Evidence map›Paper›PMID 32728394›Full record

ArticleTherapeutic advances in medical oncology2020

Cisplatin plus capecitabine concomitant with intensity-modulated radiation therapy in non-metastatic anal squamous cell carcinoma: the experience of a single research cancer center.

Maria Saveria Rotundo, Maria Giulia Zampino, Paola Simona Ravenda, Vincenzo Bagnardi, Giulia Peveri, Veronica Dell'Acqua, Alessia Surgo, Cristina Trovato, Luca Bottiglieri, Emilio Bertani and 3 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

13 authors at 2 institutions in 1 country.

Maria Saveria RotundoDivision of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, European Institute of Oncology IRCCS, Milan, Italy.
Maria Giulia ZampinoDivision of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, European Institute of Oncology IRCCS, Via Ripamonti 435, Milan 20141, Italy.
Paola Simona RavendaDivision of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, European Institute of Oncology IRCCS, Milan, Italy.
Vincenzo BagnardiDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Lombardia, Italy.
Giulia PeveriDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Lombardia, Italy.
Veronica Dell'AcquaDivision of Radiotherapy, European Institute of Oncology IRCCS, Milan, Lombardia, Italy.
Alessia SurgoDivision of Radiotherapy, European Institute of Oncology IRCCS, Milan, Lombardia, Italy.
Cristina TrovatoDivision of Endoscopy, European Institute of Oncology IRCCS, Milan, Lombardia, Italy.
Luca BottiglieriDivision of Pathology, European Institute of Oncology IRCCS, Milan, Lombardia, Italy.
Emilio BertaniDivision of Gastrointestinal Surgery, European Institute of Oncology IRCCS, Milan, Italy.
Wanda Luisa PetzDivision of Gastrointestinal Surgery, European Institute of Oncology IRCCS, Milan, Italy.
Uberto Fumagalli RomarioDivision of Gastrointestinal Surgery, European Institute of Oncology IRCCS, Milan, Italy.
Nicola FazioDivision of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, European Institute of Oncology IRCCS, Milan, Italy.
European Institute of Oncology · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe standard treatment of non-metastatic anal squamous cell carcinoma (ASCC) consists of chemotherapy with mitomycin (MMC) plus 5-fluorouracil (5FU) for 1-2 cycles concomitant with pelvic radiotherapy. Subsequent studies introduced cisplatin (CDDP) combined with 5FU, with unclear results. We evaluated the doublet capecitabine (C) and CDDP as a possible alternative to MMC-5FU regimen concomitant with intensity-modulated radiation therapy (IMRT). PATIENTS AND

methodsWe carried out a retrospective study on 67 patients affected by stage I-III ASCC, treated with CDDP (60-70 mg/m

resultsAt a median follow up of 41 months, the clinical complete response calculated at the 6-month time-point (6-moCR), the 6-month objective response rate and the 6-month disease control rate were 93%, 94%, and 99%, respectively.Disease-free survival rates at 1, 2, and 3 years were 89%, 87%, and 85%, while the overall survival rates at 1 and 2 years were 100% and 95%. The colostomy-free survival rates were 90% at 1 year and 88% at 2 years. Grade 3-4 acute adverse events were reported in 61% of patients; predominantly skin toxicity (46%) and limited hematological toxicity (12%).

conclusionIn this retrospective study, chemotherapy with C plus CDDP concomitant with IMRT proved safe and effective, and may represent a possible alternative option to standard MMC-containing regimen for curative intent.

Indexed as

anal cancercapecitabinechemotherapycisplatinimage-guidedintensity-modulatedradiotherapysquamous cell neoplasms

Identifiers

PMID32728394
PMCPMC7364808
OpenAlexW3042345171

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.