Evidence map›Paper›PMID 18459175›Full record

Trial reportCancer2008

Phase 2 trial of pemetrexed disodium and gemcitabine in advanced urothelial cancer (E4802): a trial of the Eastern Cooperative Oncology Group.

Robert Dreicer, Hailun Li, Matthew M Cooney, George Wilding, Bruce J Roth, Eastern Cooperative Oncology Group

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00053209 (Phase II Trial Of Pemetrexed Disodium And Gemcitabine In Advanced Urothelial Cancer), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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.

NCT00053209 phase2completednot on this map

Phase II Trial Of Pemetrexed Disodium And Gemcitabine In Advanced Urothelial Cancer

TypeinterventionalSponsorEastern Cooperative Oncology GroupRan2004 to 2009Enrolled46ConditionsBladder Cancer, Transitional Cell Cancer of the Renal Pelvis and Ureter, Urethral CancerArmsgemcitabine hydrochloride, pemetrexed disodium
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Update in Urothelial Carcinoma: Novel Agents and Targeted Therapy.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2011
    Article
  10. Article
  11. Article
  12. Article
  13. 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

6 authors at 4 institutions in 1 country.

Robert DreicerDepartment of Solid Tumor Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. dreicer@ccf.org
Hailun Li
Matthew M Cooney
George Wilding
Bruce J Roth
Eastern Cooperative Oncology Group
Cleveland Clinic · USDana-Farber Cancer Institute · USUniversity Hospitals of Cleveland · USVanderbilt-Ingram Cancer Center

Funding

ECOG OPERATIONS OFFICE (IBCSG)U10CA021115 · NCI · UNIVERSITY OF WISCONSIN MADISON · PI COMIS, ROBERT L · 1985 to 2013
$132.6M
ECOG Statistical Office Data Management GrantU10CA066636 · NCI · FRONTIER SCI &TECHNOLOGY RSCH FDN, INC · PI GRAY, ROBERT J · 1994 to 2013
$39.5M
PROVIDE STATISTICAL SERVICESU10CA023318 · NCI · DANA-FARBER CANCER INSTITUTE · PI GRAY, ROBERT J · 1985 to 2013
$33.4M
EASTERN COOPERATIVE ONCOLOGY GROUP--WISCONSIN STUDIESU10CA021076 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI KAHL, BRAD · 1985 to 2013
$8.2M
ONCOLOGYU10CA014548 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI AVERBOOK, BRUCE JEFFREY · 1985 to 2013
$5.5M
ONCOLOGYU10CA049957 · NCI · VANDERBILT UNIVERSITY · PI BERLIN, JORDAN D · 1989 to 2013
$5.4M
NCI NIH HHS CA14548NCI NIH HHS CA21076NCI NIH HHS CA21115NCI NIH HHS CA23318NCI NIH HHS CA49957NCI NIH HHS CA66636NCI NIH HHS U10 CA014548NCI NIH HHS U10 CA021076NCI NIH HHS U10 CA021115NCI NIH HHS U10 CA023318NCI NIH HHS U10 CA049957NCI NIH HHS U10 CA066636
6 · The paper itself

Abstract

backgroundThere is a need to identify active new regimens in patients with advanced urothelial cancer. Pemetrexed and gemcitabine are active agents in advanced urothelial cancer. A phase 2 trial of the combination of these 2 agents was performed in patients with advanced urothelial cancer who were previously untreated for metastatic disease.

methodsForty-six patients with advanced urothelial carcinoma received pemetrexed disodium 500 mg/m2 and gemcitabine 1000 mg/m2 intravenously on Day 1, with gemcitabine repeated on Day 8. Cycles were repeated every 3 weeks for a maximum of 6 cycles.

resultsTwo patients attained a complete response, and 12 patients attained a partial response for an overall response rate of 31.8% (90% confidence interval, 20.4%-45.2%). The median time to disease progression was 5.8 months, and the median overall survival was 13.4 months. Thirty-three patients (75%) experienced grade>or=3 neutropenia, and 5 patients (11%) had febrile neutropenia. There were 2 therapy-related deaths.

conclusionsThe combination of pemetrexed and gemcitabine had moderate antitumor activity in previously untreated patients with advanced urothelial cancer at the expense of significant myelosuppression.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineDisease ProgressionFemaleGemcitabineGlutamatesGuanineHumansMaleMiddle AgedNeutropeniaPemetrexedSurvival AnalysisTreatment OutcomeDeoxycytidineGemcitabineGlutamatesGuaninePemetrexed

Identifiers

PMID18459175
PMCPMC2674559
OpenAlexW1978619418

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.