Evidence map›Paper›PMID 31314957›Full record

Trial reportCancer medicine2019

Impact on health-related quality of life deterioration-free survival of a first-line therapy combining nab-paclitaxel plus either gemcitabine or simplified leucovorin and fluorouracil for patients with metastatic pancreatic cancer: Results of the randomized phase II AFUGEM GERCOR clinical trial.

Emilie Charton, Jean-Baptiste Bachet, Pascal Hammel, Jérôme Desramé, Benoist Chibaudel, Romain Cohen, Philippe Debourdeau, Jérome Dauba, Thierry Lecomte, Jean-François Seitz and 8 more

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

Trial report in Cancer medicine, 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 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Optimal assessment of quality of life for patients with prostate cancer.Therapeutic advances in medical oncology · 2022
    Review
  5. Article
  6. 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

18 authors at 14 institutions in 1 country.

Emilie ChartonMethodology and Quality of Life Unit in Oncology, INSERM UMR 1098, University Hospital of Besançon, Besançon, France.ORCID https://orcid.org/0000-0003-0259-8811
Jean-Baptiste BachetDepartment of Hepato-Gastroenterology, Groupe hospitalier Pitié Salpêtrière, Sorbonne University, UPMC University, Paris, France.
Pascal HammelDepartment of Digestive Oncology, Hôpital Beaujon, Clichy, France.
Jérôme DesraméDepartment of Hepato-Gastroenterology, Hôpital Privé Jean Mermoz, Lyon, France.
Benoist ChibaudelDepartment of Oncology, Institut Franco-Britannique, Levallois-Perret, France.
Romain CohenDepartment of Oncology, AP-HP, Hôpital Saint-Antoine, Sorbonne University, Paris, France.
Philippe DebourdeauDepartment of Oncology, Institut Saint Catherine, Avignon, France.
Jérome DaubaDepartment of Oncology, Hôpital Layne Mont de Marsan, Mont de Marsan, France.
Thierry LecomteDepartment of Hepato-Gastroenterology, Hôpital Trousseau, Tours, France.
Jean-François SeitzCHU La Timone, Marseille, France.
Christophe TournigandDepartment of Oncology, CHU Henri Mondor, Créteil, France.
Thomas AparicioDepartment of Hepato-Gastroenterology, CHU Saint Louis, Paris, France.
Véronique Guerin-MeyerDepartment of Oncology, Institut de cancérologie de L'Ouest Paul Papin, Angers, France.
Julien TaiebDepartment of Gastroenterology and Digestive Oncology, Hôpital Européen Georges Pompidou, Paris, France.
Julien VoletDepartment of Hepato-Gastroenterology, CHU Robert Debré, Reims, France.
Christophe LouvetDepartment of Oncology, Institut Mutualiste Montsouris, Paris, France.
Amélie AnotaMethodology and Quality of Life Unit in Oncology, INSERM UMR 1098, University Hospital of Besançon, Besançon, France.ORCID https://orcid.org/0000-0001-6896-1367
Franck BonnetainMethodology and Quality of Life Unit in Oncology, INSERM UMR 1098, University Hospital of Besançon, Besançon, France.
Inserm · FRSorbonne Université · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Tours · FRCentre Hospitalier Universitaire Henri-Mondor · FRHôpital Beaujon · FRHôpital de la Timone · FRHôpital Européen Georges-Pompidou · FRHôpital Privé Jean Mermo · FRHôpital Saint-Louis · FRInstitut de Cancérologie de l'Ouest · FRInstitute Mutualiste Montsouris · FRInstitut Hospitalier Franco Britannique · FRInstitut Sainte Catherine · FR

Funding

CelgeneInstitut National Du Cancer INCA 11862
6 · The paper itself

Abstract

backgroundThe phase II AFUGEM GERCOR trial aimed to assess the efficacy of a first-line therapy combining nab-paclitaxel plus either gemcitabine (gemcitabine group) or simplified leucovorin and fluorouracil (sLV5FU2 group) in patients with previously untreated metastatic pancreatic cancer. Results of progression-free survival at 4 months (primary endpoint) were in favor of the sLV5FU2 group. This paper presents health-related quality of life (HRQoL) data as a secondary endpoint.

methodsHRQoL was assessed using the EORTC QLQ-C30 questionnaire at baseline and at each chemotherapy cycle until the end of treatment. The HRQoL deterioration-free survival (QFS) was used as a modality of longitudinal analysis. QFS was defined as the time between randomization and the first definitive HRQoL score deterioration as compared to the baseline score, or death. Sensitivity analysis was performed excluding death as an event. Univariate Cox models were used to estimate hazard ratios (HRs) and 90% confidence intervals (CIs) of the treatment effect.

resultsBetween 2013 and 2014, 114 patients were randomized in a 1:2 ratio (39 in the gemcitabine group and 75 in the sLV5FU2 group). Patients in the sLV5FU2 group seemed to present longer QFS than those of the gemcitabine group for 14 out of 15 dimensions, with HRs < 1. Results of the sensitivity analysis excluding death as an event were significantly in favor of the sLV5FU2 group for physical functioning (HR = 0.51 [90% CI 0.27-0.97]) and pain (HR = 0.26 [90% CI 0.09-0.74]).

conclusionThe nab-paclitaxel plus simplified leucovorin and fluorouracil combination had no negative impact in exploratory HRQoL analyses.

Indexed as

Quality of LifeAgedAged, 80 and overAlbuminsAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineFemaleFluorouracilGemcitabineHumansKaplan-Meier EstimateLeucovorinMaleMiddle AgedPaclitaxelPancreatic Neoplasms130-nm albumin-bound paclitaxelAlbuminsDeoxycytidineFluorouracilGemcitabineLeucovorinPaclitaxelclinical trialdeterioration-free survivalmetastaticpancreatic cancerquality of life

Identifiers

PMID31314957
PMCPMC6718524
OpenAlexW2958572640

What OpenQuestion holds

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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.