Evidence map›Paper›PMID 26353772›Full record

Trial reportBMC cancer2015

Study protocol of the TRICOLORE trial: a randomized phase III study of oxaliplatin-based chemotherapy versus combination chemotherapy with S-1, irinotecan, and bevacizumab as first-line therapy for metastatic colorectal cancer.

Yoshito Komatsu, Chikashi Ishioka, Ken Shimada, Yasuhide Yamada, Makio Gamoh, Atsushi Sato, Tatsuro Yamaguchi, Satoshi Yuki, Satoshi Morita, Shin Takahashi and 2 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. 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

12 authors at 9 institutions in 1 country.

Yoshito KomatsuDepartment of Cancer Chemotherapy, Hokkaido University Hospital Cancer Center, Kita-15 Nishi-7 Kita-ku, Sapporo, 060-8638, Japan. ykomatsu@ac.cyberhome.ne.jp.
Chikashi IshiokaDepartment of Clinical Oncology, Institute of Development, Aging and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan. chikashi@idac.tohoku.ac.jp.
Ken ShimadaDepartment of Internal Medicine, Showa University Kouto Toyosu Hospital, 5-1-38 Toyosu, Kouto-ku, Tokyo, 135-8577, Japan. shimakenken60@hotmail.com.
Yasuhide YamadaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan. yayamada@ncc.go.jp.
Makio GamohDepartment of Medical Oncology, Osaki Citizen Hospital, 2-3-10 Senjujicho, Hurukawa, Osaki Miyagi, 989-6183, Japan. m.gamoh-oc@h-osaki.jp.
Atsushi SatoDepartment of Medical Oncology, Hirosaki University Graduate School of Medicine, 5 Zaifucho, Hirosaki, Aomori, 036-8562, Japan. sato1151@cc.hirosaki-u.ac.jp.
Tatsuro YamaguchiDepartment of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan. tatsuro@yamaguchi.email.ne.jp.
Satoshi YukiDepartment of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita-15 Nishi-7 Kita-ku, Sapporo, 060-8638, Japan. satoshi-yuuki175@joy.ocn.ne.jp.
Satoshi MoritaDepartment of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan. smorita@kuhp.kyoto-u.ac.jp.
Shin TakahashiDepartment of Clinical Oncology, Institute of Development, Aging and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan. swt@idac.tohoku.ac.jp.
Rei GotoHakubi Center of Advanced Research, Kyoto University, Yoshida-Ushinomiyacho, Sakyo-ku, Kyoto, 606-8501, Japan. goto.rei.7w@kyoto-u.ac.jp.
Minoru KuriharaThe Tokyo Cooperative Oncology Group, 2-1-18 Hamamatsu-cho, Minato-ku, Tokyo, 105-0013, Japan. kurihara@tcog.jp.
Hokkaido University Hospital · JPKyoto University · JPTohoku University · JPHirosaki University · JPJapan Clinical Cancer Research Organization · JPNational Cancer Center Hospital East · JPOsaki Citizen Hospital · JPShowa University · JPTokyo Metropolitan Komagome Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetastatic colorectal cancer carries a poor prognosis and cannot be cured by currently available therapy. Chemotherapy designed to prolong survival and improve the quality of life (QOL) of patients is the mainstay of treatment. Standard regimens of FOLFOX/bevacizumab and CapeOX/bevacizumab can cause neurotoxicity, potentially disrupting treatment. The results of 3 phase II studies of combination therapy with S-1, irinotecan, and bevacizumab showed comparable efficacy to mFOLFOX6/bevacizumab and CapeOX/bevacizumab, without severe neurotoxicity. Therefore, the establishment and evaluation of S-1-containing irinotecan-based regimens for first-line treatment are expected to become more important.

methodsThe TRICOLORE trial is a multicenter, randomized, open-label, controlled phase III study which aims to evaluate the non-inferiority of combination therapy with S-1/irinotecan/bevacizumab (a 3-week regimen [SIRB] or 4-week regimen [IRIS/bevacizumab]) to oxaliplatin-based standard treatment (mFOLFOX6/bevacizumab or CapeOX/bevacizumab) in patients with metastatic colorectal cancer who had not previously received chemotherapy. Patients will be randomly assigned to either the control group (mFOLFOX6/bevacizumab or CapeOX/bevacizumab) or study group (SIRB or IRIS/bevacizumab). The target sample size is 450 patients. The primary endpoint is progression-free survival (PFS), and the secondary endpoints are overall survival (OS), response rate (RR), time to treatment failure (TTF), relative dose intensity (RDI), the incidence and severity of adverse events, quality of life (QOL), quality-adjusted life years (QALY), health care costs, and relations between biomarkers and treatment response (translational research, TR). DISCUSSION: The results of this study will provide important information that will help to improve the therapeutic strategy for metastatic colorectal cancer, and we believe that this study is very meaningful from the perspective of comparative effectiveness research.

trial registrationUMIN000007834.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinClinical Trials, Phase III as TopicColorectal NeoplasmsCost-Benefit AnalysisDisease-Free SurvivalDrug CombinationsFemaleFluorouracilHealth Care CostsHumansBevacizumabCamptothecinDrug CombinationsFluorouracilIrinotecanLeucovorinOrganoplatinum CompoundsOxaliplatinOxonic AcidS 1 (combination)Tegafur

Identifiers

PMID26353772
PMCPMC4565014
OpenAlexW2140417931

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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.