Evidence map›Paper›PMID 35211194›Full record

ArticleEcancermedicalscience2021

Efficacy and safety of neoadjuvant chemotherapy (NACT) with paclitaxel plus carboplatin and oral metronomic chemotherapy (OMCT) in patients with technically unresectable oral squamous cell carcinoma (OSCC).

Lakhan Kashyap, Vijay Patil, Vanita Noronha, Amit Joshi, Nandini Menon, Kunal Jobanputra, Saswata Saha, Pankaj Chaturvedi, Shripad D Banavali, Kumar Prabhash

Open access · goldAbstract read
In one paragraph

Article in Ecancermedicalscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  6. Review
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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

10 authors at 1 institution in 1 country.

Lakhan KashyapDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Vijay PatilDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Vanita NoronhaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Amit JoshiDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Nandini MenonDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Kunal JobanputraDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Saswata SahaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Pankaj ChaturvediDepartment of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai 400012, India.
Shripad D BanavaliDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Kumar PrabhashDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Tata Memorial Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A combination of maximum tolerated dose and metronomic chemotherapy schedule may lead to synergistic effects with acceptable toxicity. We assessed the efficacy and safety of this combination as neoadjuvant chemotherapy (NACT) in 14 patients with technically unresectable oral squamous cell carcinoma. They received NACT with paclitaxel-carboplatin and triple oral metronomic chemotherapy (OMCT) (methotrexate, celecoxib and erlotinib). Patients were assessed clinically and radiologically after a minimum of two cycles for resectability. Primary tumour site was buccal mucosa and oral tongue in 12 (86%) and 2 (14%) patients, respectively. The median number of NACT administered was three. The tumours of nine (65%) patients showed partial response and none of the patients had tumour progression. The tumours of nine patients (65%) were deemed resectable after NACT. Median progression free survival was 11.4 months (95% CI = 7.9-15 months) and median overall survival (OS) was not reached. OS at 15 months was 63.5% (95% CI = 37.8%-89.2%). Grade 3 or 4 haematological toxicities were seen in eight (57%) patients. Paclitaxel-carboplatin combined with OMCT is a well-tolerated and less resource intensive NACT regimen which leads to favourable resection rate and survival.

Indexed as

metronomic chemotherapyneoadjuvant therapyoral cavitypaclitaxel-carboplatinsquamous cell carcinoma

Identifiers

PMID35211194
PMCPMC8816505
OpenAlexW4200159186

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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.