Evidence map›Paper›PMID 30621630›Full record

ArticleBMC cancer2019

Nab-paclitaxel and gemcitabine or FOLFIRINOX as first-line treatment in patients with unresectable adenocarcinoma of the pancreas: does sequence matter?

Ursula M Vogl, Haleh Andalibi, Alexander Klaus, Laurenz Vormittag, Wolfgang Schima, Bettina Heinrich, Alice Kafka, Thomas Winkler, Leopold Öhler

Abstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  15. Clinical outcomes of FOLFIRINOX and gemcitabine-nab paclitaxel for metastatic pancreatic cancer in the real world setting.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
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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

9 authors.

Ursula M VoglDepartment of Internal Medicine II, Oncology, Barmherzige Schwestern Wien, Stumpergasse 13, 1060, Vienna, Austria. ursula.vogl@bhs.at.
Haleh AndalibiDepartment of Internal Medicine II, Oncology, Barmherzige Schwestern Wien, Stumpergasse 13, 1060, Vienna, Austria.
Alexander KlausDepartment of Surgery, Barmherzige Schwestern Wien, Vienna, Austria.
Laurenz VormittagDepartment of Internal Medicine I, Oncology, Sankt Josef Krankenhaus, Vienna, Austria.
Wolfgang SchimaDepartment of Diagnostic and Interventional Radiology, Barmherzige Schwestern Krankenhaus Wien, Goettlicher Heiland Krankenhaus and Sankt Josef Krankenhaus, Vienna, Austria.
Bettina HeinrichDepartment of Internal Medicine I, Oncology, Sankt Josef Krankenhaus, Vienna, Austria.
Alice KafkaDepartment of Internal Medicine I, Oncology, Sankt Josef Krankenhaus, Vienna, Austria.
Thomas WinklerDepartment of Internal Medicine I, Oncology, Sankt Josef Krankenhaus, Vienna, Austria.
Leopold ÖhlerDepartment of Internal Medicine II, Oncology, Barmherzige Schwestern Wien, Stumpergasse 13, 1060, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocally advanced or metastatic adenocarcinoma of the pancreas remains - despite the implementation of new chemotherapy protocols - a disease with short overall survival (OS).

methodsEighty-three patients were treated with locally advanced or metastatic adenocarcinoma of the pancreas with either FOLFIRINOX or nab-Paclitxel and Gemcitabine (nabPGem) as first- or second line therapy. We analysed the outcome for OS and progression-free survival (PFS) in terms of treatment regimen and sequence.

resultsThe majority of patients presented in good performance status (PS) with a median age of 68 years. Fourty-two patients received FOLFIRINOX as first-line therapy, 41 patients were treated with nabPGem as first line therapy. Forty-eight patients received both treatments. The OS of all 83 patients was 12.6 months (95% CI: 10.7-14.6), resulting in a 1-year OS of 54%. Forty-eight patients received FOLFIRINOX followed by nabPGem or vice versa. There was no significant difference in OS or PFS for either of the two sequences (p = 0.9). The OS for FOLFIRINOX followed by nabPGem or nabPGem followed by FOLFIRINOX was 13.7 months (95% CI: 12.6-14.7) and 13.8 months (95% CI: 8.6-19), respectively.

conclusionsThe sequence FOLFIRINOX followed by nab-Paclitaxel and Gemcitabine or vice versa lead to an equal OS outcome.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAlbuminsAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineDrug CombinationsFemaleFluorouracilGemcitabineHumansIrinotecanLeucovorinMaleMiddle Aged130-nm albumin-bound paclitaxelAlbuminsDeoxycytidineDrug CombinationsFluorouracilfolfirinoxGemcitabineIrinotecanLeucovorinOrganometallic CompoundsOxaliplatinPaclitaxelFOLFIRINOXGemcitabineNab-paclitaxelPancreatic cancer

Identifiers

PMID30621630
PMCPMC6325849

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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.