Evidence map›Paper›PMID 35094032›Full record

ArticleBritish journal of cancer2022

Gemcitabine + Nab-paclitaxel or Gemcitabine alone after FOLFIRINOX failure in patients with metastatic pancreatic adenocarcinoma: a real-world AGEO study.

Sonia Zaibet, Vincent Hautefeuille, Edouard Auclin, Astrid Lièvre, David Tougeron, Mathieu Sarabi, Marine Gilabert, Julie Wasselin, Julien Edeline, Pascal Artru and 5 more

Erratum issuedOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 1 country.

Sonia ZaibetDepartment of Hepato-Gastroenterology and Gastrointestinal Oncology, Hôpital Européen Georges Pompidou, Université de Paris, SIRIC CARPEM Comprehensive Cancer Center, Paris, France.
Vincent HautefeuilleDepartment of Hepato-Gastroenterology and Gastrointestinal Oncology, CHU Amiens Picardie, Amiens, France.
Edouard AuclinDepartment of Medical Oncology, Hôpital Européen Georges Pompidou, Université de Paris, SIRIC CARPEM Comprehensive Cancer Center, Paris, France.
Astrid LièvreDepartment of Gastroenterology, CHU Rennes, INSERM U1242, Rennes, France.
David TougeronDepartment of Hepato-Gastroenterology, CHU Poitiers, Poitiers, France.ORCID http://orcid.org/0000-0002-8065-9635
Mathieu SarabiDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.
Marine GilabertDepartment of Medical Oncology, Institut Paoli-Calmettes, Marseille, France.
Julie WasselinDepartment of Hepato-Gastroenterology and Gastrointestinal Oncology, CHU Amiens Picardie, Amiens, France.
Julien EdelineDepartment of Medical Oncology, Centre Eugène Marquis, Rennes, France.ORCID http://orcid.org/0000-0002-8289-7741
Pascal ArtruDepartment of Hepato-Gastroenterology, Hôpital Privé Jean Mermoz, Lyon, France.
Dominique BechadeDepartment of Medical Oncology, Institut Bergonié, Bordeaux, France.
Clémence MorinDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.
Agnes DucoulombierDepartment of Medical Oncology, Centre Antoine Lacassagne, Nice, France.
Julien TaiebDepartment of Hepato-Gastroenterology and Gastrointestinal Oncology, Hôpital Européen Georges Pompidou, Université de Paris, SIRIC CARPEM Comprehensive Cancer Center, Paris, France.ORCID http://orcid.org/0000-0002-9955-4753
Simon PernotDepartment of Medical Oncology, Institut Bergonié, Bordeaux, France. simon.pernot@gmail.com.ORCID http://orcid.org/0000-0003-4580-585X
Centre Hospitalier Universitaire Amiens-Picardie · FRCentre Léon Bérard · FRHôpital Européen Georges-Pompidou · FRInserm · FRInstitut Bergonié · FRCentre Antoine Lacassagne · FRCentre Eugène Marquis · FRCentre Hospitalier Universitaire de Poitiers · FRHôpital Privé Jean Mermo · FRInstitut Paoli-Calmettes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGemcitabine (Gem) alone or with Nab-paclitaxel (Gem-Nab) is used as second-line treatment for metastatic pancreatic adenocarcinoma (mPA) after FOLFIRINOX (FFX) failure; however, no comparative data exist. This study evaluates the efficacy and safety of adding Nab-paclitaxel to Gem for mPA after FFX failure.

methodsIn this retrospective real-world multicenter study, from 2011 to 2019, patients with mPA receiving Gem-Nab (Gem 1000 mg/m² + Nab 125 mg/m², 3 out of 4 weeks) or Gem alone were included after progression on FFX.

resultsA total of 427 patients were included. Patients receiving Gem-Nab had more metastatic sites, peritoneal disease and less PS 2 (24% vs. 35%). After median follow-up of 22 months, Gem-Nab was associated with better disease control rate (DCR) (56% vs. 32%; P < 0.001), progression-free survival (PFS) (3.5 vs. 2.3 months; 95% CI: 0.43-0.65) and overall survival (OS) (7.1 vs. 4.7 months; 95% CI: 0.53-0.86). After multivariate analysis, Gem-Nab and PS 0/1 were associated with better OS and PFS. Grade 3/4 toxicity was more frequent with Gem-Nab (44% vs. 29%).

conclusionIn this study, Gem-Nab was associated with better DCR, PFS and OS compared with Gem alone in patients with mPA after FFX failure, at the cost of higher toxicity.

Indexed as

AdenocarcinomaPancreatic NeoplasmsAlbuminsAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineFluorouracilGemcitabineHumansIrinotecanLeucovorinOxaliplatinPaclitaxelRetrospective Studies130-nm albumin-bound paclitaxelAlbuminsDeoxycytidineFluorouracilfolfirinoxGemcitabineIrinotecanLeucovorinOxaliplatinPaclitaxel

Identifiers

PMID35094032
PMCPMC9091233
OpenAlexW4210422839

What OpenQuestion holds

Textmetadata
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.