Evidence map›Paper›PMID 29507500›Full record

ReviewCurrent oncology (Toronto, Ont.)2018

Towards an optimal treatment algorithm for metastatic pancreatic ductal adenocarcinoma (PDA).

M Uccello, M Moschetta, G Mak, T Alam, C Murias Henriquez, H-T Arkenau

Open access · goldAbstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  8. Real-world comparative effectiveness of nab-paclitaxel plus gemcitabineTherapeutic advances in medical oncology · 2019
    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

6 authors at 1 institution in 1 country.

M UccelloDrug Development, Sarah Cannon Research Institute UK, London, United Kingdom; and.
M MoschettaDrug Development, Sarah Cannon Research Institute UK, London, United Kingdom; and.
G MakDrug Development, Sarah Cannon Research Institute UK, London, United Kingdom; and.
T AlamDrug Development, Sarah Cannon Research Institute UK, London, United Kingdom; and.
C Murias HenriquezDrug Development, Sarah Cannon Research Institute UK, London, United Kingdom; and.
H-T ArkenauDrug Development, Sarah Cannon Research Institute UK, London, United Kingdom; and.
Sarah Cannon Research Institute · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemotherapy remains the mainstay of treatment for advanced pancreatic ductal adenocarcinoma (pda). Two randomized trials have demonstrated superiority of the combination regimens folfirinox (5-fluorouracil, leucovorin, oxaliplatin, and irinotecan) and gemcitabine plus nab-paclitaxel over gemcitabine monotherapy as a first-line treatment in adequately fit subjects. Selected pda patients progressing to first-line therapy can receive secondline treatment with moderate clinical benefit. Nevertheless, the optimal algorithm and the role of combination therapy in second-line are still unclear. Published second-line pda clinical trials enrolled patients progressing to gemcitabine-based therapies in use before the approval of nab-paclitaxel and folfirinox. The evolving scenario in second-line may affect the choice of the first-line treatment. For example, nanoliposomal irinotecan plus 5-fluouracil and leucovorin is a novel second-line option which will be suitable only for patients progressing to gemcitabine-based therapy. Therefore, clinical judgement and appropriate patient selection remain key elements in treatment decision. In this review, we aim to illustrate currently available options and define a possible algorithm to guide treatment choice. Future clinical trials taking into account sequential treatment as a new paradigm in pda will help define a standard algorithm.

Indexed as

algorithmchemotherapypancreatic cancerPancreatic ductal adenocarcinomasecond-line

Identifiers

PMID29507500
PMCPMC5832297
OpenAlexW2792878375

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.