Evidence map›Paper›PMID 28118323›Full record

Trial reportBritish journal of cancer2017

Chemotherapy vs tamoxifen in platinum-resistant ovarian cancer: a phase III, randomised, multicentre trial (Ovaresist).

Kristina Lindemann, Emma Gibbs, Elisabeth Åvall-Lundqvist, Rene dePont Christensen, Kathrine Woie, Marten Kalling, Annika Auranen, Seija Grenman, Thomas Hoegberg, Per Rosenberg and 5 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer.The Cochrane database of systematic reviews · 2023
    Review
  11. Article
  12. Article
  13. Symptom burden and quality of life with chemotherapy for recurrent ovarian cancer: the Gynecologic Cancer InterGroup-Symptom Benefit Study.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Low Expression of Protocadherin-8 Promotes the Progression of Ovarian Cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2018
    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

15 authors at 10 institutions in 5 countries.

Kristina LindemannDepartment of Gynecologic Oncology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Emma GibbsNHMRC Clinical Trials Centre, University of Sydney, Camperdown, NSW 2050, Australia.
Elisabeth Åvall-LundqvistDepartment of Oncology and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Rene dePont ChristensenResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Kathrine WoieDepartment of Gynecologic Oncology, Haukeland University Hospital, Bergen, Norway.
Marten KallingDepartment of Gynecologic Oncology, Skane University Hospital, Lund, Sweden.
Annika AuranenDepartment of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland.
Seija GrenmanDepartment of Obstetrics and Gynecology, Turku University Hospital, Turku, Finland.
Thomas HoegbergDepartment of Cancer Epidemiology, Skane University Hospital Lund, Lund, Sweden.
Per RosenbergDepartment of Oncology, Linköping University Hospital, Linköping, Sweden.
Tone Skeie-JensenDepartment of Gynecologic Oncology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Elisabet HjerpeResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Anne DørumDepartment of Gynecologic Oncology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Val GebskiNHMRC Clinical Trials Centre, University of Sydney, Camperdown, NSW 2050, Australia.
Gunnar KristensenDepartment of Gynecologic Oncology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NONational Health and Medical Research Council · AUSkåne University Hospital · SEUniversity of Southern Denmark · DKHaukeland University Hospital · NOKarolinska Institutet · SELinköping University Hospital · SETampere University Hospital · FIUniversity of Turku · FIWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChemotherapy in platinum-resistant ovarian cancer (PROC) aims for palliation and prolonging of progression-free survival (PFS). This study compares Health-related Quality of Life (HRQoL) and efficacy between single-agent chemotherapy and tamoxifen in PROC.

methodsPatients with PROC were randomised (2 : 1) to chemotherapy (weekly paclitaxel 80 mg m

resultsBetween March 2002 and December 2007, 156 and 82 patients were randomised to chemotherapy and tamoxifen, respectively. In the chemotherapy arm, a significantly larger proportion of patients experienced a worsening in their social functioning. There was no difference in the proportion of patients experiencing improvement of gastrointestinal symptoms. Median PFS on tamoxifen was 8.3 weeks (95% CI, 8.0-10.4) compared with 12.7 weeks (95% CI, 9.0-16.3) on chemotherapy (HR, 1.54; 95% CI, 1.16-2.05; log-rank P=0.003). There was no difference in OS between the treatment arms.

conclusionsPatients on chemotherapy had longer PFS but experienced more toxicity and poorer HRQoL compared with tamoxifen. Control over gastrointestinal symptoms was not better on chemotherapy. These data are important for patient counselling and highlight the need to incorporate HRQoL end points in studies of PROC.

Indexed as

Antineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsCarboplatinDisease-Free SurvivalDoxorubicinDrug Resistance, NeoplasmFemaleHumansMiddle AgedOvarian NeoplasmsPaclitaxelPlatinum CompoundsPolyethylene GlycolsQuality of LifeTamoxifenAntineoplastic Agents, HormonalCarboplatinDoxorubicinliposomal doxorubicinPaclitaxelPlatinum CompoundsPolyethylene GlycolsTamoxifen

Identifiers

PMID28118323
PMCPMC5318972
OpenAlexW2581347009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.