Evidence map›Paper›PMID 28378800›Full record

Trial reportScientific reports2017

Phase II study of induction chemotherapy followed by chemoradiotherapy in patients with borderline resectable and unresectable locally advanced pancreatic cancer.

Michele Fiore, Sara Ramella, Sergio Valeri, Damiano Caputo, Barnaba Floreno, Pasquale Trecca, Luca Eolo Trodella, Lucio Trodella, Rolando Maria D'Angelillo, Roberto Coppola

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Dual-Hit Strategy for Therapeutic Targeting of Pancreatic Cancer in Patient-Derived Xenograft Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  3. Review
  4. Review
  5. Hot topics in pancreatic cancer management.World journal of gastrointestinal surgery · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Review
  10. Advances in the management of pancreatic ductal adenocarcinoma.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Neoadjuvant Treatment in Pancreatic Cancer.Frontiers in oncology · 2020
    Review
  15. Article
  16. 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

10 authors.

Michele FioreRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Sara RamellaRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Sergio ValeriDepartment of General Surgery, Campus Bio-Medico University, Rome, Italy.
Damiano CaputoDepartment of General Surgery, Campus Bio-Medico University, Rome, Italy.
Barnaba FlorenoRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Pasquale TreccaRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Luca Eolo TrodellaRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Lucio TrodellaRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Rolando Maria D'AngelilloRadiotherapy Unit, Campus Bio-Medico University, Rome, Italy.
Roberto CoppolaDepartment of General Surgery, Campus Bio-Medico University, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is not a clear consensus regarding the optimal treatment of locally advanced pancreatic disease. There is a potential role for neoadjuvant therapy to treat micrometastatic disease with chemotherapy, as well as for the treatment of local disease with radiotherapy. We evaluated the safety and efficacy of induction chemotherapy with oxaliplatin and gemcitabine followed by a high weekly dose of gemcitabine concurrent to radiation therapy in patients with borderline resectable and unresectable locally advanced pancreatic cancer. In our study, 41 patients with pancreatic cancer were evaluated. In all cases an accurate pre-treatment staging was performed. Patients with evidence of metastatic disease were excluded, and thus a total of 34 patients were consequently enrolled. Of these, twenty-seven patients (80%) had locally advanced unresectable tumours, seven patients (20%) had borderline resectable disease. This protocol treatment represents a well-tolerated promising approach. Fifteen patients (55.5%) underwent surgical radical resection. With a median follow-up of 20 months, the median PFS and OS were 20 months and 19.2 months, respectively. The median OS for borderline resectable patients was 21.5 months compared with 14 months for unresectable patients (p = 0.3). Continued optimization in multimodality therapy and an accurate patient selection remain crucial points for the appropriate treatment of these patients.

Indexed as

ChemoradiotherapyAdultAgedCombined Modality TherapyDeoxycytidineDisease-Free SurvivalFemaleGemcitabineHumansInduction ChemotherapyMaleMiddle AgedOrganoplatinum CompoundsOxaliplatinPancreatic NeoplasmsDeoxycytidineGemcitabineOrganoplatinum CompoundsOxaliplatin

Identifiers

PMID28378800
PMCPMC5381116

What OpenQuestion holds

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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.