Evidence map›Paper›PMID 23525694›Full record

Trial reportCancer chemotherapy and pharmacology2013

A multicenter phase II study of S-1 for gemcitabine-refractory biliary tract cancer.

Eiichiro Suzuki, Masafumi Ikeda, Takuji Okusaka, Shoji Nakamori, Shinichi Ohkawa, Tatsuya Nagakawa, Narikazu Boku, Hiroaki Yanagimoto, Tosiya Sato, Junji Furuse

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

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

23 citing papers in PubMed.

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  7. Concurrent radiotherapy with S-1 plus cisplatin versus concurrent radiotherapy with cisplatin alone for the treatment of locally advanced cervical carcinoma: a pilot randomised controlled trial.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2016
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  9. Review
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  16. Chemotherapy for Biliary Tract Cancer in 2021.Journal of clinical medicine · 2021
    Review
  17. Review
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  19. Review
  20. Biliary cancer: intrahepatic cholangiocarcinomaJournal of gastrointestinal oncology · 2017
    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

10 authors.

Eiichiro SuzukiDepartment of Internal Medicine, Medical Oncology, Kyorin University School of Medicine, 6-20-2, Shinkawa, Mitaka, Tokyo 181-8611, Japan. eisuzuki@ks.kyorin-u.ac.jp
Masafumi Ikeda
Takuji Okusaka
Shoji Nakamori
Shinichi Ohkawa
Tatsuya Nagakawa
Narikazu Boku
Hiroaki Yanagimoto
Tosiya Sato
Junji Furuse

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGemcitabine (GEM)-based chemotherapy has been used worldwide as the first-line treatment for advanced biliary tract cancer (BTC). However, no standard regimens have been established yet for patients with GEM-refractory BTC. A previous phase II trial of S-1 as a first-line treatment in patients with advanced BTC revealed promising activity of this drug. The present study was conducted to evaluate the efficacy and safety of S-1 in patients with GEM-refractory BTC.

methodsThe subjects were patients with pathologically proven BTC who had shown disease progression while receiving GEM-based chemotherapy. Each treatment cycle consisted of administration of S-1 orally at the dose of 40 mg/m(2) twice daily for 28 days, followed by a rest period of 14 days. The primary endpoint of this study was objective response, and the secondary endpoints were the toxicity, progression-free survival (PFS), and overall survival (OS).

resultsForty patients were assessed for efficacy and safety from 8 hospitals in Japan between June 2007 and September 2008. There were 3 cases of confirmed partial response (7.5 %) and 22 patients (55 %) of stable disease. The median PFS and OS were 2.5 and 6.8 months, respectively. Toxicity was generally mild, and the most common grade 3 or 4 toxicities were anorexia (10.0 %), anemia (7.5 %), mucositis (7.5 %), hypoalbuminemia (5.0 %), and pneumonia (5.0 %). There were no treatment-related deaths.

conclusionsMonotherapy with S-1 was well tolerated, but showed modest efficacy in patients with GEM-refractory BTC.

Indexed as

Administration, OralAdultAgedAntimetabolites, AntineoplasticBiliary Tract NeoplasmsDeoxycytidineDisease-Free SurvivalDisease ProgressionDrug CombinationsDrug Resistance, NeoplasmFemaleGemcitabineHumansJapanMaleMiddle AgedAntimetabolites, AntineoplasticDeoxycytidineDrug CombinationsGemcitabineOxonic AcidS 1 (combination)Tegafur

Identifiers

PMID23525694
PMCPMC3636435

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Registered trials

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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.