular and molecular gastroenterology and hepatology · 2017
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Downregulation of the CCK-B receptor in pancreatic cancer cells blocks proliferation and promotes apoptosis.American journal of physiology. Gastrointestinal and liver physiology · 2012
    Article
  17. Article
  18. Current knowledge on pancreatic cancer.Frontiers in oncology · 2012
    Article
  19. Article
  20. Systemic therapy for metastatic pancreatic adenocarcinoma.Therapeutic advances in medical oncology · 2010
    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

20 authors at 10 institutions in 2 countries.

I ChauDepartment of Medicine, Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT, and University College London Hospitals, UK.
D Cunningham
C Russell
A R Norman
T Kurzawinski
P Harper
P Harrison
G Middleton
F Daniels
T Hickish
J Prendeville
P J Ross
B Theis
R Hull
M Walker
N Shankley
B Kalindjian
G Murray
A Gillbanks
J Black
Blackstone (United States) · USUniversity College London · GBGuy's Hospital · GBRoyal Marsden Hospital · GBRoyal Marsden NHS Foundation Trust · GBDerriford Hospital · GBKing's College Hospital · GBRoyal Bournemouth Hospital · GBRoyal Surrey County Hospital · GBUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrin has been shown to be a growth stimulant in pancreatic cancer cells. Gastrazole is a potent and selective gastrin receptor antagonist. Two randomised blinded trials were conducted to assess the effect of gastrazole in advanced pancreatic cancer. Patients with biopsy-proven, inoperable pancreatic carcinoma were recruited. Trial A compared protracted venous infusion (PVI) gastrazole with PVI placebo, whereas trial B compared PVI gastrazole with PVI fluorouracil (5-FU). Eighteen patients were randomised in trial A. Gastrazole produced significantly better survival compared to placebo (median 7.9 months vs 4.5 months; 1-year survival: 33 vs 11%, respectively; log rank P=0.02). No difference in toxicity was seen between gastrazole and placebo, except central venous catheter and pump complications. Ninety-eight patients were randomised in trial B. No significant survival difference was detected between gastrazole and 5-FU (median: 3.6 vs 4.2 months; 1-year survival: 13.2 vs 26.2%, respectively; log rank P=0.42). Toxicity of gastrazole was mild with significantly less diarrhoea (P=0.03), stomatitis (P<0.001) and hand- foot syndrome (P<0.001) compared to 5-FU. Quality of life (QoL) assessment showed similar QoL between gastrazole and 5-FU at baseline and no significant differences occurred with treatment either between arms or within arms. Compared to placebo, patients with advanced pancreatic cancer treated with gastrazole appeared to live longer, albeit in a very small trial and will require confirmation with large-scale randomised data. However, it did not produce survival advantage over PVI 5-FU. Lack of toxicity for gastrazole may allow its combination with cytotoxic drugs.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsDisease ProgressionDose-Response Relationship, DrugDouble-Blind MethodFemaleFluorouracilFollow-Up StudiesHumansInfusions, IntravenousMaleMiddle AgedPancreatic NeoplasmsPilot ProjectsAntineoplastic AgentsFluorouracilPlacebosReceptor, Cholecystokinin B

Identifiers

PMID16622436
PMCPMC2361246
OpenAlexW1988949352

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.