Evidence map›Paper›PMID 34145336›Full record

Trial reportScientific reports2021

Comparison of gemcitabine-based chemotherapies for advanced biliary tract cancers by renal function: an exploratory analysis of JCOG1113.

Makoto Ueno, Chigusa Morizane, Takuji Okusaka, Junki Mizusawa, Tomoko Kataoka, Masafumi Ikeda, Masato Ozaka, Naohiro Okano, Kazuya Sugimori, Akiko Todaka and 28 more

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

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

38 authors at 20 institutions in 1 country.

Makoto UenoDepartment of Gastroenterology, Hepatobiliary and Pancreatic Medical Oncology Division, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi ku, Yokohama, 241-0815, Japan. makoto23u@gmail.com.ORCID 0000-0003-4480-0029
Chigusa MorizaneDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Takuji OkusakaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Junki MizusawaJapan Clinical Oncology Group/Operations Office, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Tomoko KataokaJapan Clinical Oncology Group/Operations Office, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Masafumi IkedaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
Masato OzakaHepato-Biliary-Pancreatic Medicine Department, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Koto-ku, Tokyo, Japan.
Naohiro OkanoDepartment of Medical Oncology, Faculty of Medicine, Kyorin University, Mitaka, Tokyo, Japan.
Kazuya SugimoriGastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Akiko TodakaDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Sunto-Gun, Shizuoka, Japan.
Satoshi ShimizuDepartment of Gastroenterology, Saitama Cancer Center, Kita-Adachi-Gun, Saitama, Japan.
Nobumasa MizunoDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Tomohisa YamamotoDepartment of Surgery, Kansai Medical University Hospital, Hirakata, Osaka, Japan.
Keiji SanoDepartment of Surgery, Teikyo University School of Medicine, Itabashi-ku, Tokyo, Japan.
Kazutoshi TobimatsuDivision of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Akio KatanumaCenter for Gastroenterology, Teine Keijinkai Hospital, Sapporo, Japan.
Atsushi MiyamotoDepartment of Hepatobiliary and Pancreatic Surgery, Osaka National Hospital, Osaka, Japan.
Hironori YamaguchiDepartment of Surgery, Jichi Medical University, Shimono, Tochigi, Japan.
Tomohiro NishinaDepartment of Gastrointestinal Medical Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Ehime, Japan.
Hirofumi ShirakawaDepartment of Medical Oncology, Tochigi Cancer Center, Utsunomiya, Tochigi, Japan.
Yasushi KojimaDepartment of Gastroenterology, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan.
Takamasa OonoDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yasuyuki KawamotoDepartment of Gastroenterology and Hepatology, Hokkaido University Hospital, Sapporo, Japan.
Masayuki FurukawaDepartment of Hepato-Biliary-Pancreatology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Tomohisa IwaiDepartment of Gastroenterology, Kitasato University Hospital, Sagamihara, Kanagawa, Japan.
Kentaro SudoGastrointestinal Medical Oncology, Chiba Cancer Center, Chiba, Japan.
Hiroyuki MiyakawaDepartment of Bilio-Pancreatology, Sapporo-Kosei General Hospital, Sapporo, Japan.
Tatsuya YamashitaDepartment of Gastroenterology, Kanazawa University, Kanazawa, Ishikawa, Japan.
Ichirou YasudaDepartment of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Toyama, Japan.
Hidenori TakahashiDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Naoya KatoDepartment of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kazuhiko ShiojiDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Kyoko ShimizuDepartment of Gastroenterology, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.
Toshio NakagohriGastroenterological Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Ken KamataDepartment of Gastroenterology and Hepatology, Faculty of Medicine, Kindai University, Osakasayama, Osaka, Japan.
Hiroshi IshiiGastrointestinal Medical Oncology, Chiba Cancer Center, Chiba, Japan.
Junji FuruseDepartment of Medical Oncology, Faculty of Medicine, Kyorin University, Mitaka, Tokyo, Japan.
members of the Hepatobiliary and Pancreatic Oncology Group of the Japan Clinical Oncology Group (JCOG-HBPOG).
National Cancer Center Hospital East · JPChiba Cancer Center · JPJapan Clinical Cancer Research Organization · JPKyorin University · JPAichi Cancer Center · JPChiba University · JPHokkaido University Hospital · JPJapanese Foundation For Cancer Research · JPJichi Medical University · JPKanagawa Prefectural Hospital Organization · JPKanazawa University · JPKansai Medical University · JPKindai University · JPKitasato University Hospital · JPKobe University · JPKyushu University · JPNational Center for Global Health and Medicine · JPNational Hospital Organization Kyushu Cancer Center · JPNiigata Cancer Center Hospital · JPOsaka International Cancer Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

JCOG1113 is a randomized phase III trial in patients with advanced biliary tract cancers (BTCs) (UMIN000001685), and gemcitabine plus S-1 (GS) was not inferior to gemcitabine plus cisplatin (GC). However, poor renal function often results in high toxicity of S-1. Therefore, we examined whether GS can be recommended for patients with low creatinine clearance (CCr). Renal function was classified by CCr as calculated by the Cockcroft-Gault formula: high CCr (CCr ≥ 80 ml/min) and low CCr (80 > CCr ≥ 50 ml/min). Of 354 patients, 87 patients on GC and 91 on GS were included in the low CCr group, while there were 88 patients on GC and 88 patients on GS in the high CCr group. The HR of overall survival for GS compared with GC was 0.687 (95% CI 0.504-0.937) in the low CCr group. Although the total number of incidences of all Grade 3-4 non-haematological adverse reactions was higher (36.0% vs. 11.8%, p = 0.0002), the number of patients who discontinued treatment was not different (14.1% vs. 16.9%, p = 0.679) for GS compared with GC in the low CCr group. This study suggests that GS should be selected for the treatment of advanced BTC patients with reduced renal function.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsBiomarkersDeoxycytidineDisease ManagementFemaleGemcitabineHumansKaplan-Meier EstimateKidney DiseasesKidney Function TestsMaleNeoplasm MetastasisNeoplasm StagingPrognosisBiomarkersDeoxycytidineGemcitabine

Identifiers

PMID34145336
PMCPMC8213853
OpenAlexW3172407089

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.