Evidence map›Paper›PMID 34124386›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2021

Efficacy and safety of modified fluorouracil/leucovorin plus irinotecan and oxaliplatin (mFOLFIRINOX) compared with S-1 as second-line chemotherapy in metastatic pancreatic cancer.

Kenji Ikezawa, Ryosuke Kiyota, Ryoji Takada, Kazuma Daiku, Shingo Maeda, Toshihiro Imai, Yutaro Abe, Yugo Kai, Takuo Yamai, Nobuyasu Fukutake and 6 more

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

16 authors at 2 institutions in 1 country.

Kenji IkezawaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.ORCID https://orcid.org/0000-0001-7517-8960
Ryosuke KiyotaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Ryoji TakadaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Kazuma DaikuDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Shingo MaedaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Toshihiro ImaiDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Yutaro AbeDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Yugo KaiDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Takuo YamaiDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Nobuyasu FukutakeDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Tasuku NakaboriDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Reiko AshidaDepartment of Cancer Survey and Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
Hiroyuki UeharaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Takahiro TabuchiCancer Control Center Osaka International Cancer Institute Osaka Japan.
Kazuhiro KatayamaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Kazuyoshi OhkawaDepartment of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan.
Osaka International Cancer Institute · JPOsaka International Cancer Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimThe optimal standard second-line chemotherapy for metastatic pancreatic cancer (MPC) remains unclear. Here, we evaluated the efficacy and safety of modified fluorouracil/leucovorin plus irinotecan and oxaliplatin (mFOLFIRINOX) compared with oral fluoropyrimidine S-1 as a second-line chemotherapy in patients with MPC.

methodsWe retrospectively reviewed 76 consecutive patients with metastatic pancreatic adenocarcinoma who underwent mFOLFIRINOX or S-1 treatment as a second-line chemotherapy after gemcitabine plus nab-paclitaxel (GnP) failure at our department between December 2014 and February 2019.

resultsPatients who underwent mFOLFIRINOX treatment exhibited significantly better objective response rates (ORRs) and progression-free survival (PFS) than S-1 (ORR, 20.0%

conclusionsmFOLFIRINOX as a second-line regimen contributed to favorable treatment outcomes, but induced more frequent adverse events than S-1. On multivariate analyses, mFOLFIRINOX was identified as an independent factor with favorable PFS, suggesting that mFOLFIRINOX could be a promising treatment option for patients with GnP failure.

Indexed as

adverse eventoverall survivalpancreatic adenocarcinomaperipheral sensory neuropathyprogression‐free survival

Identifiers

PMID34124386
PMCPMC8171163
OpenAlexW3160987661

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.