Evidence map›Paper›PMID 32274145›Full record

ArticleJournal of thoracic disease2020

Paclitaxel for treatment of advanced small cell lung cancer (SCLC): a retrospective study of 185 patients.

Damian von Eiff, Farastuk Bozorgmehr, Inn Chung, Denise Bernhardt, Stefan Rieken, Stephan Liersch, Thomas Muley, Sonja Kobinger, Michael Thomas, Petros Christopoulos and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Small Cell Lung Cancer, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. State of the art in treatment of small cell lung cancer.Therapeutic advances in medical oncology · 2025
    Review
  7. Oxidative Stress and Age-Related Tumors.Antioxidants (Basel, Switzerland) · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Application of Radiosensitizers in Cancer Radiotherapy.International journal of nanomedicine · 2021
    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

11 authors at 4 institutions in 1 country.

Damian von EiffDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Farastuk BozorgmehrDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Inn ChungDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Denise BernhardtHeidelberg University Hospital, Department of Radiation Oncology, Heidelberg, Germany.
Stefan RiekenHeidelberg University Hospital, Department of Radiation Oncology, Heidelberg, Germany.
Stephan LierschPharmacy Department, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Thomas MuleyTranslational Lung Research Center Heidelberg (TLRC-H), Member of the German Center for Lung Research (DZL), Germany.
Sonja KobingerTranslational Research Unit, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Michael ThomasDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Petros ChristopoulosDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
Martin SteinsDepartment of Thoracic Oncology, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
University Hospital Heidelberg · DEHeidelberg University · DEGerman Center for Lung Research · DEHeidelberger Institut für Radioonkologie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEtoposide-/platinum-based chemotherapy is the standard first-line treatment for extensive-disease small cell lung cancer (SCLC), but responses are short-lived and subsequent options limited. Here, we present our experience with paclitaxel in advanced treatment lines.

methodsWe retrospectively studied the clinical course of all paclitaxel-treated SCLC patients between 2005 and 2015 in our institution. Prognostic and predictive factors were analyzed by Kaplan-Meier and Cox regression analyses.

resultsA total of 185 patients [119 men, median age 65 years, median ECOG performance status (PS) 1] were identified. One hundred and sixty-eight patients had extensive disease (ED) at the time of paclitaxel therapy. Paclitaxel was mainly given as third- or fourth-line therapy (93%). The response rate (RR) was 17% and disease control rate (DCR) 28%. Patients reached a median progression-free survival (PFS) of 1.6 (95% CI: 1.4-1.8) months and median overall survival (OS) of 3.3 (95% CI: 2.8-3.9) months. Main toxicities were fatigue (25%) and polyneuropathy (17%). Dose reduction of ≥25% was associated with shorter PFS [1.9 (95% CI: 1.5-2.3)

conclusionsPaclitaxel has clinically relevant activity in heavily pretreated SCLC. While patients with good PS and no cerebral/hepatic metastases derive the greatest benefit, ECOG PS 2 per se should not be used as a criterion to exclude patients.

Indexed as

paclitaxelprogressive disease (PD)Small cell lung cancer (SCLC)

Identifiers

PMID32274145
PMCPMC7139030
OpenAlexW3000173887

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.