Evidence map›Paper›PMID 33389346›Full record

Trial reportInternational journal of clinical oncology2021

Efficacy and safety of ramucirumab plus paclitaxel therapy for advanced gastric cancer patients treated previously with docetaxel-containing chemotherapy.

Tomoyuki Kakuta, Hiroshi Yabusaki, Takeo Bamba, Masaki Aizawa, Hitoshi Nogami, Tatsuya Nomura, Atsushi Matsuki, Satoshi Maruyama, Yasumasa Takii, Satoru Nakagawa

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

10 authors at 1 institution in 1 country.

Tomoyuki KakutaDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan. to-k117@med.niigata-u.ac.jp.
Hiroshi YabusakiDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Takeo BambaDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Masaki AizawaDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Hitoshi NogamiDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Tatsuya NomuraDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Atsushi MatsukiDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Satoshi MaruyamaDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Yasumasa TakiiDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Satoru NakagawaDepartment of Digestive Surgery, Niigata Cancer Center Hospital, 1-757 Asahimachi-dori, Niigata City, 951-8510, Japan.
Niigata Cancer Center Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRamucirumab (RAM) plus paclitaxel (PTX) therapy has shown promising results as a standard second-line treatment for advanced gastric cancer patients. Recently, combined docetaxel (DOC) plus S-1 (DS) therapy could be regarded as the new standard adjuvant chemotherapy for patients with curatively resected stage III gastric cancer. However, the efficacy and safety of RAM plus PTX therapy in patients treated previously with DOC-containing therapy remains unclear.

methodsThis study assessed the clinical outcomes of RAM plus PTX therapy in advanced gastric cancer patients with or without a previous history of treatment with a DOC-containing regimen.

resultsIn a series of 107 consecutive patients enrolled for this study, the median PFS and OS were 4.2 and 6.2 months, respectively. Fifty-five patients had a history of prior therapy with DOC and 52 did not. There was no significant difference between with and without DOC groups in the ORR (22.2% vs. 23.5%), PFS (4.2 vs. 5.3 months), or OS (7.2 vs. 6.4 months). In a comparison taking into account the interval from the DOC-containing therapy to the RAM plus PTX therapy, the number of treatment courses was significantly smaller and the PFS significantly shorter in the patient group with an interval of ≤ 6 months (median, 2 vs 4.5 courses, P = 0.033; 3.4 months vs. 5.1 months, P = 0.043).

conclusionsRAM plus PTX therapy in patients with advanced gastric cancer is effective even in patients who have previously received DOC-containing chemotherapy, especially if the interval is > 6 months.

Indexed as

Stomach NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHumansPaclitaxelRamucirumabRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedDocetaxelPaclitaxelRamucirumabAdvanced gastric cancerDocetaxel-containing therapyRamucirumab plus paclitaxel therapy

Identifiers

PMID33389346
OpenAlexW3119289751

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.