Evidence map›Paper›PMID 28940986›Full record

SynthesisCancer medicine2017

Efficacy of biological response modifier lentinan with chemotherapy for advanced cancer: a meta-analysis.

Hui Wang, Yong Cai, Yue Zheng, Qixuan Bai, Dongling Xie, Jiufei Yu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. 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 at 1 institution in 1 country.

Hui WangDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, 100123, China.
Yong CaiDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, 100123, China.
Yue ZhengDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, 100123, China.
Qixuan BaiDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, 100123, China.
Dongling XieDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, 100123, China.
Jiufei YuDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, 100123, China.ORCID http://orcid.org/0000-0001-7621-8792
Aviation General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lentinan is a common biological response modifier. This study was sought to evaluate the efficacy of adjuvant lentinan combined with chemotherapy for advanced cancer. A meta-analysis of published prospective controlled trials investigating the effects of lentinan for kinds of advanced cancer was performed. Sensitivity analysis, inverted funnel plots, and trial sequence analysis were conducted to explore the reliability and stability of results. Seventeen clinical studies were identified containing 1423 patients. Twelve trials included gastrointestinal cancer (GIC), three trials included lung cancer (LC), and two trials included the two cancers. There was a increase in survival rate in 1 year (risk ratios [RR], 1.46, P = 0.001) and overall response rate including both complete and partial response (RR, 1.28, P = 0.005). There was also a reduction in progressive disease (RR, 0.57, P = 0.0005), nonsevere adverse events (RR, 0.88, P = 0.004), and severe adverse events (RR, 0.73, P = 0.007). Similar results were shown in the two subgroups of GIC and LC. Limited trials reported the data of median overall survival and time to treatment failure, and the data were insufficient for quantitative analysis, and no significant difference were found in 2-year survival rate. Adjuvant lentinan used with chemotherapy achieved improvements in 1-year survival rate, response rate, and adverse events in advanced cancer. The effect seemed to be similar irrespective of cancer type. However, its sustained efficacy on survival was still unclear.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsDisease ProgressionHumansImmunologic FactorsLentinanNeoplasmsNeoplasm StagingPublication BiasSurvival AnalysisTreatment FailureTreatment OutcomeAntineoplastic AgentsImmunologic FactorsLentinanAdvanced cancergastrointestinal cancerlentinanlung cancermeta-analysis

Identifiers

PMID28940986
PMCPMC5633561
OpenAlexW2758514186

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.