Evidence map›Paper›PMID 28841909›Full record

Trial reportBMC cancer2017

Docetaxel, Cisplatin, and 5-fluorouracil (DCF) chemotherapy in the treatment of metastatic or unresectable locally recurrent anal squamous cell carcinoma: a phase II study of French interdisciplinary GERCOR and FFCD groups (Epitopes-HPV02 study).

Stefano Kim, Marine Jary, Thierry André, Véronique Vendrely, Bruno Buecher, Eric François, François-Clément Bidard, Sarah Dumont, Emmanuelle Samalin, Didier Peiffert and 19 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT02402842 phase2completednot on this map

Assessment of the Clinical Value of a Docetaxel, Cisplatin and 5-fluorouracil (DCF) Strategy Adapted to Patients for the Management of Metastatic or Locally Advanced Anal Resistant Radiochemotherapy Squamous Cell Anal Carcinoma.

TypeinterventionalSponsorCentre Hospitalier Universitaire de BesanconRan2014 to 2020Enrolled70ConditionsAnal Canal CarcinomaArmsDocetaxel, Cisplatin and 5-Fluorouracil
NCT03942900 withdrawnnot on this mapstarted 2020, after this paper: background citation

Immunomonitoring and Biomarker Research Based on Tumor and Blood Samples in Patients With Squamous Cell Anal Carcinoma

TypeobservationalSponsorCentre Hospitalier Universitaire de BesanconRan2020 to 2024Enrolled0ConditionsAnal Canal CancerArmsAdditional biological samples
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Immunotherapy in Anal Cancer.Current oncology (Toronto, Ont.) · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

29 authors at 20 institutions in 1 country.

Stefano KimCentre Hospitalier Universitaire de Besançon, Besançon, France. stefanokim@me.com.ORCID http://orcid.org/0000-0003-2851-7119
Marine JaryCentre Hospitalier Universitaire de Besançon, Besançon, France.
Thierry AndréGroupe Coopérateur Multidisciplinaire en Oncologie (GERCOR) Oncology Multidisciplinary Group, Besançon, France.
Véronique VendrelyFédération Francophone de Cancérologie Digestive (FFCD), Dijon, France.
Bruno BuecherFédération Francophone de Cancérologie Digestive (FFCD), Dijon, France.
Eric FrançoisCentre Antoine-Lacassagne, Nice, France.
François-Clément BidardGroupe Coopérateur Multidisciplinaire en Oncologie (GERCOR) Oncology Multidisciplinary Group, Besançon, France.
Sarah DumontHôpital Saint Antoine, Paris, France.
Emmanuelle SamalinInstitut du Cancer de Montpellier, Montpellier, France.
Didier PeiffertInstitut de Cancérologie de Lorraine, Nancy, France.
Simon PernotHôpital européen Georges-Pompidou, Paris, France.
Nabil Baba-HamedGroupe Hospitalier Paris Saint-Joseph, Paris, France.
Farid El HajbiCentre Oscar Lambret, Lille, France.
Olivier BouchéFédération Francophone de Cancérologie Digestive (FFCD), Dijon, France.
Jérôme DesrameHôpital privé Jean Mermoz, Lyon, France.
Aurélie ParzyCentre François Baclesse, Caen, France.
Mustapha ZoubirHôpital Privé des Peupliers, Paris, France.
Christophe LouvetInstitut Mutualiste Montsouris, Paris, France.
Jean-Baptiste BachetHôpital Pitié Salpêtrière, Paris, France.
Thierry NguyenCentre Hospitalier Universitaire de Besançon, Besançon, France.
Meher Ben AbdelghaniCentre Paul Strauss, Strasbourg, France.
Denis SmithCentre Hospitalier Universitaire de Bordeaux, Bordeaux, France.
Christelle De La FouchardièreCentre Léon Bérard, Lyon, France.
Thomas AparicioHôpital Avicenne, Bobigny, France.
Jaafar BennounaInstitut de Cancérologie de l'Ouest, Nantes, France.
Jean-Marc GornetHôpital Saint Louis, Paris, France.
Marion JacquinClinical Investigational Center, CIC-1431, University Hospital of Besançon, Besançon, France.
Franck BonnetainINSERM, Unit 1098, University of Bourgogne Franche-Comté, Besançon, France.
Christophe BorgCentre Hospitalier Universitaire de Besançon, Besançon, France.
Inserm · FRSorbonne Université · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Antoine Lacassagne · FRCentre François Baclesse · FRCentre Hospitalier Universitaire de Reims · FRCentre Léon Bérard · FRCentre Oscar Lambret · FRFédération Francophone de Cancérologie Digestive · FRGénérale de Santé · FRHôpital Avicenne · FRHôpital Paris Saint-Joseph · FRHôpital Privé Jean Mermo · FRHôpital Saint-Louis · FRInstitut de Cancérologie de Lorraine · FRInstitut de Cancérologie de l'Ouest · FRInstitut de Recherche en Cancérologie de Montpellier · FRInstitute Mutualiste Montsouris · FRMethodology and Quality of Life Unit in Oncology · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe squamous cell carcinoma of the anus (SCCA) is a rare disease, but its incidence is markedly increasing. About 15% of patients are diagnosed at metastatic stage, and more than 20% with a localized disease treated by chemoradiotherapy (CRT) will recur. In advanced SCCA, cisplatin and 5-fluorouracil (CF) combination is the standard option but complete response is a rare event and the prognosis remains poor with most disease progression occurring within the first 12 months. We have previously published the potential role of the addition of docetaxel (D). Among 8 consecutive patients with advanced recurrent SCCA after CRT, the DCF regimen induced a complete response in 4 patients, including 3 pathological complete responses. Then, the Epitopes-HPV02 study was designed to confirm the interest of DCF regimen in SCCA patients.

methodsThis multicentre phase II trial assesses the DCF regimen in advanced SCCA patients. Main eligibility criteria are: histologically proven SCCA, unresectable locally advanced recurrent or metastatic disease, Eastern Cooperative Oncology Group-performance status (ECOG-PS) <2, and being eligible for DCF. Patients receive either 6 cycles of standard DCF or 8 cycles of modified DCF depending on age (> vs. ≤ 75 years-old) and ECOG-PS (0 vs. 1). The trial was set up based on a Simon's optimal two-stage design for phase II trials, allowing an early futility interim analysis. The primary endpoint is the observed progression-free survival (PFS) rate at 12 months from the first DCF cycle. A PFS rate below 10% is considered uninteresting, while a PFS rate above 25% is expected. With a unilateral alpha error of 5% and a statistical power of 90%, 66 evaluable patients should be included. Main secondary endpoints are overall survival, PFS, response rate, safety, health-related quality of life, and the correlation of biomarkers with treatment efficacy. DISCUSSION: Since the recommended CF regimen is based in a small retrospective analysis and generates a low rate of complete responses, the Epitopes-HPV02 study will establish a new standard in case of a positive result. Associated biomarker studies will contribute to understand the underlying mechanism of resistance and the role of immunity in SCCA.

trial registrationNCT02402842 , EudraCT: 2014-001789-81.

Indexed as

Neoplasm Recurrence, LocalAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAnus NeoplasmsCarcinoma, Squamous CellCisplatinDocetaxelFluorouracilFranceHumansMiddle AgedPrognosisResearch DesignTaxoidsCisplatinDocetaxelFluorouracilTaxoidsAdvancedAnal carcinomaAnd chemotherapyDocetaxelMetastatic

Identifiers

PMID28841909
PMCPMC5574110
OpenAlexW2749965723

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.