Evidence map›Paper›PMID 34057299›Full record

Trial reportCancer medicine2021

Fortnightly or fractionated weekly docetaxel-cisplatin-5-FU as first-line treatment in advanced gastric and gastroesophageal junction adenocarcinoma: The randomized phase II DoGE study.

Amélie Deleporte, Marc Van den Eynde, Frédéric Forget, Stéphane Holbrechts, Thierry Delaunoit, Ghislain Houbiers, Hassan R Kalantari, Stéphanie Laurent, Erik Vanderstraeten, Marc De Man and 12 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 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
0.1field-weighted citation impact, top 50% 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, 1 citations in OpenAlex.

  1. 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

22 authors at 14 institutions in 2 countries.

Amélie DeleporteDepartment of Medicine, Gastrointestinal Unit, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.
Marc Van den EyndeDepartment of Medical Oncology, Cliniques Universitaires Saint-Luc, Woluwe-St-Lambert, Belgium.
Frédéric ForgetCentre Hospitalier de l'Ardenne (CHA), Department of Medical Oncology, Hôpital de Libramont, Libramont-Chevigny, Belgium.
Stéphane HolbrechtsDepartment of Medical Oncology, Hôpital Ambroise Paré, Mons, Belgium.
Thierry DelaunoitDepartment of Medical Oncology, Hôpital de Jolimont, La Louvière, Belgium.
Ghislain HoubiersDepartment of Gastroenterology, Clinique Saint Joseph, Liège, Belgium.
Hassan R KalantariDepartment of Onco-Hematology, Centre Hospitalier Pelzer-La Tourelle (CHPLT), Verviers, Belgium.
Stéphanie LaurentDepartment of Gastroenterology, Oncology Unit, Universiteit Gent, Gent, Belgium.
Erik VanderstraetenDepartment of Medical Oncology, AZ Maria Middelares, Gent, Belgium.
Marc De ManDepartment of Gastroenterology, Olv Ziekenhuis, Campus Aalst, Aalst, Belgium.
Philippe VergauweDepartment of Gastroenterology, AZ Groeninge -Kortrijk, Kortrijk, Belgium.
Marylene ClausseDepartment of Medicine, Oncology Unit, Clinique Saint-Luc Bouge, Namur, Belgium.
Jacques Van Der AuweraDepartment of Gastroenterology, AZ Monica Deurne, Deurne, Belgium.
Lionel D'HondtDepartment of Medical Oncology, CHU UCL Namur - Site Godinne, Yvoir, Belgium.
Pascal PierreDepartment of Medical Oncology, Hôpital d'Arlon, Arlon, Belgium.
Bjorn GhillemijnDepartment of Medicine, AZ Glorieux, Ronse, Belgium.
Angelique CovasDepartment of Medicine, Gastrointestinal Unit, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.
Marianne PaesmansDepartment of Statistics, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.
Lieveke AmeyeDepartment of Statistics, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.
Ahmad AwadaDepartment of Medical Oncology, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.
Francesco SclafaniDepartment of Medicine, Gastrointestinal Unit, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.ORCID 0000-0003-0251-2627
Alain HendliszDepartment of Medicine, Gastrointestinal Unit, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium.ORCID 0000-0003-2122-1948
Université Libre de Bruxelles · BEClinique Saint-Joseph · BEAZ Groeninge · BEAZ Maria Middelares · BECHR Verviers · BECHU Ambroise Paré · BECHU Dinant Godinne UCL Namur · BECliniques Universitaires Saint-Luc · BEDevan Chemicals (Belgium) · BEGhent University · BEHôpital de Jolimont · BELe Beau Vallon - Psychiatric Hospital · BEOnze Lieve Vrouwziekenhuis Hospital · BEStatistics Belgium · BE

Funding

Sanofi
6 · The paper itself

Abstract

backgroundWhile docetaxel/cisplatin/5-fluorouracil (DCF) outperforms CF in first-line gastric adenocarcinoma, toxicity remains an issue.

methodsThis multicenter phase II trial randomized chemonaïve metastatic gastric adenocarcinoma patients to fractionated weekly DCF (D 40 mg/m

resultsA total of 106 eligible patients were recruited. The early and overall FN rates were 9.5% and 17% in arm 1, respectively, and 5.9% and 8% in arm 2, respectively. Grade ≥3 toxicities occurred in 81% of patients in arm 1 and 90% of patients in arm 2, the most common being neutropenia (33% vs. 61%), fatigue (27% vs. 25%), vomiting (21% vs. 12%), anorexia (19% vs. 18%), and diarrhea (17% vs. 10%). Median progression-free survival and overall survival were 5.1 (95% CI, 3.2-6.5) and 8.2 months (95% CI, 6.0-14.5), respectively, in arm 1 and 5.2 (95% CI, 3.0-6.9) and 11.9 months (95% CI, 7.4-15.9), respectively, in arm 2.

conclusionsFractionated weekly and fortnightly DCF regimens are associated with a low risk of early FN, and a better hematological toxicity profile as compared to historical DCF without compromising efficacy. Both regimens offer greater convenience removing the need for systematic use of prophylactic G-CSF.

Indexed as

Esophagogastric JunctionAdenocarcinomaAdultAgedAged, 80 and overAnorexiaAntineoplastic Combined Chemotherapy ProtocolsCisplatinDiarrheaDocetaxelDrug Administration ScheduleFatigueFebrile NeutropeniaFemaleFluorouracilGranulocyte Colony-Stimulating FactorCisplatinDocetaxelFluorouracilGranulocyte Colony-Stimulating Factor5-FUcisplatindocetaxelfortnightlygastric cancergastroesophageal cancerhematological growth factorsweekly

Identifiers

PMID34057299
PMCPMC8267119
OpenAlexW3165270749

What OpenQuestion holds

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LicenceCC BY
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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.