Evidence map›Paper›PMID 35858154›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Open-Label, Randomized, Multicenter, Phase III Study Comparing Oral Paclitaxel Plus Encequidar Versus Intravenous Paclitaxel in Patients With Metastatic Breast Cancer.

Hope S Rugo, Gerardo A Umanzor, Francisco J Barrios, Rosa H Vasallo, Marco A Chivalan, Suyapa Bejarano, Julio R Ramírez, Luis Fein, Ruben D Kowalyszyn, E Douglas Kramer and 4 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02594371 (An Open-Label, Randomized, Multicenter, Phase 3 Study to Determine the Safety, Tolerability, and Tumor Response of Oraxol and Its Comparability to IV Taxol or Generic IV Paclitaxel in Subjects With Metastatic Breast Cancer), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 11% 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.

NCT02594371 phase3completednot on this map

An Open-Label, Randomized, Multicenter, Phase 3 Study to Determine the Safety, Tolerability, and Tumor Response of Oraxol and Its Comparability to IV Taxol or Generic IV Paclitaxel in Subjects With Metastatic Breast Cancer

TypeinterventionalSponsorAthenex, Inc.Ran2015 to 2022Enrolled402ConditionsMetastatic Breast CancerArmsOraxol, IV paclitaxel
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Oral docetaxel plus encequidar - a phase 1 clinical trial.Cancer chemotherapy and pharmacology · 2024
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 4 countries.

Hope S RugoUniversity of California San Francisco, Helen Diller Family Comprehensive Cancer Center, San Francisco, CA.ORCID 0000-0001-6710-4814
Gerardo A UmanzorCentro Oncológico Integral with DEMEDICA, San Pedro Sula, Honduras.ORCID 0000-0002-0298-706X
Francisco J BarriosAmerican Cancer Center, Guatemala City, Guatemala.
Rosa H VasalloClinical Research RD, Santo Domingo, Dominican Republic.ORCID 0000-0002-9964-5778
Marco A ChivalanCELAN Clínica Médica, Guatemala City, Guatemala.
Suyapa BejaranoExcel Medica, San Pedro Sula, Honduras.ORCID 0000-0002-2894-1342
Julio R RamírezSanatorio Centro Regional de Sub-Especialidades Médicas (CRESEM), Quetzaltenango, Guatemala.
Luis FeinInstituto de Oncología de Rosario, Rosario, Argentina.ORCID 0000-0003-2627-1346
Ruben D KowalyszynCentro de Investigaciones Clínicas, Clínica Viedma, Viedma, Argentina.
E Douglas KramerAthenex, Inc, Buffalo, NY.
Hui WangAthenex, Inc, Buffalo, NY.
Min-Fun R KwanAthenex, Inc, Buffalo, NY.
David L CutlerAthenex, Inc, Buffalo, NY.ORCID 0000-0002-8164-1082
Oraxol Study Consortium Investigators
Athenex (United States) · USHonduras Foundation for Agricultural Research · HNCentro de Investigaciones Cardiovasculares · ARCentro Universitario de Occidente · GTInstituto de Oncología de Rosario · ARLiga Nacional Contra el Cáncer · GTUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntravenous paclitaxel (IVpac) is complicated by neuropathy and requires premedication to prevent hypersensitivity-type reactions. Paclitaxel is poorly absorbed orally; encequidar (E), a novel P-glycoprotein pump inhibitor, allows oral absorption.

methodsA phase III open-label study comparing oral paclitaxel plus E (oPac + E) 205 mg/m

resultsFour hundred two patients from Latin America were enrolled (265 oPac + E, 137 IVpac); demographics and prior therapies were balanced. The confirmed response (intent-to-treat) was 36% for oPac + E versus 23% for IVpac (

conclusionoPac + E increased the confirmed tumor response versus IVpac, with trends in PFS and OS. Neuropathy was less frequent and severe with oPac + E; neutropenic serious infections were increased. Elevated liver enzymes at baseline predispose oPac + E patients to early neutropenia and serious infections (funded by Athenex, Inc; ClinicalTrials.gov identifier: NCT02594371).

Indexed as

Breast NeoplasmsAdministration, IntravenousAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansPaclitaxelProgression-Free SurvivalProportional Hazards ModelsPaclitaxel

Identifiers

PMID35858154
PMCPMC9788977
OpenAlexW4286008240

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.