Evidence map›Paper›PMID 28573606›Full record

ArticleDrugs in R&D2017

A Phase I Study of Combination Therapy with Sorafenib and 5-Fluorouracil in Patients with Advanced Hepatocellular Carcinoma.

Takuya Sho, Mitsuru Nakanishi, Kenichi Morikawa, Masatsugu Ohara, Naoki Kawagishi, Takaaki Izumi, Machiko Umemura, Jun Ito, Masato Nakai, Goki Suda and 8 more

Open access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Drugs in R&D, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

18 authors at 6 institutions in 1 country.

Takuya ShoDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Mitsuru NakanishiDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Kenichi MorikawaDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan. kenichi.morikawa@med.hokudai.ac.jp.ORCID http://orcid.org/0000-0002-3891-5113
Masatsugu OharaDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Naoki KawagishiDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Takaaki IzumiDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Machiko UmemuraDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Jun ItoDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Masato NakaiDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Goki SudaDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Koji OgawaDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Makoto ChumaDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Takashi MeguroInternal Medicine, Hokkaido Shokakika Hospital, Sapporo, Hokkaido, Japan.
Michio NakamuraDepartment of Gastroenterology, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Atsushi NagasakaDepartment of Gastroenterology, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Hiromasa HorimotoDepartment of Gastroenterology, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Yoshiya YamamotoDepartment of Gastroenterology, Hakodate Municipal Hospital, Hakodate, Hokkaido, Japan.
Naoya SakamotoDivision of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita 15 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
Hokkaido University Hospital · JPHakodate National Hospital · JPSapporo City General Hospital · JPHokkaido hospital · JPSapporo Science Center · JPYokohama City University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsSorafenib is the first molecular targeted drug approved for the treatment of advanced hepatocellular carcinoma (HCC) and is a potent small molecule inhibitor of multiple kinases. Combination therapy with sorafenib and other cytotoxic agents for HCC may result in additive anticancer activity. The purpose of this phase I study was to investigate the safety and tolerability of combination therapy with sorafenib and 5-fluorouracil (5-FU) and to determine the optimum dose of 5-FU for a phase II trial.

methodsThis phase I study used a conventional 3 + 3 dose-escalation design. The primary endpoint was to determine the maximum tolerated dose (MTD) of 5-FU in combination with sorafenib and to determine the recommended dosage (RD) for phase II. The secondary endpoints evaluated were toxicity and the tumor response rate. All patients received 800 mg of sorafenib daily and three different dosages of 5-FU (250, 350, and 450 mg/m

resultsTwelve patients with advanced HCC were evaluated. The MTD of 5-FU in combination with sorafenib was 450 mg/m

conclusionsCombination therapy with sorafenib and 5-FU appears to be well tolerated and may have the potential to be an option for advanced HCC.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularDose-Response Relationship, DrugFluorouracilHumansLiver NeoplasmsMaleMaximum Tolerated DoseMiddle AgedMolecular Targeted TherapyNiacinamidePhenylurea CompoundsSorafenibFluorouracilNiacinamidePhenylurea CompoundsSorafenib

Identifiers

PMID28573606
PMCPMC5629128
OpenAlexW2621190609

What OpenQuestion holds

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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.