Evidence map›Paper›PMID 36759393›Full record

Trial reportJournal of cancer research and clinical oncology2023

Improving the performance status in advanced non-small cell lung cancer patients with chemotherapy (ImPACt trial): a phase 2 study.

Neha Pathak, Rakesh Garg, Sachin Khurana, Sudhir Kumar, Akash Kumar, Deepam Pushpam, Maroof Ahmad Khan, Anant Mohan, Sushmita Pathy, Mukesh Yadav and 2 more

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

Trial report in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Dual trajectories of patient-reported fatigue and sleep disturbance in lung cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  2. Review
  3. Article
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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

12 authors at 2 institutions in 1 country.

Neha PathakDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-1077-5358
Rakesh GargDepartment of Anesthesiology, Critical Care, Pain and Palliative Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Sachin KhuranaDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Sudhir KumarDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Akash KumarDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Deepam PushpamDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Maroof Ahmad KhanDepartment of Bio-Statistics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Anant MohanDepartment of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Sushmita PathyDepartment of Radiation Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Mukesh YadavDepartment of Radiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Chandra Prakash PrasadDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Prabhat Singh MalikDepartment of Medical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India. drprabhatsm@gmail.com.
All India Institute of Medical Sciences · INVardhman Mahavir Medical College & Safdarjung Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis phase II trial is designed to test whether the performance status (PS) of metastatic non-small cell lung cancer (mNSCLC) patients (pts) can improve with chemotherapy if their poor PS (Eastern Cooperative Oncology Group (ECOG) PS of ≥ 2) is due to disease burden rather than comorbidities.

methodsAge18-65 years, Charlson's comorbidity index < 9, serum albumin ≥ 3.5 g/dl, adequate bone marrow and organ function, & ECOG PS ≥ 2 as judged by the worst score of three independent physicians were administered 3 doses of weekly paclitaxel at 60 mg/m

resultsForty-six patients were included with a median age of 56 years (interquartile range, IQR 54-59), 12 (26%) had comorbid conditions, and 87% with ECOG PS 3/4. PS improved in 11 pts at 4 weeks and in 7 beyond this time point. Grade 3/4 toxicities are seen in 20% (most common: anemia and diarrhea). At a median follow-up of 4.8 m (95% CI 3.27-14.9), the median progression-free survival and overall survival were 3.3 months (95% CI 2.36-5.6) and 6.8 months (95% CI 2.47-8.8), respectively. QoL improved for global QoL, role functioning, pain, dyspnea, insomnia, pain in the chest, pain in other parts, and worsened for alopecia and sore mouth.

conclusionsAbbreviated chemotherapy is a useful, well-tolerated strategy in carefully selected poor PS mNSCLC patients that can improve PS and QoL. CLINICAL TRIAL: Clinical trial information: CTRI/2020/01/022617.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansMiddle AgedPaclitaxelProgression-Free SurvivalQuality of LifePaclitaxelCarcinomaChemotherapyNon-small-cell lungPaclitaxelPoor performance statusQuality of life

Identifiers

PMID36759393
PMCPMC11797346
OpenAlexW4319825984

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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.