Evidence map›Paper›PMID 33425441›Full record

ArticleJournal of gastric cancer2020

Phase II Study of Preoperative Intra-Arterial Epirubicin, Etoposide, and Oxaliplatin Combined with Oral S-1 Chemotherapy for the Treatment of Borrmann Type 4 Gastric Cancer.

Xiao-Song Xiang, Yu Su, Guo-Li Li, Long Ma, Chang-Sheng Zhou, Ru-Feng Ma

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of gastric cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02949258 (A Phase II Study of Neoadjuvant Chemotherapy With SEEOX Regimen Via Intra-arterial and Intravenous Administration Followed by Surgery for Borrmann Type 4 Gastric Cancer), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 23% 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.

NCT02949258 phase2unknown statusnot on this map

A Phase II Study of Neoadjuvant Chemotherapy With SEEOX Regimen Via Intra-arterial and Intravenous Administration Followed by Surgery for Borrmann Type 4 Gastric Cancer

TypeinterventionalSponsorJinling Hospital, ChinaRan2017 to 2021Enrolled40ConditionsStomach Neoplasms, Gastric CancerArmsoxaliplatin, etoposide, epirubicin, S1
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Xiao-Song XiangJinling Hospital Research Institute of General Surgery, School of Medicine, Nanjing University, Nanjing, China.ORCID https://orcid.org/0000-0001-9587-8219
Yu SuDepartment of General Medicine, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China.ORCID https://orcid.org/0000-0003-0704-0104
Guo-Li LiJinling Hospital Research Institute of General Surgery, School of Medicine, Nanjing University, Nanjing, China.ORCID https://orcid.org/0000-0002-5938-9482
Long MaJinling Hospital Research Institute of General Surgery, School of Medicine, Nanjing University, Nanjing, China.ORCID https://orcid.org/0000-0003-2793-4754
Chang-Sheng ZhouJinling Hospital Medical Imaging Center, School of Medicine, Nanjing University, Nanjing, China.ORCID https://orcid.org/0000-0002-4297-364X
Ru-Feng MaJinling Hospital Research Institute of General Surgery, School of Medicine, Nanjing University, Nanjing, China.ORCID https://orcid.org/0000-0003-4270-2054
Jinling Institute of Technology · CNNanjing General Hospital of Nanjing Military Command · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA phase II study was conducted to evaluate the safety and efficacy of preoperative, intra-arterial perfusion of epirubicin, etoposide, and oxaliplatin combined with oral chemotherapy S-1 (SEEOX) for the treatment of type 4 gastric cancer. MATERIALS AND

methodsA single-center, single-arm phase II trial was conducted on 36 patients with histologically proven type 4 gastric cancer without distant peritoneal or organ metastasis. Patients received 3, 21-day courses of SEEOX preoperative chemotherapy. The primary endpoint was overall survival (OS) and the secondary outcomes assessed were chemotherapeutic response, radical resection rate, pathological regression, toxicities, postoperative morbidity, and mortality.

resultsAll patients were at an advanced stage of cancer (stage III or IV) and completed the entire course of treatment. Based on changes in tumor volume and peritoneal metastasis, the objective response rate was 55.6% (20/36; 95% confidence interval [CI], 38.5%-72.6%) and the disease control rate was 69.4% (25/36; 95% CI, 53.6%-85.3%). The radical resection rate was 75% (27/36; 95% CI, 60.1%-89.9%) and the proportion of R0 resections was 66.7% (21/36; 95% CI, 50.5%-82.8%). The pathological response rate was 33.3%, of which 13.9% showed complete pathological regression. The median survival was 27.1 months (95% CI, 22.24-31.97 months), and the 2-year OS was 48.5% (95% CI, 30.86%-66.1%).

conclusionsPreoperative SEEOX is a safe and effective treatment for type 4 gastric cancer. Based on these preliminary data, a phase III study will be conducted to confirm the superiority of this regimen over standard treatment.

trial registrationClinicalTrials.gov Identifier: NCT02949258.

Indexed as

Gastric cancerLinitis plasticaNeoadjuvant chemotherapy

Identifiers

PMID33425441
PMCPMC7781743
OpenAlexW3113784357

What OpenQuestion holds

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Registered trials

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.