Evidence map›Paper›PMID 25149319›Full record

ArticleGastroenterology report2014

Bi-weekly docetaxel and 5-fluorouracil: an effective and feasible treatment for advanced gastric cancer with poor performance status.

Yuting Tan, Wenyun Li, Yonghe Chen, Yanhong Deng, Jian Xiao

Abstract read
In one paragraph

Article in Gastroenterology report, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Yuting TanDepartment of Medical Oncology, The Sixth Affiliated Hospital of Sun Yat-sen University, China, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, National University of Singapore, Singapore and Department of Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, China.
Wenyun LiDepartment of Medical Oncology, The Sixth Affiliated Hospital of Sun Yat-sen University, China, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, National University of Singapore, Singapore and Department of Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, China.
Yonghe ChenDepartment of Medical Oncology, The Sixth Affiliated Hospital of Sun Yat-sen University, China, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, National University of Singapore, Singapore and Department of Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, China.
Yanhong DengDepartment of Medical Oncology, The Sixth Affiliated Hospital of Sun Yat-sen University, China, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, National University of Singapore, Singapore and Department of Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, China.
Jian XiaoDepartment of Medical Oncology, The Sixth Affiliated Hospital of Sun Yat-sen University, China, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, National University of Singapore, Singapore and Department of Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, China xiao_jian@139.com.

Funding

Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
FIC NIH HHS R25 TW009337
6 · The paper itself

Abstract

backgroundThe survival benefits from cytotoxic chemotherapy have been demonstrated in advanced gastric cancer (AGC). A large proportion of AGC patients initially present poor performance status (PS); however, most of the clinical evidence comes from trials on patients with good PS. A better-designed regimen is greatly needed for AGC patients with poor PS.

objectiveTo evaluate the efficacy and safety of a modified combination regimen with docetaxel plus 5-fluorouracil (5-FU) every two weeks as first-line treatment in AGC patients with poor PS.

methodsFrom September 2011 to December 2013, 12 patients diagnosed with AGC with Eastern Cooperative Oncology Group (ECOG) PS scores of 3 or 4 were included in this study. All the patients received docetaxel 60 mg/m(2) on Day 1, 5-FU 400 mg/m(2) intravenous (i.v.) bolus on Day 1, and a 46-hour continuous i.v. infusion of 5-FU 2400 mg/m(2) every two weeks, until disease progressed or patients experienced unacceptable toxicity or declined treatment. Detailed clinical, pathologic and survival data were all recorded.

resultsEleven out of 12 patients were assessable for responses, whereas nine cases (75%) achieved partial response, one (8.3%) achieved stabilized disease, and one (8.3%) had progressive disease. The median progression-free survival was 6.5 months (95% CI: 4.8-8.2). The median overall survival was 12.0 months (95% CI: 9.0-15.0). The most common Grade 3/4 toxicities were anemia in seven patients (58.3%). No patient experienced febrile neutropenia.

conclusionThe novel modification of bi-weekly docetaxel and 5-FU is a promising treatment option for AGC with poor PS, showing great efficacy and acceptable toxicity.

Indexed as

5-fluorouraciladvanced gastric cancerdocetaxelpoor performance status

Identifiers

PMID25149319
PMCPMC4219146

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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.