Evidence map›Paper›PMID 31102323›Full record

ArticleCancer medicine2019

Durable response for ampullary and duodenal adenocarcinoma with a nab-paclitaxel plus gemcitabine ± cisplatin combination.

Putao Cen, Curtis J Wray, Songlin Zhang, Nirav C Thosani, Brian Cuong Dinh, Anneliese Gonzalez, Virginia Mohlere, John Steven Bynon

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Putao CenUniversity of Texas McGovern Medical School at Houston, Houston, Texas.ORCID 0000-0001-5633-311X
Curtis J WrayUniversity of Texas McGovern Medical School at Houston, Houston, Texas.
Songlin ZhangUniversity of Texas McGovern Medical School at Houston, Houston, Texas.
Nirav C ThosaniUniversity of Texas McGovern Medical School at Houston, Houston, Texas.
Brian Cuong DinhMemorial Hermann-Texas Medical Center, Houston, Texas.
Anneliese GonzalezUniversity of Texas McGovern Medical School at Houston, Houston, Texas.
Virginia MohlereUniversity of Texas McGovern Medical School at Houston, Houston, Texas.
John Steven BynonUniversity of Texas McGovern Medical School at Houston, Houston, Texas.
The University of Texas Health Science Center · USMemorial Hermann–Texas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThere is no standard salvage chemotherapy for metastatic periampullary adenocarcinoma and duodenal adenocarcinoma and the prognosis of those who fail oxaliplatin, irinotecan, and 5FU is dismal. We examined nanoparticle albumin-bound paclitaxel (nab-paclitaxel) as salvage therapy for these two malignancies.

methodsPatients who failed oxaliplatin, irinotecan, and 5FU and whose archival tumors stained immunohistochemical (IHC) tumor positive for CK7 or MUC1 received nab-paclitaxel and gemcitabine therapy with or without cisplatin.

resultsThree patients, 2 with metastatic ampullary adenocarcinoma and 1 with duodenal adenocarcinoma with positive IHC staining for CK7 or MUC1 who failed 2 lines of chemotherapy with oxaliplatin, irinotecan, and 5FU received nab-paclitaxel and gemcitabine with or without cisplatin. All achieved excellent tumor response on CT scans with marked falls in tumor markers CA19-9 and CEA as well as ≥1 year of progression-free survival. All 3 have continued to survive 2-3 years since diagnosed with stage 4 metastatic adenocarcinoma.

conclusionsNab-paclitaxel plus gemcitabine with or without cisplatin should be investigated as a standard-of-care chemotherapy regimen for patients with ampullary adenocarcinoma and duodenal adenocarcinoma.

Indexed as

AdenocarcinomaAlbuminsAmpulla of VaterAntineoplastic Combined Chemotherapy ProtocolsBiomarkersDeoxycytidineDuodenal NeoplasmsFemaleGemcitabineHumansImmunohistochemistryMaleNeoplasm MetastasisNeoplasm StagingPaclitaxelTomography, X-Ray Computed130-nm albumin-bound paclitaxelAlbuminsBiomarkersDeoxycytidineGemcitabinePaclitaxeladenocarcinomaampullarycisplatinCK7duodenalgemcitabineMUC1nab-paclitaxel

Identifiers

PMID31102323
PMCPMC6601707
OpenAlexW2945660669

What OpenQuestion holds

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LicenceCC BY
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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.