Evidence map›Paper›PMID 31826977›Full record

Trial reportThe oncologist2020

Phase II Trial of Trifluridine/Tipiracil in Patients with Advanced, Refractory Biliary Tract Carcinoma.

Sakti Chakrabarti, Tyler J Zemla, Daniel H Ahn, Fang-Shu Ou, Briant Fruth, Mitesh J Borad, Mindy L Hartgers, Jaclynn Wessling, Rachel L Walkes, Steven R Alberts and 5 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. 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

15 authors at 3 institutions in 1 country.

Sakti ChakrabartiMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Tyler J ZemlaDepartment of Biostatistics, Mayo Clinic, Rochester, Minnesota, USA.
Daniel H AhnMayo Clinic, Scottsdale, Arizona, USA.
Fang-Shu OuDepartment of Biostatistics, Mayo Clinic, Rochester, Minnesota, USA.
Briant FruthDepartment of Biostatistics, Mayo Clinic, Rochester, Minnesota, USA.
Mitesh J BoradMayo Clinic, Scottsdale, Arizona, USA.
Mindy L HartgersMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Jaclynn WesslingMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Rachel L WalkesMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Steven R AlbertsMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Robert R McWilliamsMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Minetta C LiuMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Lori M DurginMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Tanios S Bekaii-SaabMayo Clinic, Scottsdale, Arizona, USA.
Amit MahipalMedical Oncology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-1111-8333
Mayo Clinic · USWinnMed · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

lessons learnedTrifluridine/tipiracil (FTD/TPI) shows promising antitumor activity in heavily pretreated patients with advanced biliary tract carcinoma, including patients with 5-fluorouracil refractory tumors. FTD/TPI has an acceptable safety profile and should be studied further in patients with advanced biliary tract carcinoma after progression on standard first-line therapy.

backgroundPatients with advanced biliary tract carcinoma (BTC) refractory to first-line therapy lack an established second-line option. Trifluridine/tipiracil (FTD/TPI) has activity in both fluoropyrimidine-sensitive and -resistant tumors, which led us to conduct a single arm phase II trial to evaluate the safety and efficacy of FTD/TPI for patients previously treated for advanced BTC.

methodsPatients with advanced BTC previously treated with at least one line of chemotherapy were enrolled and treated with FTD/TPI until disease progression or unacceptable toxicity. The primary endpoint target was to have at least 6 patients who were progression free and alive at 16 weeks among 25 evaluable patients. Secondary endpoints included overall survival (OS), overall response rate (ORR), progression-free survival (PFS), and toxicity.

resultsOf 27 evaluable patients, 59.3% received at least three prior lines of therapy, and 81.5% had previous exposure to fluoropyrimidine. Eight (32%, 95% confidence interval [CI], 14.9%-53.5%) patients were progression free at 16 weeks in the primary analysis population (n = 25), which met the predefined efficacy criteria. Median PFS and OS were 3.8 (95% CI, 2-5.8 months) and 6.1 (95% CI, 4.4-11.4 months) months, respectively. No objective responses were seen. There were no unexpected safety signals noted.

conclusionFTD/TPI demonstrated promising antitumor activity, with acceptable toxicity, in heavily pretreated patients with advanced BTC.

Indexed as

Biliary TractCarcinomaHumansPyrrolidinesThymineTrifluridineUracilPyrrolidinesThyminetipiracilTrifluridineUracil

Identifiers

PMID31826977
PMCPMC7216452
OpenAlexW2995188794

What OpenQuestion holds

Textmetadata
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.