Evidence map›Paper›PMID 27166187›Full record

SynthesisOncotarget2016

Comparative effectiveness and safety between oxaliplatin-based and cisplatin-based therapy in advanced gastric cancer: A meta-analysis of randomized controlled trials.

Jun Huang, Yongzhao Zhao, Yong Xu, Yanjie Zhu, Jiale Huang, Yanna Liu, Liying Zhao, Zhijia Li, Hao Liu, Qi-Long Wang and 1 more

Open access · diamondAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Protective effects ofToxicology reports · 2024
    Article
  7. Article
  8. International journal of molecular sciences · 2024
    Article
  9. Article
  10. Review
  11. Efficacy and safety of FLOT regimenResearch in pharmaceutical sciences · 2022
    Article
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  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
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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

11 authors at 6 institutions in 1 country.

Jun HuangDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Yongzhao ZhaoSchool of Medicine, Tongji University, Shanghai, China.
Yong XuDepartment of Nephrology, The Affiliated Huai'an Hospital of Xuzhou Medical College and The Second People's Hospital of Huai'an, Huai'an, China.
Yanjie ZhuSchool of Medicine, Tongji University, Shanghai, China.
Jiale HuangSchool of Medicine, Tongji University, Shanghai, China.
Yanna LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Liying ZhaoDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhijia LiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hao LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qi-Long WangDepartment of Clinical Oncology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, China.
Xiaolong QiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Nanfang Hospital · CNNanchang University · CNSouthern Medical University · CNTongji University · CNNanjing Medical University · CNSecond People’s Hospital of Huai’an · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsPlatinum-based drugs are the most significant chemotherapy for advanced gastric cancer. The study aims to compare the efficacy and safety of oxaliplatin-based therapy versus cisplatin-based therapy in patients with advanced gastric cancer. MATERIALS AND

methodsAn adequate literature search in EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, American Society of Clinical Oncology (ASCO) and European Society of Medical Oncology (ESMO) was conducted. Phase II or III randomized controlled trials (RCTs) that compared effectiveness and safety between oxaliplatin-based and cisplatin-based therapy in patients with advanced gastric cancer were eligible. The primary endpoint was overall response rate (ORR), progression free survival (PFS) and overall survival (OS). The second endpoint was the adverse events.

resultsFive phase II or III RCTs involving a total of 2,046 patients were identified. The results showed that there were no significant difference in ORR (OR = 1.17, 95% CI = 0.98-1.40, p = 0.08, I2 = 0%), PFS (HR = 0.92, 95% CI = 0.84-1.01, p = 0.09, I2 = 0%) and OS (HR = 0.91, 95% CI = 0.82-1.01, p = 0.07, I2 = 0%) between oxaliplatin-based therapy and cisplatin-based therapy. In addition, oxaliplatin-based therapy had lower risk of neutropenia, anemia, nausea, alopecia, thromboembolism, stomatitis and creatinine increased at all grades, and neutropenia, anemia, leukopenia and alopecia at 3-4 grades than cisplatin-based therapy. However, oxaliplatin-based therapy was associated with increased risk of neurosensory toxicity and thrombocytopenia.

conclusionsOur meta-analysis showed that there were no significant difference in ORR, PFS and OS between oxaliplatin-based therapy and cisplatin-based therapy. The oxaliplatin-based therapy could generally decrease the risk of adverse effects except neurosensory toxicity and thrombocytopenia.

Indexed as

AgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCisplatinDisease-Free SurvivalFemaleHumansMaleMiddle AgedOrganoplatinum CompoundsOxaliplatinStomachStomach NeoplasmsAntineoplastic AgentsCisplatinOrganoplatinum CompoundsOxaliplatinadvanced gastric cancerchemotherapyeffectivenesssafety

Identifiers

PMID27166187
PMCPMC5085192
OpenAlexW2345454853

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.