Evidence map›Paper›PMID 27563449›Full record

ArticleJournal of gastrointestinal oncology2016

Nab-paclitaxel as alternative treatment regimen in advanced cholangiocellular carcinoma.

Matthias Unseld, Werner Scheithauer, Roman Weigl, Gabriela Kornek, Nadja Stranzl, Daniela Bianconi, Georg Brunauer, Guenther Steger, Christoph C Zielinski, Gerald W Prager

Open access · hybridAbstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 8 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

10 authors at 2 institutions in 1 country.

Matthias UnseldDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Werner ScheithauerDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Roman WeiglDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Gabriela KornekDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Nadja StranzlDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Daniela BianconiDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Georg BrunauerInstitute for Energy Systems and Thermodynamics, Vienna University of Technology, Vienna, Austria.
Guenther StegerDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Christoph C ZielinskiDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Gerald W PragerDepartment of Medicine I, Comprehensive Cancer Center, Medical University Vienna, 1090 Vienna, Austria ;
Comprehensive Cancer Center Vienna · ATTU Wien · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced cholangiocellular carcinoma has a poor prognosis with limited therapeutic options. Nab-paclitaxel has recently been described to be beneficial in metastatic pancreatic cancer improving overall and progression free survival (PFS). The potential antitumor activity of nab-paclitaxel in cholangiocellular carcinoma is hitherto unknown.

methodsWe retrospectively analyzed an institutional cholangiocellular carcinoma registry to determine the potential biological activity of nab-paclitaxel in advanced intrahepatic cholangiocellular carcinoma. Disease control rate (DCR), PFS and overall survival (OS) upon nab-paclitaxel based treatment, after failure of platinum-containing first-line combination chemotherapy, was assessed.

resultsTwelve patients were identified. Five of 12 patients (42%) received nab-paclitaxel as second line, and 7 patients (56%) as third-line treatment. The objective DCR with nab-paclitaxel was 83% (10/12 patients). One patient had a complete remission (CR), two patients had a partial remission (PR) and 7 patients had stable disease (SD). Disease was rated progressive in two patients. In all 12 patients receiving nab-paclitaxel the median time to progression was 6 months (range, 2.1-19.5 months). Median OS after initiation of nab-paclitaxel treatment was 9 months (2.1-28.4 months). The median time of survival after diagnosis of advanced disease was 21.5 months, whereby 3 patients were alive at the date of censoring (04/01/2015).

conclusionsThis is the first report suggesting substantial antitumor activity of nab-paclitaxel in advanced cholangiocellular carcinoma. In this small series, nab-paclitaxel based salvage chemotherapy appears to have a biological activity by controlling the disease and positively affecting survival. Randomized trials in this disease entity and subgroup of patients are urged.

Indexed as

anti-cancer therapychemotherapyCholangiocellular carcinomanab-paclitaxelsecond-line treatment

Identifiers

PMID27563449
PMCPMC4963366
OpenAlexW2412578856

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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.