Evidence map›Paper›PMID 27835601›Full record

SynthesisOncotarget2016

Is there a benefit of first- or second-line crizotinib in locally advanced or metastatic anaplastic lymphoma kinase-positive non-small cell lung cancer? a meta-analysis.

Hao Hu, Wei Qing Lin, Qian Zhu, Xiong Wen Yang, Hai Dong Wang, Yu Kang Kuang

Abstract readMeta-AnalysisReview
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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

6 authors.

Hao HuDepartment of Thoracic Surgery, Medical College of Nanchang University, Nanchang, 330006, China.
Wei Qing LinDepartment of Integrated Chinese and Western Medicine, Medical College of Nanchang University, Nanchang, 330006, China.
Qian ZhuDepartment of Biotherapy, Sun Yat-sen University Cancer Center, Guangdong, 510060, China.
Xiong Wen YangDepartment of Thoracic Surgery, Medical College of Nanchang University, Nanchang, 330006, China.
Hai Dong WangDepartment of General Surgery, Medical College of Nanchang University, Nanchang, 330006, China.
Yu Kang KuangDepartment of Thoracic Surgery, Medical College of Nanchang University, Jiangxi Province Tumor Hospital, Nanchang, 330006, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrizotinib show a promising efficacy in patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC). However, differences in efficacy for first- and second-line crizotinib are unclear.

resultsThe pooled overall response rate and progression-free survival were 65% and 9.38 months, respectively. In the subgroup analysis, first-line crizotinib showed a higher trend of overall response rate and longer trend of progression-free survival although there was no statistical difference between first-line and second-line crizotinib (74%, 11.28 months vs. 65%, 8.12 months, respectively; fixed effects model). Moreover, overall response rate between Asians and Caucasians were similar (67% and 66%, respectively; fixed effects model). MATERIALS AND

methodsA comprehensive search of MEDLINE, EMBASE, WEB OF SCIENCE and the COCHRANE databases from their inception to February 2016 was performed to identify clinical trials in English-language journals. Pooled overall response rate, progression-free survival and differences between first- and second-line crizotinib were estimated. Moreover, overall response rate between Asians and Caucasians were also estimated.

conclusionsFirst-line crizotinib may more effective than second-line crizotinib for patients with locally advanced or metastatic ALK-positive NSCLC.

Indexed as

AdultAnaplastic Lymphoma KinaseAntineoplastic AgentsBiomarkers, TumorCarcinoma, Non-Small-Cell LungChi-Square DistributionCrizotinibDisease-Free SurvivalDisease ProgressionFemaleHumansLung NeoplasmsMaleMiddle AgedOdds RatioProtein Kinase InhibitorsALK protein, humanAnaplastic Lymphoma KinaseAntineoplastic AgentsBiomarkers, TumorCrizotinibProtein Kinase InhibitorsPyrazolesPyridinesReceptor Protein-Tyrosine Kinasesanaplastic lymphoma kinasecrizotinibmeta-analysisnon-small cell lung cancer

Identifiers

PMID27835601
PMCPMC5348378

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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.