Evidence map›Paper›PMID 25800066›Full record

Trial reportHPB : the official journal of the International Hepato Pancreato Biliary Association2015

A phase II study of adjuvant gemcitabine plus docetaxel followed by concurrent chemoradation in resected pancreaticobiliary carcinoma.

May Cho, Andrea Wang-Gillam, Robert Myerson, Feng Gao, Steven Strasberg, Joel Picus, Steven Sorscher, Chloe Fournier, Gayathri Nagaraj, Parag Parikh and 3 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. 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

13 authors at 2 institutions in 1 country.

May ChoDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Andrea Wang-GillamDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Robert MyersonDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Feng GaoDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA.
Steven StrasbergDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Joel PicusDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Steven SorscherDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Chloe FournierDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Gayathri NagarajDivision of Medical Oncology and Hematology, Loma Linda University, Loma Linda, CA, USA.
Parag ParikhDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Rama SureshDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
David LinehanDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Benjamin R TanDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Washington University in St. Louis · USLoma Linda University · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842
6 · The paper itself

Abstract

objectivesAdjuvant gemcitabine with or without chemoradiation is a standard therapeutic option for patients with resected pancreatic cancer. The feasibility and toxicity of gemcitabine with docetaxel before and after 5-fluorouracil (5FU)-based chemoradiation in the adjuvant pancreatic and biliary cancer setting were investigated.

methodsAfter a curative-intent resection, eligible patients with pancreaticobiliary cancers were treated with two cycles of gemcitabine and docetaxel followed by 5FU-based chemoradiation. Four weeks after completing chemoradiation, two cycles of gemcitabine and docetaxel were administered. The primary endpoint was the incidence of severe toxicities. Secondary endpoints included disease-free survival (DFS) and overall survival (OS).

resultsFifty patients with pancreaticobiliary cancers were enrolled. Twenty-nine patients had pancreatic cancer whereas 21 patients had biliary tract or ampullary cancers. There was one death as a result of pneumonia, and 15% of patients experienced grade 3 or greater non-haematological toxicities. The median DFS and OS for patients with pancreatic cancer were 9.6 and 17 months, respectively, and for those with resected biliary tract cancer were 12 and 23 months, respectively.

conclusionsThis combination of gemcitabine and docetaxel with chemoradiation is feasible and tolerable in the adjuvant setting. Future studies utilizing a different gemcitabine/taxane combination and schedule may be appropriate in the adjuvant treatment of both pancreatic cancer and biliary tumours.

Indexed as

Biliary Tract Surgical ProceduresChemoradiotherapy, AdjuvantPancreatectomyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsCarcinomaDeoxycytidineDisease-Free SurvivalDocetaxelFeasibility StudiesFemaleGemcitabineHumansKaplan-Meier EstimateDeoxycytidineDocetaxelGemcitabineTaxoids

Identifiers

PMID25800066
PMCPMC4474505
OpenAlexW2149773787

What OpenQuestion holds

Textmetadata
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.