Evidence map›Paper›PMID 25878965›Full record

ArticleAvicenna journal of medicine

Biweekly gemcitabine and paclitaxel in patients with relapsed or metastatic squamous cell carcinoma of the head and neck.

Ammar Sukari, Marwan Al-Hajeili, Mohamed Salem, Lance Heilbrun, Daryn Smith, George Yoo, John R Jacobs, Ho-Sheng Lin, Omer Kucuk

Open access · diamondAbstract read
In one paragraph

Article in Avicenna journal of medicine. 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
1.0field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  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

9 authors at 4 institutions in 2 countries.

Ammar SukariKarmanos Cancer Institute, Detroit, MI, Saudi Arabia ; Department of Hematology & Oncology, Wayne State University, Detroit, MI, Saudi Arabia.
Marwan Al-HajeiliDepartment of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Mohamed SalemDepartment of Hematology & Oncology, Wayne State University, Detroit, MI, Saudi Arabia.
Lance HeilbrunKarmanos Cancer Institute, Detroit, MI, Saudi Arabia.
Daryn SmithKarmanos Cancer Institute, Detroit, MI, Saudi Arabia.
George YooKarmanos Cancer Institute, Detroit, MI, Saudi Arabia ; Department of Otolaryngology & Head and Neck Surgery, Wayne State University, Detroit, MI, USA.
John R JacobsKarmanos Cancer Institute, Detroit, MI, Saudi Arabia ; Department of Otolaryngology & Head and Neck Surgery, Wayne State University, Detroit, MI, USA.
Ho-Sheng LinKarmanos Cancer Institute, Detroit, MI, Saudi Arabia ; Department of Otolaryngology & Head and Neck Surgery, Wayne State University, Detroit, MI, USA.
Omer KucukWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Wayne State University · USThe Barbara Ann Karmanos Cancer Institute · USEmory University · USKing Abdulaziz University · SA

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

purposeWe conducted a Phase II, clinical trial to evaluate the efficacy and safety of a biweekly gemcitabine and paclitaxel (GEMTAX) regimen as second-line treatment in patients with recurrent or metastatic unresectable, squamous cell carcinoma of the head and neck (SCCHN). The primary endpoint was response rate. PATIENTS AND

methodsPatients with recurrent unresectable or metastatic platinum refractory SCCHN, who had performance status ≤2 and adequate organ function, were eligible. Gemcitabine (3000 mg/m(2) intravenous) and paclitaxel (150 mg/m(2) intravenous) was given on days 1 and 15of 4 weeks cycle, until patients had disease progression or unacceptable toxicity.

resultsDisease control (partial response [PR] + complete response [CR] + stable disease [SD]) was noted in 19 patients (54%) and overall response (CR + PR) was noted in 8 patients (23%). However, the most frequent response outcomes were progressive disease in 16 patients (46%) and SD in 11 patients (31%). The most frequent Grade 3-4 adverse events were lymphopenia in 38 patients (75%), anemia in 20 patients (39%), and infection in 16 patients (31%). Median progression-free survival was 3.6 months; median overall survival was 6.3 months.

conclusionThe biweekly GEMTAX regimen has statistically significant grade 3 and 4 adverse events and has meaningful clinical activity as a second-line treatment in patients with recurrent or metastatic SCCHN who have received prior chemotherapy. This regimen may particularly be a useful treatment option in patients who progressed in less than 6 months of concurrent chemoradiotherapy with high-dose cisplatin and/or have recurrent/metastatic platinum refractory SCCHN.

Indexed as

Gemcitabinehead and neck cancerpaclitaxel

Identifiers

PMID25878965
PMCPMC4394570
OpenAlexW2027147612

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.