Evidence map›Paper›PMID 27401642›Full record

ArticleYonsei medical journal2016

Concomitant Statin Use Has a Favorable Effect on Gemcitabine-Erlotinib Combination Chemotherapy for Advanced Pancreatic Cancer.

Do Chang Moon, Hee Seung Lee, Yong Il Lee, Moon Jae Chung, Jeong Youp Park, Seung Woo Park, Si Young Song, Jae Bock Chung, Seungmin Bang

Open access · goldAbstract read
In one paragraph

Article in Yonsei medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 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

9 authors at 1 institution in 1 country.

Do Chang MoonDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Hee Seung LeeDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Yong Il LeeDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Moon Jae ChungDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Jeong Youp ParkDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Seung Woo ParkDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Si Young SongDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Jae Bock ChungDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea.
Seungmin BangDivision of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine and Yonsei Institute of Gastroenterology, Seoul, Korea. bang7028@yuhs.ac.
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeErlotinib-gemcitabine combined chemotherapy is considered as the standard treatment for unresectable pancreatic cancer. This study aimed to determine the clinical factors associated with response to this treatment. MATERIALS AND

methodsThis retrospective study included 180 patients with unresectable pancreatic cancer who received ≥2 cycles of gemcitabine-erlotinib combination therapy as first-line palliative chemotherapy between 2006 and 2014. "Long-term response" was defined as tumor stabilization after >6 chemotherapy cycles.

resultsThe median progression-free survival (PFS) and overall survival (OS) were 3.9 and 8.1 months, respectively. On univariate analysis, liver metastasis (p=0.023) was negatively correlated with long-term response. Locally advanced stage (p=0.017), a history of statin treatment (p=0.01), and carcinoembryonic antigen levels <4.5 (p=0.029) had a favorable effect on long-term response. On multivariate analysis, a history of statin treatment was the only independent favorable factor for long-term response (p=0.017). Prognostic factors for OS and PFS were significantly correlated with liver metastasis (p=0.031 and 0.013, respectively). A history of statin treatment was also significantly associated with OS after adjusting for all potential confounders (hazard ratio, 0.48; 95% confidence interval, 0.26-0.92; p=0.026).

conclusionThese results suggest that statins have a favorable effect on "long-term response" to gemcitabine-erlotinib chemotherapy in unresectable pancreatic cancer patients. Statins may have a chemoadjuvant role in stabilizing long-term tumor growth.

Indexed as

AdenocarcinomaAdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineDisease-Free SurvivalErlotinib HydrochlorideFemaleGemcitabineHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedNeoplasm StagingDeoxycytidineErlotinib HydrochlorideGemcitabineHydroxymethylglutaryl-CoA Reductase InhibitorserlotinibgemcitabineHydroxymethylglutaryl-CoA reductase inhibitorspancreatic neoplasms

Identifiers

PMID27401642
PMCPMC4960377
OpenAlexW2469450842

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.