Evidence map›Paper›PMID 31143878›Full record

ArticleEClinicalMedicine2019

Phase III Non-inferiority Study Evaluating Efficacy and Safety of Low Dose Gemcitabine Compared to Standard Dose Gemcitabine With Platinum in Advanced Squamous Lung Cancer.

Vijay Patil, Vanita Noronha, Amit Joshi, Anuradha Chougule, Sadhana Kannan, Atanu Bhattacharjee, Supriya Goud, Sucheta More, Arun Chandrasekharan, Nandini Menon and 17 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Uniqueness of lung cancer in Southeast Asia.The Lancet regional health. Southeast Asia · 2024
    Review
  3. Article
  4. Article
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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

27 authors at 1 institution in 1 country.

Vijay PatilDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Vanita NoronhaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Amit JoshiDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Anuradha ChouguleDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Sadhana KannanDepartment of Cancer Epidemiology and Biostatistics, Tata Memorial Hospital, Mumbai, India.
Atanu BhattacharjeeDepartment of Cancer Epidemiology and Biostatistics, Tata Memorial Hospital, Mumbai, India.
Supriya GoudDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Sucheta MoreDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Arun ChandrasekharanDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Nandini MenonDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Sujay SrinivasDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Dilip Harindran VallatholDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Hollis DsouzaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Swaratika MajumdarDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Sudeep DasDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Abhinav ZawarDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Satvik KhaddarDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Amit KumarDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Gunjesh SinghDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Kanteti Aditya Pavan KumarDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Rahul RavindDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Vaishakhi TrivediDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Vichitra BehelDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Abhishek MahajanDepartment of Radiology, Tata Memorial Hospital, Mumbai, India.
Amit JanuDepartment of Radiology, Tata Memorial Hospital, Mumbai, India.
Nilendu PurandareDepartment of Nuclear Medicine, Tata Memorial Hospital, Mumbai, India.
Kumar PrabhashDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai, India.
Homi Bhabha National Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged infusion of low dose gemcitabine (PLDG) in combination with platinum has shown promising activity in terms of improved response rate and progression free survival (PFS); especially in squamous non-small cell lung cancer (NSCLC). Hence, we conducted a phase 3 randomized non-inferiority study with the primary objective of comparing the overall survival (OS) between PLDG and standard dose of gemcitabine with platinum. METHODOLOGY: Adult subjects (age ≥ 18 years), with stages IIIB-IV, NSCLC (squamous) and ECOG performance status of ≤ 2 were randomized 1:1 into either carboplatin with standard dose gemcitabine (1000 mg/m

resultsThe median overall survival in STD-G arm was 6.8 months (95%CI 5.3-8.5) versus 8.4 months (95%CI 7-10.3) in the LOW-G arm (HR-0.890 (90%CI 0.725-1.092). The results with per protocol analysis were in line with these results. There was no statistical difference in progression free survival (HR-0.949; 90%CI 0.867-1.280) and adverse event rate between the 2 arms.

conclusionThis study suggests that PLDG is an alternative to the standard gemcitabine schedule in squamous NSCLC, and either of these can be selected subject to patient convenience.

Indexed as

GemcitabineLow doseNSCLCProlonged infusionSquamous cell cancer

Identifiers

PMID31143878
PMCPMC6510888
OpenAlexW2935881097

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.