Evidence map›Paper›PMID 29137320›Full record

ArticleOncotarget2017

A phase II study of S-1 with concurrent radiotherapy in elderly patients with esophageal cancer.

Yongling Ji, Xianghui Du, Ye Tian, Liming Sheng, Lei Cheng, Ying Chen, Guoqing Qiu, Xia Zhou, Wuan Bao, Danhong Zhang and 1 more

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

11 authors.

Yongling JiDepartment of Radiotherapy and Oncology, The Second Affiliated Hospital of Soochow University, 215000 Suzhou, China.
Xianghui DuDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Ye TianDepartment of Radiotherapy and Oncology, The Second Affiliated Hospital of Soochow University, 215000 Suzhou, China.
Liming ShengDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Lei ChengDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Ying ChenDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Guoqing QiuDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Xia ZhouDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Wuan BaoDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Danhong ZhangDepartment of Radiation Oncology, Zhejiang Cancer Hospital, 310022 Hangzhou, China.
Ming ChenDepartment of Radiotherapy and Oncology, The Second Affiliated Hospital of Soochow University, 215000 Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConcurrent chemoradiotherapy (CCRT) using conventional platinum-based doublets are often associated with significant incidence of toxic effects in elderly patients with esophageal cancer. We previously reported a phase I trial of CCRT using S-1, an oral 5-fluorouracil derivative, which yielded well safe and active outcomes.

methodsPatients with histologically confirmed esophageal cancer, who were age of 70 years or older with performance status (PS) score of 0-2 or age of 66 to 69 with PS score of 2, were eligible for this Phase II trial. Radiotherapy was delivered in 1.8 Gy per fraction to a total dose of 54 Gy. Concurrently, S-1 was administered at 70 mg/m

resultsThirty patients were enrolled, and 28 patients completed the full course of radiotherapy. No grade 4 toxicity or treatment-related death occurred. The grade 3 toxicities included esophagitis (16.7%), leucopoenia (13.3%), neutropenia (10%), anaemia (3.3%), pneumonitis (3.3%) and fatigue (3.3%). The median progression-free survival time and median survival time was 19 and 24 months, respectively. The 2-year overall survival rate was 45.1%, which exceeded the predefined threshold of 2-year OS 35% and met the primary end point of the study.

conclusionsThe results suggest that CCRT using S-1 is effective with mild toxicity in elderly patients with esophageal cancer. A phase III trial is needed to further evaluate this regimen.

Indexed as

chemoradiotherapyelderlyesophageal cancerS-1

Identifiers

PMID29137320
PMCPMC5669946

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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.