Evidence map›Paper›PMID 27091418›Full record

Trial reportThe oncologist2016

Cisplatin/Tegafur/Uracil/Irinotecan Triple Combination Therapy for Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma: A Phase I/II Clinical Study.

San-Chi Chen, Peter Mu-Hsin Chang, Muh-Hwa Yang

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05927857 (A Phase Ib/II Study of Ramucirumab), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT05927857 phase1 / phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Phase Ib/II Study of Ramucirumab (Cyramza®), Nal-IRI (ONIVYDE®) and Trifluridine/Tipiracil (Lonsurf®) in Second Line Metastatic Gastric Cancer (COOL Study).

TypeinterventionalSponsorNational Health Research Institutes, TaiwanRan2024 to 2028Enrolled45ConditionsMetastatic Gastric Adenocarcinoma, Second Line, ChemotherapyArmsnal-IRI /Experimental, Ramucirumab /Experimental, Trifluridine/Tipiracil /Experimental
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  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

3 authors.

San-Chi ChenDivision of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China Faculty of Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China Institute of Clinical Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China.
Peter Mu-Hsin ChangDivision of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China Faculty of Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China Institute of Clinical Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China.
Muh-Hwa YangDivision of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China Faculty of Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China Institute of Clinical Medicine, National Yang Ming University, Taipei, Taiwan, Republic of China mhyang2@vghtpe.gov.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

lessons learnedCisplatin/tegafur/uracil/irinotecan triple combination therapy shows moderate response, especially in patients without previous chemoradiotherapy within the 6 months before this combination therapy.Toxicity is tolerable, and quality of life is improved in responders.

backgroundThe prognosis is poor in recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC). Triple combination therapy may increase tumor response.

methodsThis phase I/II prospective trial first determined the dose-limiting toxicity and recommended dose of irinotecan with cisplatin and tegafur/uracil (UFUR) in phase I. Irinotecan was supplied at doses of 40, 50, 60, and 70 mg/m(2) by using a standard 3+3 design. Doses of cisplatin and UFUR were held stable. In phase II, the recommended dose of irinotecan was administered intravenously (i.v.) over 90 min on day 1, with cisplatin 50 mg/m(2) i.v. over 60 min also on day 1, and oral UFUR 200 mg twice a day for 5 days every 2 weeks a cycle.

resultsIn the phase I portion, 14 patients were enrolled, and the dose level of irinotecan at 60 mg/m(2) was defined as the recommended dose for the phase II portion of the study. Among 43 patients enrolled in the phase II portion, complete response was seen in 2 patients (4.7%) and partial response in 10 patients (23.3%), and the disease control rate was 39.5%. In a subgroup analysis of patients whose prior chemoradiotherapy was more than 6 months earlier, a response rate of 40.7% and disease control rate of 59.3% were observed.

conclusionCisplatin/UFUR/irinotecan triple combination therapy is tolerated and effective for selected patients. Individualized choice of treatment will influence prognosis and quality of life in R/M HNSCC patients.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCamptothecinCarcinoma, Squamous CellCisplatinFemaleHead and Neck NeoplasmsHumansIrinotecanMaleMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalSquamous Cell Carcinoma of Head and NeckTegafurCamptothecinCisplatinIrinotecanTegafurUracil

Identifiers

PMID27091418
PMCPMC4861372

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Registered trials

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.