Evidence map›Paper›PMID 22767144›Full record

Trial reportBritish journal of cancer2012

Docetaxel combined with irinotecan or 5-fluorouracil in patients with advanced oesophago-gastric cancer: a randomised phase II study.

A Roy, D Cunningham, R Hawkins, H Sörbye, A Adenis, J-R Barcelo, G Lopez-Vivanco, G Adler, J-L Canon, F Lofts and 15 more

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Chemotherapy for advanced gastric cancer.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

25 authors at 20 institutions in 6 countries.

A RoyDepartment of Medicine, Royal Marsden Hospital, Sutton, London, SM25PT, UK.
D Cunningham
R Hawkins
H Sörbye
A Adenis
J-R Barcelo
G Lopez-Vivanco
G Adler
J-L Canon
F Lofts
C Castanon
E Fonseca
O Rixe
J Aparicio
J Cassinello
M Nicolson
M Mousseau
A Schalhorn
L D'Hondt
J Kerger
D K Hossfeld
C Garcia Giron
R Rodriguez
P Schoffski
J-L Misset
CHU Dinant Godinne UCL Namur · BEOsakidetza · ESRoyal Marsden NHS Foundation Trust · GBAberdeen Royal Infirmary · GBCentre Hospitalier Universitaire de Grenoble · FRCentre Oscar Lambret · FRCentro de Investigación del Cáncer · ESComplejo Hospitalario de Ourense · ESGrand Charleroi Hospital · BEHaukeland University Hospital · NOHôpital Saint-Louis · FRHospital General Yagüe · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de Guadalajara · ESKU Leuven · BELMU Klinikum · DEMSH Medical School Hamburg – University of Applied Sciences and Medical University · DESorbonne Université · FRSt George's Hospital · GBUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDocetaxel and irinotecan chemotherapy have shown good efficacy in the treatment of advanced oesophago-gastric cancer. This randomised phase II study evaluated the efficacy and toxicity profile of two non-platinum docetaxel-based doublet regimens in advanced oesophago-gastric cancer.

methodsChemotherapy-naïve patients with advanced oesophago-gastric cancer were randomised to receive either 3-weekly DI (docetaxel 60 mg m(-2) plus irinotecan 250 mg m(-2) (Day 1)) or 3-weekly DF (docetaxel 85 mg m(-2) (Day 1) followed by 5-fluorouracil 750 mg m(-2) per day as a continuous infusion (Days 1-5)).

resultsA total of 85 patients received DI (n=42) or DF (n=43). The primary endpoint was overall response rate (ORR). The ORR and time to progression (TTP) in the evaluable population (n=65) were 37.5% (DI) vs 33.3% (DF), and 4.2 months vs 4.4 months, respectively. In the intent-to-treat population, the observed ORR, TTP and median overall survival were similar between the two groups. Grade 3-4 neutropenia, febrile neutropenia and diarrhoea were more frequent in the DI arm as compared with the DF arm (83.3% vs 69.8%, 40.5% vs 18.6%, and 42.9% vs 16.3%, respectively).

conclusionBoth docetaxel-based doublet regimens show comparable efficacy; however, the DF regimen was associated with a better toxicity profile and is an alternative treatment option for patients in whom platinum-based regimens are unsuitable.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCamptothecinDisease ProgressionDocetaxelEsophageal NeoplasmsFemaleFluorouracilHumansIrinotecanMaleMiddle AgedStomach NeoplasmsTaxoidsCamptothecinDocetaxelFluorouracilIrinotecanTaxoids

Identifiers

PMID22767144
PMCPMC3405223
OpenAlexW2025501584

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.