Evidence map›Paper›PMID 26761213›Full record

Trial reportOncotarget2016

Phase III study of cisplatin with pemtrexed or vinorelbine plus concurrent late course accelerated hyperfractionated radiotherapy in patients with unresectable stage III non-small cell lung cancer.

Qian Zhao, Zhongtang Wang, Wei Huang, Qiang Wang, Shuzeng Yu, Tao Zhou, Dan Han, Zhenying Wu, Heyi Gong, Hongfu Sun and 6 more

Open access · diamondAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

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

  1. Pooled it
  2. Article
  3. 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

16 authors at 4 institutions in 1 country.

Qian ZhaoDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong Academy of Medical Sciences, Jinan, Shandong, P.R. China.
Zhongtang WangDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Wei HuangDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Qiang WangDepartment of Radiation Oncology, People's Hospital of Linzi District, Zibo, Shandong, P.R. China.
Shuzeng YuDepartment of Radiation Oncology, LiaoCheng People's Hospital, LiaoCheng, Shandong, P.R. China.
Tao ZhouDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Dan HanDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Zhenying WuDepartment of Radiation Oncology, Second People's Hospital of Dezhou City, Dezhou, Shandong, P.R. China.
Heyi GongDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Hongfu SunDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Jian ZhangDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Yumei WeiDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Hongsheng LiDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Zicheng ZhangDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Haiqun LinDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Baosheng LiDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, P.R. China.
Shandong Tumor Hospital · CNShandong First Medical University · CNLiaocheng People's Hospital · CNLinzi District People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our aim was to evaluate the efficacy and safety of cisplatin with pemtrexed or vinorelbine and concurrent late course accelerated hyperfractionated radiotherapy (LCAHRT). Patients with unresectable stage III non-small-cell lung cancer (NSCLC) were randomly assigned to two regimens. The experimental (PP) arm included cisplatin, pemtrexed and concurrent LCAHRT based on bilateral lung V20 = 33%. The control (NP) arm used cisplatin, vinorelbine with the same radiotherapy protocol. The primary endpoint was overall survival. Median survival times were 26.0 months (95% CI 23.2 to 28.7 months) and 28.5 months (95% CI 17.1 to 39.9 months) for the NP and PP arms, respectively (P = 0.26). Median progression-free survival was 12.5 months and 17.5 months in the NP and PP arms (P = 0.07). In both arms of the study, there were no differences in overall survival between patients with squamous and nonsquamous NSCLC. The incidences of grade 3 or 4 toxicity were higher in NP than PP arm. With concurrent LCAHRT, pemetrexed/cisplatin was equally as efficacious as vinorelbine/cisplatin, but showed a more favorable toxicity profile.

Indexed as

ChemoradiotherapyAdenocarcinomaAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Large CellCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellCisplatinDose Fractionation, RadiationFemaleFollow-Up StudiesHumansLung NeoplasmsLymphatic MetastasisMaleCisplatinPemetrexedVinblastineVinorelbinechemoradiotherapyclinical feasibilitynon-small-cell lung cancerpemetrexedvinorelbine

Identifiers

PMID26761213
PMCPMC4885003
OpenAlexW2273884170

What OpenQuestion holds

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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.