Evidence map›Paper›PMID 26486755›Full record

SynthesisScientific reports2015

Topotecan for Relapsed Small-cell Lung Cancer: Systematic Review and Meta-Analysis of 1347 Patients.

Nobuyuki Horita, Masaki Yamamoto, Takashi Sato, Toshinori Tsukahara, Hideyuki Nagakura, Ken Tashiro, Yuji Shibata, Hiroki Watanabe, Kenjiro Nagai, Miyo Inoue and 5 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. RESILIENT Part 2: A Randomized, Open-Label Phase III Study of Liposomal Irinotecan Versus Topotecan in Adults With Relapsed Small Cell Lung Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
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  9. Treatment patterns and survival outcomes in patients with small-cell lung cancer following failure of first-line platinum-based chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
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  11. Article
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  16. Review
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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

15 authors at 2 institutions in 1 country.

Nobuyuki HoritaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Masaki YamamotoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Takashi SatoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Toshinori TsukaharaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Hideyuki NagakuraDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Ken TashiroDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yuji ShibataDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Hiroki WatanabeDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kenjiro NagaiDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Miyo InoueDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kentaro NakashimaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Ryota UshioDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Masaharu ShinkaiRespiratory Disease Center, Yokohama City University Medical Center, Yokohama, Japan.
Makoto KudoRespiratory Disease Center, Yokohama City University Medical Center, Yokohama, Japan.
Takeshi KanekoDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yokohama City University · JPYokohama City University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Topotecan is the most reliable chemotherapy regimen for relapsed small-cell lung carcinoma (SCLC). The efficacy and adverse effects of topotecan as reported by previous studies varied greatly. The inclusion criterion was a prospective study that was able to provide data for 6-month over-all survival (OS) rate, 1-year OS rate, objective responses, and/or adverse effects of single agent topotecan as a second line chemotherapy for SCLC, written in English language as a full article. Any topotecan regimen were allowed. Binary data were meta-analyzed with the random-model generic inverse variance method. We included 14 articles consisted of 1347 patients. Pooled values were estimated as follows. <Refractory relapse> Six-month OS rate: 37% (95% CI: 28-46%). One-year OS rate: 9% (95% CI: 5-13%). Response rate: 5% (95% CI: 1-8%). <Sensitive relapse> Six-month OS rate: 57% (95% CI: 50-64%). One-year OS rate: 27% (95% CI: 22-32%). Response rate: 17% (95% CI: 11-23%). <Adverse effect> Grade III/IV neutropenia 69% (95% CI: 58-80%). Grade III/IV thrombopenia 41% (95% CI: 34-48%). Grade III/IV anemia 24% (95% CI: 17-30%). Non-hematorogical events were rare. Chemotherapy-related death 2% (95% CI: 1-3%). In conclusion, Topotecan provided a possibly promising outcome for sensitive-relapse SCLC and poor outcome for refractory relapse SCLC. Adverse events were mainly hematological.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalDrug-Related Side Effects and Adverse ReactionsHumansNeoplasm Recurrence, LocalSmall Cell Lung CarcinomaTopotecanTopotecan

Identifiers

PMID26486755
PMCPMC4614251
OpenAlexW2177543823

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.