Evidence map›Paper›PMID 37927936›Full record

ArticleAnnals of gastroenterological surgery2023

Efficacy and safety of neoadjuvant nab-paclitaxel plus gemcitabine therapy in patients with borderline resectable pancreatic cancer: A multicenter single-arm phase II study (NAC-GA trial).

Ken-Ichi Okada, Kenjiro Kimura, Yo-Ichi Yamashita, Kazuto Shibuya, Ippei Matsumoto, Sohei Satoi, Kazuhiro Yoshida, Yasuhiro Kodera, Takahiro Akahori, Seiko Hirono and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02926183 (Phase II Study of Neoadjuvant Chemotherapy of Gemcitabine+Nab-paclitaxel Therapy for Patients With Borderline Resectable Pancreatic Cancer), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-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.

NCT02926183 phase2unknown statusnot on this map

Phase II Study of Neoadjuvant Chemotherapy of Gemcitabine+Nab-paclitaxel Therapy for Patients With Borderline Resectable Pancreatic Cancer

TypeinterventionalSponsorWakayama Medical UniversityRan2016 to 2021Enrolled60ConditionsPancreatic Ductal AdenocarcinomaArmsNeoadjuvant chemotherapy of gemcitabine plus nab-paclitaxel
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 8 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

22 authors at 14 institutions in 1 country.

Ken-Ichi OkadaSecond Department of Surgery Wakayama Medical University Wakayama Japan.
Kenjiro KimuraDepartment of Hepato-Biliary-Pancreatic Surgery Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Yo-Ichi YamashitaDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Kazuto ShibuyaDepartment of Surgery and Science, Faculty of Medicine, Academic Assembly University of Toyama Toyama Japan.
Ippei MatsumotoDepartment of Surgery Kindai University Faculty of Medicine Osaka-Sayama Japan.ORCID https://orcid.org/0000-0003-3965-3693
Sohei SatoiDepartment of Surgery Kansai Medical University Hirakata Japan.ORCID https://orcid.org/0000-0001-6527-5409
Kazuhiro YoshidaDepartment of Surgical Oncology Gifu University Graduate School of Medicine Gifu Japan.ORCID https://orcid.org/0000-0003-1408-0104
Yasuhiro KoderaDepartment of Gastroenterological Surgery Nagoya University Graduate School of Medicine Nagoya Japan.ORCID https://orcid.org/0000-0002-6173-7474
Takahiro AkahoriDepartment of Surgery Nara Medical University Kashihara Japan.
Seiko HironoSecond Department of Surgery Wakayama Medical University Wakayama Japan.
Hidetoshi EguchiDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Suita Japan.ORCID https://orcid.org/0000-0002-2318-1129
Mitsuhiro AsakumaDepartment of General and Gastroenterological Surgery Osaka Medical and Pharmaceutical University Takatsuki Japan.
Masaji TaniDepartment of Surgery Shiga University of Medical Science Ōtsu Japan.
Etsuro HatanoDivision of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine Kyoto University Kyoto Japan.
Hisashi IkomaDivision of Digestive Surgery, Department of Surgery Kyoto Prefectural University of Medicine Kyoto Japan.
Go OhiraDepartment of Hepato-Biliary-Pancreatic Surgery Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Hiromitsu HayashiDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Ke WanClinical Study Support Center Wakayama Medical University Wakayama Japan.
Toshio ShimokawaClinical Study Support Center Wakayama Medical University Wakayama Japan.
Manabu KawaiSecond Department of Surgery Wakayama Medical University Wakayama Japan.
Hiroki YamaueDepartment of Cancer Immunology Wakayama Medical University Wakayama Japan.ORCID https://orcid.org/0000-0002-6982-3457
NAC‐GA investigators
Wakayama Medical University · JPKumamoto University · JPOsaka Metropolitan University · JPGifu University · JPKansai Medical University · JPKindai University · JPKyoto Prefectural University of Medicine · JPKyoto University · JPNagoya University · JPNara Medical University · JPOsaka University of Pharmaceutical Sciences · JPShiga University of Medical Science · JPThe University of Osaka · JPUniversity of Toyama · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nab-paclitaxel plus gemcitabine is a standard treatment for metastatic/locally advanced pancreatic cancer. The effectiveness of neoadjuvant therapy with nab-paclitaxel plus gemcitabine (GnP-NAT) in patients with borderline resectable pancreatic cancer (BRPC) remains unclear. Patients and Methods: This single-arm phase II trial included 61 patients with BRPC that were treated with two cycles of GnP-NAT, (nab-paclitaxel 125 mg/m Results: Median overall survival, the primary endpoint, was 25.2 months, and the median recurrence-free survival was 12.3 months. The overall rate of grade 3/4 events was 73.8%. One patient, who had a history of radiation therapy for past esophageal cancer, died from exacerbation via pneumonia. The overall resection rate was 73.8% ( Conclusions: This protocol treatment is thought to be a feasible, safe, and promising treatment regimen, but we caution against its use in patients with a history of interstitial lung disease and/or prior pulmonary irradiation. The survival data from this study suggest the need for further investigations of GnP-NAT efficacy in patients with BRPC, as well as prospective evaluation of adverse events. Clinical Trial Registration: UMIN Clinical Trials Registry, UMIN000024154 and ClinicalTrials.gov, NCT02926183.

Indexed as

borderline resectablegemcitabinenab‐paclitaxelpancreatic cancerphase II clinical trial

Identifiers

PMID37927936
PMCPMC10623952
OpenAlexW4383621406

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.