Evidence map›Paper›PMID 32660291›Full record

SynthesisThe Journal of international medical research2020

A meta-analysis comparing regorafenib with TAS-102 for treating refractory metastatic colorectal cancer.

Guan-Li Su, Yuan-Yuan Wang, Jin-Cheng Wang, Hao Liu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of international medical research, 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
0.4field-weighted citation impact, top 36% 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, 9 citations in OpenAlex.

  1. Article
  2. Article
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  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

4 authors at 1 institution in 1 country.

Guan-Li SuDepartment of Psychiatry and Psychotherapy, The First Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Yuan-Yuan WangDepartment of Gastrointestinal Tumor Surgery, The First Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Jin-Cheng WangDepartment of Psychiatry and Psychotherapy, The First Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Hao LiuDepartment of Nuclear Medicine, The First Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0000-0002-0590-1364
Hebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe performed this meta-analysis to compare the efficacy and toxicity of regorafenib and TAS-102.

methodsElectronic databases were searched to identify studies comparing the efficacy and safety of regorafenib and TAS-102 in patients with chemotherapy-refractory metastatic colorectal cancer using pooled analyses.

resultsThree clinical trials were included in this analysis. Regarding the reasons for treatment discontinuation, regorafenib was significantly associated with disease progression (odds ratio [OR] = 0.33, 95% confidence interval [CI] = 0.21-0.50) and adverse events (OR = 4.38, 95% CI = 2.69-7.13). However, overall (OR = 0.97, 95% CI = 0.81-1.17) and progression-free survival (OR = 1.01, 95% CI = 0.86-1.18) did not significantly differ between the groups. The most common treatment-related adverse events in the regorafenib group were neutropenia (OR = 0.06, 95% CI = 0.03-0.11), hand-foot syndrome (OR = 50.34, 95% CI = 10.44-242.84), and liver dysfunction (OR = 34.51, 95% CI = 8.30-143.43). Conversely, the incidence of thrombocytopenia did not differ between the two groups.

conclusionsRegorafenib and TAS-102 have similar efficacy but different adverse event profiles. Differences in the toxicity profiles of the two drugs will help guide treatment selection.

Indexed as

Colorectal NeoplasmsTrifluridineDrug CombinationsHumansPhenylurea CompoundsPyridinesPyrrolidinesThymineDrug CombinationsPhenylurea CompoundsPyridinesPyrrolidinesregorafenibThymineTrifluridinetrifluridine tipiracil drug combinationadverse eventsmeta-analysismetastatic colorectal canceroverall survivalprogression-free survivalRegorafenibTAS-102

Identifiers

PMID32660291
PMCPMC7361493
OpenAlexW3043066199

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.