Evidence map›Paper›PMID 17909820›Full record

ReviewInternational journal of colorectal disease2008

Capecitabine vs continuous infusion 5-FU in neoadjuvant treatment of rectal cancer. A retrospective review.

M W Saif, Shahrukh Hashmi, Daniel Zelterman, Khaldoun Almhanna, Richard Kim

Registry-linked trialAbstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in International journal of colorectal disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03428529 (Estudo Randomizado de Fase II Com Capecitabina Versus 5-Fluorouracil/Leucovorin em Bolus Associados à Radioterapia no Tratamento Neoadjuvante de câncer de Reto Localmente avançado), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT03428529 phase2 / phase3completednot on this mapstarted 2011, after this paper: background citation

Estudo Randomizado de Fase II Com Capecitabina Versus 5-Fluorouracil/Leucovorin em Bolus Associados à Radioterapia no Tratamento Neoadjuvante de câncer de Reto Localmente avançado: INCAGI004.

TypeinterventionalSponsorInstituto Nacional de Cancer, BrazilRan2011 to 2016Enrolled63ConditionsRectal Neoplasm MalignantArmsCapecitabine Oral Product, 5Fluorouracil
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Trial
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  8. Review
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  11. Attention Strongly Modulates Reliability of Neural Responses to Naturalistic Narrative Stimuli.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2016
    Article
  12. Review
  13. Article
  14. Clinical and dosimetric predictors of acute hematologic toxicity in rectal cancer patients undergoing chemoradiotherapy.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2014
    Article
  15. Article
  16. Article
  17. Review
  18. The current landscape of locally advanced rectal cancer.Nature reviews. Clinical oncology · 2011
    Review
  19. Review
  20. 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.

M W SaifSection of Medical Oncology, Yale University School of Medicine, 333 Cedar Street, FMP 116, New Haven, CT 06520, USA. wasif.saif@yale.edu
Shahrukh Hashmi
Daniel Zelterman
Khaldoun Almhanna
Richard Kim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandard therapy for locally advanced rectal cancer (LARC) is concurrent neo-adjuvant chemo-radiation using infusional 5-fluorouracil (CIV-5-FU). Capecitabine (CAP) offers a convenient oral replacement for CIV-5-FU. There is no randomized trial comparing infusional 5-FU to capecitabine. We retrospectively compared the safety and efficacy of CAP-based regimens with well-established CIV-5-FU-based regimens in LARC. MATERIALS AND

methodsWe collected published data on 542 patients treated on either CIV-5-FU (197) or CAP (345) with concurrent radiation (external radiation treatment, XRT) for LARC. This included Phase I or II studies published or available from Pubmed. Safety was assessed by determining proportion of patients who experienced grade III/IV adverse effects. Efficacy was assessed by determining pathological complete response (pCR). Chi-square tests were used to compare the two regimens. A P value less than 0.05 was considered statistically significant. Statistical tests were further corrected for multiplicity using the method of Benjamini and Yekutieli (Ann Stat, 29(4):1165-1188, 2001).

resultspCR was significantly higher in patients getting CAP vs CIV-5-FU (25 vs 13%; P = 0.008,.P adj = 0.034). Both regimens were generally well tolerated. There was no grade IV toxicity reported. Grade III hand foot syndrome was more common in the CAP group, and grade III diarrhea was more common in the CIV group.

conclusionsCAP when compared to CIV seems to have superior efficacy with reasonable toxicities. It is reasonable to treat LARC with CAP + XRT.

Indexed as

Administration, OralAntimetabolites, AntineoplasticCapecitabineChemotherapy, AdjuvantDeoxycytidineFluorouracilHumansInfusions, ParenteralNeoadjuvant TherapyRadiotherapy, AdjuvantRectal NeoplasmsRetrospective StudiesTreatment OutcomeAntimetabolites, AntineoplasticCapecitabineDeoxycytidineFluorouracil

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.