Evidence map›Paper›PMID 31897343›Full record

ArticleJournal of gastric cancer2019

Choice of Capecitabine or S1 in Combination with Oxaliplatin based on Thymidine Phosphorylase and Dihydropyrimidine Dehydrogenase Expression Status in Patients with Advanced Gastric Cancer.

Rong Xu, Xiaolei He, Reyina Wufuli, Ying Su, Lili Ma, Ru Chen, Zhongcheng Han, Fang Wang, Jiang Liu

Registry-linked trialAbstract read
In one paragraph

Article in Journal of gastric cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05351398 (The Clinical Efficacy of Patient-derived Organoid-based Drug Sensitive Neoadjuvant Chemotherapy Versus Traditional Neoadjuvant Chemotherapy in Advanced Gastric Cancer), which is not on this map. Cited by 1 paper.

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

NCT05351398 unknown statusnot on this mapstarted 2022, after this paper: background citation

The Clinical Efficacy of Patient-derived Organoid-based Drug Sensitive Neoadjuvant Chemotherapy Versus Traditional Neoadjuvant Chemotherapy in Advanced Gastric Cancer: a Prospective Multi-center Randomized Controlled Study

TypeobservationalSponsorShanghai Minimally Invasive Surgery CenterRan2022 to 2023Enrolled54ConditionsAdvanced Gastric CarcinomaArmsPDO group, Traditional group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Rong XuDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0001-5759-2658
Xiaolei HeDepartment of Hepatopathy, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.ORCID https://orcid.org/0000-0003-4549-7228
Reyina WufuliDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0003-1354-0156
Ying SuDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0002-8070-9217
Lili MaDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0003-1199-6168
Ru ChenDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0001-7823-6409
Zhongcheng HanDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0002-0136-9390
Fang WangDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0002-0149-1521
Jiang LiuDepartment of Oncology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0001-6393-2444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the efficacy of capecitabine or S-1 plus oxaliplatin (CAPOX or SOX) for treating thymidine phosphorylase (TP)- or dihydropyrimidine dehydrogenase (DPD)-positive advanced gastric cancer. MATERIALS AND

methodsEighty-six patients with stage IIIC to IV gastric cancer were assessed for TP and DPD expression by immunohistochemistry. The association between CAPOX or SOX efficacy and TP/DPD expression was retrospectively analyzed.

resultsThere were no significant differences in the objective remission rate (ORR, 52.27% vs. 47.62%; P>0.05), disease control rate (72.73% vs. 73.81%, P>0.05), progression-free survival (hazard ratio [HR], 1.119; 95% confidence interval [CI], 0.739-1.741; P=0.586), and overall survival (OS; HR, 0.855; 95% CI, 0.481-1.511; P=0.588) between CAPOX and SOX. A higher number of stage IV patients showed TP positivity, while DPD-positive patients predominantly showed intestinal type of gastric cancer. In TP-positive patients, the ORRs associated with CAPOX and SOX treatments were 57.14% and 38.10%, respectively; OS was better with CAPOX than with SOX (HR, 0.447; 95% CI, 0.179-0.978; P=0.046). Among DPD-positive patients, the SOX treatment-associated ORR (60.87%) was significantly higher than the CAPOX treatment-associated ORR (43.48%). Furthermore, SOX treatment resulted in better OS than did CAPOX treatment (HR, 2.020; 95% CI, 1.019-4.837; P=0.049).

conclusionsNo significant difference in clinical efficacy was found between CAPOX and SOX. TP-positive patients might respond better to CAPOX while DPD-positive patients may respond better to SOX. Our findings might serve as a guide for personalized chemotherapy for gastric cancer.

Indexed as

CapecitabineDihydropyrimidine dehydrogenaseGastric cancerOxaliplatinThymidine phosphorylase

Identifiers

PMID31897343
PMCPMC6928084

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Registered trials

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.