Evidence map›Paper›PMID 27225939›Full record

Trial reportMedical oncology (Northwood, London, England)2016

A pilot trial of FLOT neoadjuvant chemotherapy for resectable esophagogastric junction adenocarcinoma.

Ali Al-Fakeeh, Lorenzo Ferri, Nasser Mulla, Tonia Doerksen, Ibrahim Al-Ruzug, Fabiano Santos, Thierry Alcindor

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Medical oncology (Northwood, London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 21% 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, 9 citations in OpenAlex.

  1. Trial
  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

7 authors at 2 institutions in 2 countries.

Ali Al-FakeehDepartment of Oncology, McGill University, Montreal, Canada.
Lorenzo FerriDepartment of Oncology, McGill University, Montreal, Canada.
Nasser MullaDepartment of Oncology, McGill University, Montreal, Canada.
Tonia DoerksenCedars Cancer Centre, McGill University Health Centre, 1650 Boulevard Décarie, room D02-7518, Montreal, QC, H4A 3J1, Canada.
Ibrahim Al-RuzugDepartment of Oncology, McGill University, Montreal, Canada.
Fabiano SantosDepartment of Oncology, McGill University, Montreal, Canada.
Thierry AlcindorDepartment of Oncology, McGill University, Montreal, Canada. thierry.alcindor@mcgill.ca.
McGill University · CAMcGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Docetaxel is active in esophagogastric junction (EGJ) adenocarcinoma, and DCF (docetaxel/cisplatin/5-fluorouracil) has shown good results in the neoadjuvant setting. Its high rate of grade 3-4 mucosal toxicity (stomatitis and diarrhea) has limited its widespread adoption. A more recent docetaxel-based triplet, FLOT (5-fluorouracil, oxaliplatin and docetaxel) may be better tolerated. We conducted a pilot study of FLOT chemotherapy in EGJ adenocarcinoma patients and dysphagia to prospectively assess the rate of grade 3-4 mucosal toxicity and of pathological complete response (pCR) rate. Dysphagia and quality of life were measured with validated questionnaires. Ten patients were enrolled. Grade 3-4 mucosal toxicity rate was 0 %; pCR rate was 11 %; and near-complete pathological response rate 11 %. Dysphagia improvement or resolution was seen in 90 % of patients, and quality of life was stable before and after chemotherapy. FLOT is a safe and active neoadjuvant chemotherapy option for EGJ adenocarcinoma and should be compared to other standard regimens in randomized trials.

Indexed as

AdenocarcinomaAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantDocetaxelEsophageal NeoplasmsEsophagogastric JunctionFemaleFluorouracilHumansLeucovorinMaleMiddle AgedNeoadjuvant TherapyOrganoplatinum CompoundsDocetaxelFluorouracilLeucovorinOrganoplatinum CompoundsOxaliplatinTaxoidsAdenocarcinomaChemotherapyEsophagogastricNeoadjuvant

Identifiers

PMID27225939
OpenAlexW2397942762

What OpenQuestion holds

Textmetadata
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.