Evidence map›Paper›PMID 26750506›Full record

SynthesisScientific reports2016

Amrubicin for relapsed small-cell lung cancer: a systematic review and meta-analysis of 803 patients.

Nobuyuki Horita, Masaki Yamamoto, Takashi Sato, Toshinori Tsukahara, Hideyuki Nagakura, Ken Tashiro, Yuji Shibata, Hiroki Watanabe, Kenjiro Nagai, Kentaro Nakashima and 6 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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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

16 authors at 3 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.
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.
Misako IkedaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Nobuaki KobayashiDepartment of Pulmonology, Yokohama Minami Kyosai Hospital, 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 · JPYokohama Minami Kyosai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Currently, amrubicin is permitted for relapsed small-cell lung carcinoma (SCLC) only in Japan. The efficacy and adverse effects of amrubicin as reported by previous studies varied greatly. The inclusion criterion was a prospective study that was able to provide data for efficacy and safety by the AMR single agent regimen as second-line chemotherapy for a patient with SCLC. Binary data were meta-analyzed with the random-model generic inverse variance method. We included nine articles consisted of 803 patients. The pooled three-, six-, and nine-month progression-free survival were 63% (95% CI 57-69%, I(2) = 53%), 28% (95% CI 21-35%, I(2) = 71%), and 10% (95% CI 6-14%, I(2) = 41%), respectively. The pooled six-, 12-, and 18-month overall survival were 69% (95% CI 61-78%, I(2) = 83%), 36% (95% CI 28-44%, I(2) = 80%), and 15% (95% CI 8-21%, I(2) = 81%), respectively. Amrubicin seemed much more beneficial for Japanese patients. However, compared to the efficacy of topotecan presented in a previous meta-analysis, amrubicin may be a better treatment option than topotecan for both Japanese and Euro-American. Adverse effects by amrubicin were almost exclusively observed to be hematological. Notably, grade III/IV neutropenia incidence was 70% and febrile neutropenia incidence was 12%.

Indexed as

AnthracyclinesAntineoplastic AgentsAsian PeopleHumansJapanLung NeoplasmsNeutropeniaRecurrenceSmall Cell Lung CarcinomaSurvival AnalysisTopotecanTreatment OutcomeWhite PeopleamrubicinAnthracyclinesAntineoplastic AgentsTopotecan

Identifiers

PMID26750506
PMCPMC4707435
OpenAlexW2403760254

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.