Evidence map›Paper›PMID 35646689›Full record

ArticleFrontiers in oncology2022

S-1 Maintenance Therapy After First-Line Treatment With Nab-Paclitaxel Plus S-1 for Advanced Pancreatic Adenocarcinoma: A Real-World Study.

Yan Shi, Quanli Han, Huan Yan, Yao Lv, Jing Yuan, Jie Li, Shasha Guan, Zhikuan Wang, Lei Huang, Guanghai Dai

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 10 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

10 authors at 2 institutions in 1 country.

Yan ShiDepartment of Oncology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Quanli HanDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Huan YanDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Yao LvDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Jing YuanDepartment of Pathology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Jie LiDepartment of Pathology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Shasha GuanDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Zhikuan WangDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Lei HuangDepartment of Oncology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Guanghai DaiDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Chinese People's Liberation Army · CNRuijin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In our previous phase II study, nab-paclitaxel plus S-1 (NPS) showed encouraging objective response rate (ORR) as first-line treatment for advanced pancreatic adenocarcinoma (APAC). This study aimed to evaluate the effectiveness and safety of S-1 maintenance after NPS in APAC and to explore factors predicting survival benefits when using S-1 maintenance. Methods: Between 2014 and 2018 a total of 182 patients with APAC, who were primarily treated with NPS, were included. For patients without progression or with treatment discontinuation due to any reasons within 4 months during NPS treatment, S-1 monotherapy was administrable as maintenance therapy at the physicians' discretion based on the patients' preference and performance status. Efficacy and safety of S-1 maintenance were investigated. Results: In 123 patients without progression within 4 months during NPS treatment, 74 received S-1 maintenance and had median progression-free survival of 9.6 months and median overall survival of 16.7 months. Multivariable analysis showed that in patients receiving S-1 maintenance after first-line NPS therapy, an Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, non-metastatic disease, and complete or partial response as best response to NPS chemotherapy were independently associated with better survival. The most common all-grade hematological and non-hematological adverse events were neutropenia (82.4%) and peripheral neurotoxicity (66.2%), respectively, and the most common ≥Grade 3 hematological and non-hematological adverse events were neutropenia (40.5%) and peripheral neurotoxicity (6.8%), respectively in patients who received S-1 maintenance. Conclusions: Our real-world study showed that S-1 maintenance after tumor response or stable disease induced by first-line NPS treatment was effective and well-tolerated for some patients with APAC, which offers a promising alternative treatment strategy with encouraging survival for APAC.

Indexed as

maintenance therapynab-paclitaxelpancreatic adenocarcinomaS-1safetysurvival

Identifiers

PMID35646689
PMCPMC9141286
OpenAlexW4280512232

What OpenQuestion holds

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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.