Evidence map›Paper›PMID 34275458›Full record

SynthesisBMC cancer2021

A systematic review and meta-analysis of nab-paclitaxel mono-chemotherapy for metastatic breast cancer.

Haili Lu, Siluo Zha, Wei Zhang, Qiang Wang, Daozhen Jiang, Xinyun Xu, Xiangmin Zheng, Ming Qiu, Chengxiang Shan

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 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 17% 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, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Strategies in Taxol Development: A Review.Mini reviews in medicinal chemistry · 2025
    Review
  8. Review
  9. Natural Taxanes: From Plant Composition to Human Pharmacology and Toxicity.International journal of molecular sciences · 2022
    Review
  10. Article
  11. 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

9 authors at 2 institutions in 1 country.

Haili Lu *Third Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Siluo Zha *Third Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Wei Zhang *Third Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Qiang WangThird Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Daozhen JiangThird Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Xinyun XuThird Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Xiangmin ZhengThird Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Ming QiuThird Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China.
Chengxiang ShanThird Division of Department of General Surgery of Changzheng Hospital affiliated with Naval Military Medical University, Fengyang Road, Shanghai, 200003, China. chengxiangshan@smmu.edu.cn.ORCID http://orcid.org/0000-0001-7695-7114
Shanghai Changzheng Hospital · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough various clinical trials and real-life studies have tried to explore the value of nab-paclitaxel mono-chemotherapy for metastatic breast cancer (MBC), the safety and efficacy of nab-paclitaxel remain unclear which need to be systematically evaluated.

methodsElectronic searches for prospective clinical trials evaluating nab-paclitaxel monotherapy for MBC were performed. Requisite data were extracted, integrated and analysed from the included studies according to the different study designs using systematic review and meta-analysis. Meta-regression and subgroup analysis were further performed to explore the potential risk factors affecting each individual outcome of interest following nab-paclitaxel monotherapy.

resultsTwenty-two studies with 3287 MBC patients were included. A total of 1685 MBC patients received nab-paclitaxel as first-line therapy, 640 patients as further-line therapy, and 962 patients as mixed-line therapy. A total of 1966 MBC patients (60.40%) received nab-paclitaxel weekly, 1190 patients (36.56%) received nab-paclitaxel triweekly and 99 patients (3.04%) received nab-paclitaxel biweekly. The overall incidence rates of all-grade neutropenia, leukopenia, peripheral sensory neuropathy, and fatigue were 52% (95% CI, 38-66%, I

conclusionsThe benefits brought by nab-paclitaxel mono-chemotherapy in the treatment of MBC are considerable while the harm is generally manageable. Further study and validation are needed to figure out the roles which the dosage, schedule and other factors play actually in nab-paclitaxel chemotherapy.

Indexed as

AlbuminsBreast NeoplasmsFemaleHumansNeoplasm MetastasisPaclitaxelRisk FactorsTreatment Outcome130-nm albumin-bound paclitaxelAlbuminsPaclitaxelEfficacyMeta-analysisMetastatic breast cancerNab-paclitaxelSafety

Identifiers

PMID34275458
PMCPMC8286600
OpenAlexW3115463542

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.