Evidence map›Paper›PMID 22722788›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2012

A systematic analysis of efficacy of second-line chemotherapy in sensitive and refractory small-cell lung cancer.

Taofeek K Owonikoko, Madhusmita Behera, Zhengjia Chen, Chandar Bhimani, Walter J Curran, Fadlo R Khuri, Suresh S Ramalingam

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04501029 (A Phase Ib/II Study of Gimatecan), which is not on this map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
3.8field-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.

NCT04501029 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

A Phase Ib/II Study of Gimatecan (ST1481) for Small Cell Lung Cancer Patients Who Failed Standard Platinum-containing Chemotherapy

TypeinterventionalSponsorLee's Pharmaceutical LimitedRan2020 to 2023Enrolled70ConditionsSmall Cell Lung CancerArmsGimatecan
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 4 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Small Cell Lung Cancer, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Guideline
  2. Small-cell lung cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-upAnnals of oncology : official journal of the European Society for Medical Oncology · 2021
    Guideline
  3. Pooled it
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26 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Taofeek K OwonikokoDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA. towonik@emory.edu
Madhusmita Behera
Zhengjia Chen
Chandar Bhimani
Walter J Curran
Fadlo R Khuri
Suresh S Ramalingam
Emory University · US

Funding

Targeting Microtubules and HDAC6 in NSCLCP01CA116676 · NCI · EMORY UNIVERSITY · PI KHURI, FADLO RAJA · 2006 to 2012
$8.0M
Novel systemic therapy to improve clinical outcome in small cell lung cancerK23CA164015 · NCI · EMORY UNIVERSITY · PI OWONIKOKO, TAOFEEK K · 2011 to 2015
$815k
NCI NIH HHS K23 CA164015NCI NIH HHS P01 CA116676NCI NIH HHS P01 CA166999
6 · The paper itself

Abstract

introductionSmall-cell lung cancer (SCLC) patients unresponsive or relapsing within 90 days after frontline chemotherapy have poor prognosis and are treated with regimens different from the first-line regimen. Potential differences in the efficacy of second-line therapy for refractory and sensitive SCLC have not been well studied.

methodsStudies that enrolled sensitive and refractory (relapse < 90 days or > 90 days) SCLC patients for second-line therapy were identified using electronic databases (MEDLINE, EMBASE, and Cochrane library), and meeting abstracts databases. A systematic analysis was conducted using Comprehensive Meta Analysis (version 2.2.048) software to calculate the odds ratio of response and 95% confidence interval. Median overall survival time for sensitive and resistant SCLC patients was compared by two-sided Student's t test. We tested for significant heterogeneity by Cochran's chi-square test and I-square index.

resultsTwenty-one studies published between 1984 and 2011 were eligible for this analysis with a total of 1692 patients enrolled; 912 with sensitive and 780 with refractory SCLC. The overall response rate was 17.9% with a higher response rate of 27.7% (range, 0%-77%) for sensitive SCLC versus 14.8% (range, 0%-70%) for refractory patients; p=0.0001. Pooled overall odds ratio of response was 2.235 (95% confidence interval: 1.518-3.291; p=0.001) favoring patients with sensitive disease. Median overall survival time was 6.7 months with a weighted survival of 7.7 and 5.4 months for sensitive and refractory SCLC, respectively (p = 0.0035).

conclusionsRefractory SCLC patients derive modest clinical benefit from second-line chemotherapy. However, response and survival outcomes are superior with chemosensitive disease.

Indexed as

Salvage TherapyAntineoplastic Combined Chemotherapy ProtocolsClinical Trials as TopicDrug Resistance, NeoplasmHumansLung NeoplasmsMeta-Analysis as TopicNeoplasm Recurrence, LocalNeoplasm StagingPrognosisProspective StudiesSmall Cell Lung CarcinomaSurvival Rate

Identifiers

PMID22722788
PMCPMC3381878
OpenAlexW2067056331

What OpenQuestion holds

Textmetadata
LicenceTDM
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.