Evidence map›Paper›PMID 31788995›Full record

Trial reportJournal of gynecologic oncology2020

Maintenance of pegylated liposomal doxorubicin/carboplatin in patients with advanced ovarian cancer: randomized study of an Asian Gynecologic Oncology Group.

Chyong Huey Lai, Elizabeth Vallikad, Hao Lin, Lan Yan Yang, Shih Ming Jung, Hsueh Erh Liu, Yu Che Ou, Hung Hsueh Chou, Cheng Tao Lin, Huei Jean Huang and 9 more

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of gynecologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Germline and SomaticFrontiers in oncology · 2020
    Article
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

19 authors.

Chyong Huey LaiDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, Taiwan. sh46erry@ms6.hinet.net.ORCID https://orcid.org/0000-0002-9977-9645
Elizabeth VallikadDepartment of Gynecologic Oncology, St. John's Medical College, Bangalore, India.ORCID https://orcid.org/0000-0002-4357-5790
Hao LinDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.ORCID https://orcid.org/0000-0003-0828-6763
Lan Yan YangGynecologic Cancer Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-6305-540X
Shih Ming JungDepartment of Pathology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-9716-6098
Hsueh Erh LiuSchool of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-7194-877X
Yu Che OuDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chiayi Branch, Chang Gung University College of Medicine, Chiayi, Taiwan.ORCID https://orcid.org/0000-0002-2849-5661
Hung Hsueh ChouDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-7049-3280
Cheng Tao LinDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0003-0877-6762
Huei Jean HuangDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-6677-8558
Kuan Gen HuangDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-8481-8077
Jiantai QiuDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, and Chang Gung University College of Medicine, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0001-9294-3003
Yao Ching HungDepartment of Obstetrics and Gynecology, China Medical University and China Medical University Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-4723-9636
Tzu I WuDepartment of Obstetrics and Gynecology, Taipei Municipal Wanfang Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-1465-8762
Wei Yang ChangClinical Trial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-9977-2267
Kien Thiam TanACT Genomics, Taipei, Taiwan.ORCID https://orcid.org/0000-0001-8854-0922
Chiao Yun LinGynecologic Cancer Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-1256-7018
Angel ChaoGynecologic Cancer Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0003-3834-2754
Chee Jen ChangData Management and Biostatistical Core, Asian Gynecologic Oncology Group, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-7725-7555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAn Asian Gynecologic Oncology Group phase III randomized trial was conducted to determine whether maintenance chemotherapy could improve progression-free survival (PFS) in stages III/IV ovarian cancer.

methodsBetween 2007 and 2014, 45 newly-diagnosed ovarian cancer patients were enrolled after complete remission and randomized (1:1) to arm A (4-weekly carboplatin area under the curve 4 and pegylated liposomal doxorubicin [PLD] 30 mg/m², n=24) for 6 cycles or arm B (observation, n=21). The primary end-point was PFS. A post hoc translational study was conducted to deep sequence

resultsEnrollment was slow, accrual was closed when 7+ years had passed. With a median follow-up of 88.9 months, the median PFS was significantly better in arm A (55.5 months) than arm B (9.2 months) (hazard ratio [HR]=0.40; 95% confidence interval [CI]=0.19-0.87; p=0.020), yet the median overall survival was not significantly different in arm A (not reached) than arm B (95.1 months) (p=0.148). Overall grade 3/4 adverse events were more frequent in arm A than arm B (60.9% vs 0.0%) (p<0.001). Quality of life was generally not significantly different. Distribution of

conclusionsDespite limitations in small sample size, it suggests that maintenance carboplatin-PLD chemotherapy could improve PFS in advanced ovarian cancer.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, Ovarian EpithelialDisease-Free SurvivalDoxorubicinFemaleHumansMaintenance ChemotherapyMiddle AgedOvarian NeoplasmsPolyethylene GlycolsTaiwanCarboplatinDoxorubicinliposomal doxorubicinPolyethylene GlycolsAdvanced Ovarian CancerGenes, BRCA1 and BRCA2Homologous Recombination DeficiencyLiposomal DoxorubicinMaintenance Chemotherapy

Identifiers

PMID31788995
PMCPMC6918895

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.