Evidence map›Paper›PMID 32020400›Full record

Trial reportEuropean radiology2020

Microwave ablation plus chemotherapy versus chemotherapy in advanced non-small cell lung cancer: a multicenter, randomized, controlled, phase III clinical trial.

Zhigang Wei, Xia Yang, Xin Ye, Qingliang Feng, Yanjun Xu, Licheng Zhang, Wenqiao Sun, Yuting Dong, Qi Meng, Tao Li and 35 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  5. Microwave ablation combined with dendritic cells enhances CD8Cancer immunology, immunotherapy : CII · 2026
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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

45 authors at 18 institutions in 1 country.

Zhigang WeiDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Xia YangDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Xin YeDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China. yexintaian2014@163.com.
Qingliang FengDepartment of Oncology, Liaocheng Cancer Hospital, Liaocheng, Shandong, China.
Yanjun XuDepartment of Oncology, Liaocheng Cancer Hospital, Liaocheng, Shandong, China.
Licheng ZhangDepartment of Oncology, The People's Liberation Army 88 Hospital, Tai'an, Shandong, China.
Wenqiao SunDepartment of Oncology, The People's Liberation Army 88 Hospital, Tai'an, Shandong, China.
Yuting DongDepartment of Oncology, Dezhou People's Hospital, Dezhou, Shandong, China.
Qi MengDepartment of Oncology, Dezhou People's Hospital, Dezhou, Shandong, China.
Tao LiDepartment of Oncology, Dezhou People's Hospital, Dezhou, Shandong, China.
Chuntang WangDepartment of Thoracic Surgery, The Second People's Hospital of Dezhou, Dezhou, Shandong, China.
Guangxu LiDepartment of Thoracic Surgery, The Second People's Hospital of Dezhou, Dezhou, Shandong, China.
Kaixian ZhangDepartment of Oncology, Tengzhou Central People's Hospital, Zaozhuang, Shandong, China.
Peishun LiDepartment of Oncology, Tengzhou Central People's Hospital, Zaozhuang, Shandong, China.
Jingwang BiDepartment of Oncology, Jinan Military General Hospital, Jinan, Shandong, China.
Guoliang XueDepartment of Oncology, Jinan Military General Hospital, Jinan, Shandong, China.
Yahong SunDepartment of Oncology, Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Lijun ShengDepartment of Oncology, Liaocheng Cancer Hospital, Liaocheng, Shandong, China.
Bin LiuDepartment of Oncology, Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Guohua YuDepartment of Oncology, Weifang People's Hospital, Weifang, Shandong, China.
Haipeng RenDepartment of Oncology, Weifang People's Hospital, Weifang, Shandong, China.
Junye WangDepartment of Oncology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Lijun SunDepartment of Oncology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China.
Shaoshui ChenDepartment of Oncology, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Dianzhong GengDepartment of Oncology, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Benhua ZhangDepartment of Oncology, Affiliated Hospital of Taishan Medical University, Tai'an, Shandong, China.
Xin XuDepartment of Oncology, Affiliated Hospital of Taishan Medical University, Tai'an, Shandong, China.
Liangming ZhangDepartment of Oncology, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
Dengjun SunDepartment of Oncology, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
Xinglu XuDepartment of Oncology, The People's Hospital of Pingyi Country, Linyi, Shandong, China.
Cunqi DiaoDepartment of Oncology, The People's Hospital of Pingyi Country, Linyi, Shandong, China.
Guanghui HuangDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Wenhong LiDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Xiaoying HanDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Jiao WangDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Min MengDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Yang NiDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Aimin ZhengDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Weijun FanDepartment of Imaging and Interventional Radiology, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Yuliang LiDepartment of Interventional Medicine, The Second Hospital of Shandong University, Jinan, Shandong, China.
Fan LiDepartment of Health Statistics, School of Preventive Medicine, Fourth Military Medical University, Xi'an, Shanxi, China.
Hua FanPublic Health School, Taishan Medical University, Tai'an, Shandong, China.
Zhigeng ZouDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Qingyu LiDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Hui TianDepartment of Oncology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, Shandong Province, China.
Shandong Provincial Hospital · CNShandong University · CNAffiliated Hospital of Taishan Medical University · CNDezhou University · CNLiaocheng People's Hospital · CNYuhuangding Hospital · CNAffiliated Hospital of Shandong Academy of Medical Sciences · CNBinzhou Medical University · CNJinan Military General Hospital · CNTaizhou Second People's Hospital · CNTengzhou Central People's Hospital · CNWeifang People's Hospital · CNAffiliated Hospital of Jining Medical University · CNAir Force Medical University · CNLinyi People's Hospital · CNSecond Hospital of Shandong University · CNSun Yat-sen University Cancer Center · CNTaishan Medical University · CN

Funding

Funding Development Center for Medical Science and Technology National Health and Family Planning Commission of People's Republic of China () W2015XR03Shandong Province Medical and Health Science and Technology Development Projects) (2014WS0346Technology Development Project of the China International Medical Exchange Foundation (2012G0021824)
6 · The paper itself

Abstract

objectivesThis prospective trial was performed to verify whether microwave ablation (MWA) in combination with chemotherapy could provide superior survival benefit compared with chemotherapy alone. MATERIALS AND

methodsFrom March 1, 2015, to June 20, 2017, treatment-naïve patients with pathologically verified advanced or recurrent non-small cell lung cancer (NSCLC) were randomly assigned to MWA plus chemotherapy group or chemotherapy group. The primary endpoint was progression-free survival (PFS), while the secondary endpoints included overall survival (OS), time to local progression (TTLP), and objective response rate (ORR). The complications and adverse events were also reported.

resultsA total of 293 patients were randomly assigned into the two groups. One hundred forty-eight patients with 117 stage IV tumors were included in the MWA plus chemotherapy group. One hundred forty-five patients with 113 stage IV tumors were included in the chemotherapy group. The median follow-up period was 13.1 months and 12.4 months, respectively. Median PFS was 10.3 months (95% CI 8.0-13.0) in the MWA plus chemotherapy group and 4.9 months (95% CI 4.2-5.7) in the chemotherapy group (HR = 0.44, 95% CI 0.28-0.53; p < 0.0001). Median OS was not reached in the MWA plus chemotherapy group and 12.6 months (95% CI 10.6-14.6) in the chemotherapy group (HR = 0.38, 95% CI 0.27-0.53; p < 0.0001) using Kaplan-Meier analyses with log-rank test. The median TTLP was 24.5 months, and the ORR was 32% in both groups. The adverse event rate was not significantly different in the two groups.

conclusionsIn patients with advanced NSCLC, longer PFS and OS can be achieved with the treatment of combined MWA and chemotherapy than chemotherapy alone. KEY POINTS: • Patients treated with MWA plus chemotherapy had superior PFS and OS over those treated with chemotherapy alone. • The ORR of patients treated with MWA plus chemotherapy was similar to that of those treated with chemotherapy alone. • Complications associated with MWA were common but tolerable and manageable.

Indexed as

Adenocarcinoma of LungAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, Non-Small-Cell LungCisplatinCombined Modality TherapyDeoxycytidineDisease-Free SurvivalDocetaxelFemaleGemcitabineHumansKaplan-Meier EstimateCarboplatinCisplatinDeoxycytidineDocetaxelGemcitabinenedaplatinOrganoplatinum CompoundsPaclitaxelPemetrexedVinorelbineChemotherapyMicrowave ablationNon-small cell lung cancerProgression-free survival

Identifiers

PMID32020400
OpenAlexW3038060887

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.