Evidence map›Paper›PMID 31254422›Full record

Trial reportCancer science2019

Sex differences in the safety of S-1 plus oxaliplatin and S-1 plus cisplatin for patients with metastatic gastric cancer.

Yasuhide Yamada, Wasaburo Koizumi, Kazuhiro Nishikawa, Masahiro Gotoh, Nozomu Fuse, Naotoshi Sugimoto, Tomohiro Nishina, Kenji Amagai, Keisho Chin, Yasumasa Niwa and 10 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Cancer science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 20 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

20 authors at 18 institutions in 1 country.

Yasuhide YamadaGastrointestinal Medical Oncology Division, National Cancer Center, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0692-8419
Wasaburo KoizumiDepartment of Gastroenterology, Kitasato University Hospital, Sagamihara, Japan.
Kazuhiro NishikawaDepartment of Surgery, Osaka General Medical Center, Osaka, Japan.
Masahiro GotohCancer Chemotherapy Center, Osaka Medical College Hospital, Takatsuki, Japan.
Nozomu FuseDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Naotoshi SugimotoDepartment of Clinical Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan.
Tomohiro NishinaDepartment of Gastrointestinal Medical Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Japan.
Kenji AmagaiDepartment of Gastroenterology, Ibaraki Prefectural Central Hospital, Kasama, Japan.
Keisho ChinDepartment of Gastroenterology, Cancer Institute Hospital of JFCR, Tokyo, Japan.
Yasumasa NiwaDepartment of Endoscopy, Aichi Cancer Center Hospital, Nagoya, Japan.
Akihito TsujiDepartment of Clinical Oncology, Kagawa University, Kagawa, Japan.
Hiroshi ImamuraDepartment of Surgery, Sakai City Hospital, Sakai, Japan.
Masahiro TsudaDepartment of Gastroenterological Oncology, Hyogo Cancer Center, Akashi, Japan.
Hirofumi YasuiDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Sunto-gun, Japan.
Hirofumi FujiiDepartment of Clinical Oncology, Jichi Medical University, Shimotsuke, Japan.
Kensei YamaguchiDivision of Gastroenterology, Saitama Cancer Center, Kita-adachi-gun, Japan.
Hisateru YasuiDepartment of Medical Oncology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Shuichi HironakaClinical Trial Promotion Department, Chiba Cancer Center, Chiba, Japan.ORCID https://orcid.org/0000-0001-9714-231X
Ken ShimadaDepartment of Internal Medicine, Showa University Northern Yokohama Hospital, Tokyo, Japan.
Ichinosuke HyodoDivision of Gastroenterology, University of Tsukuba, Tsukuba, Japan.
Kyoto Medical Center · JPAichi Cancer Center · JPChiba Cancer Center · JPHyogo Prefectural Cancer Center · JPIbaraki Prefectural Central Hospital · JPJichi Medical University · JPKagawa University · JPKitasato University Hospital · JPNational Cancer Center Hospital East · JPOsaka International Cancer Institute · JPOsaka Medical and Pharmaceutical University · JPOsaka Prefectural Medical Center · JPSaitama Cancer Center · JPSakai Municipal Hospital · JPShikoku Cancer Center · JPShowa University Northern Yokohama Hospital · JPThe Cancer Institute Hospital · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have shown sex-related differences in the incidence of adverse events following treatment with fluoropyrimidines, however the mechanism of this difference is unknown. We examined sex-related differences in the safety of S-1 plus oxaliplatin (SOX) and S-1 plus cisplatin (CS) in 663 metastatic gastric cancer patients taking part in a phase III study. The incidences of leukopenia (odds ratio [OR] 1.9; P = .015), neutropenia (OR 2.2; P = .002), nausea (OR 2.0; P = .009), and vomiting (OR 2.8; P < .001) were increased in women versus men treated with SOX, while vomiting (OR 2.9; P < .001) and stomatitis (OR 1.8; P = .043) were increased in women versus men treated with CS. In contrast, male patients treated with CS experienced thrombocytopenia more often (OR 0.51; P = .009). The mean relative dose intensity of S-1 in SOX was 75.4% in women and 81.4% in men (P = .032). No difference in efficacy was observed between women and men undergoing either regimen. Sex-related differences in adverse reactions during SOX and CS treatment were confirmed in this phase III study. Further translational research studies are warranted to pursue the cause of this difference.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsCisplatinDisease-Free SurvivalDose-Response Relationship, DrugDrug CombinationsFemaleHumansIncidenceMaleMiddle AgedNauseaNeutropeniaOxaliplatinOxonic AcidSex FactorsCisplatinDrug CombinationsOxaliplatinOxonic AcidS 1 (combination)Tegafurfluorouracilgastric canceroxaliplatinS-1sex

Identifiers

PMID31254422
PMCPMC6726691
OpenAlexW2953428751

What OpenQuestion holds

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LicenceCC BY-NC
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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.