Evidence map›Paper›PMID 36528772›Full record

Trial reportBMC cancer2022

Chemoradiotherapy with concurrent durvalumab for the palliative treatment of oligometastatic oesophageal and gastrooesophageal carcinoma with dysphagia: a single arm phase II clinical trial (PALEO, sponsored by the Australasian Gastro-Intestinal Trials Group).

Fiona Day, Swetha Sridharan, James Lynam, Craig Gedye, Catherine Johnson, Allison Fraser, Stephen R Thompson, Michael Michael, Trevor Leong, Amitesh Roy and 8 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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

18 authors at 6 institutions in 1 country.

Fiona DayDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia. fiona.day@calvarymater.org.au.ORCID http://orcid.org/0000-0002-5905-9408
Swetha SridharanSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
James LynamDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Craig GedyeDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Catherine JohnsonDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Allison FraserDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Stephen R ThompsonPrince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Michael MichaelSir Peter MacCallum Department of Oncology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, VIC, Australia.
Trevor LeongSir Peter MacCallum Department of Oncology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, VIC, Australia.
Amitesh RoyFlinders Medical Centre, Bedford Park, Adelaide, SA, Australia.
Mahesh KumarSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
Andre van der WesthuizenDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Gaik T QuahDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Hiren MandaliyaDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Girish MallesaraDepartment of Medical Oncology, Calvary Mater Newcastle, Waratah, NSW, Australia.
Joshua SappiatzerGenesisCare, Flinders Private Hospital, Bedford Park, Adelaide, SA, Australia.
Christopher OldmeadowSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
Jarad MartinSchool of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
Calvary Mater Newcastle Hospital · AUHunter Medical Research Institute · AUThe University of Melbourne · AUFlinders Medical Centre · AUFlinders Private Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOesophageal and gastrooesophageal junction (GOJ) carcinoma frequently present with dysphagia and de novo metastatic disease. There is scope to improve treatment paradigms to both address symptoms and improve survival. One method is integrating immune checkpoint inhibition with novel treatment combinations.

methodsPALEO is a single arm, phase II clinical trial in patients with previously untreated, oligometastatic or locoregionally advanced oesophageal or GOJ carcinoma and dysphagia. PALEO is sponsored by the Australasian Gastro-Intestinal Trials Group (AGITG). Participants receive 2 weeks of therapy with concurrent hypofractionated radiotherapy of 30Gy in 10 fractions to the primary tumour, weekly carboplatin AUC2, weekly paclitaxel 50 mg/m DISCUSSION: This unique investigator-initiated clinical trial is designed to simultaneously address the clinically relevant problems of dysphagia and distant disease control. The overarching aims are to improve patient nutrition, quality of life and survival with low toxicity therapy. AGITG PALEO is a multidisciplinary collaboration and will add to the understanding of the relationship between radiotherapy and the anti-tumour immune response.

trial registrationAustralian and New Zealand Clinical Trials Registry: ACTRN12619001371189 , registered 8 October 2019.

Indexed as

CarcinomaDeglutition DisordersEsophageal NeoplasmsStomach NeoplasmsAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsAustralasian PeopleAustraliaChemoradiotherapyHumansPalliative CareQuality of LifeAntibodies, MonoclonaldurvalumabCheckpoint inhibitionChemoradioimmunotherapyChemoradiotherapyDurvalumab.DysphagiaGastro-oesophageal (GOS)OesophagealOligometastaticPD-1PD-L1

Identifiers

PMID36528772
PMCPMC9758808
OpenAlexW4312065221

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.