Evidence map›Paper›PMID 37952018›Full record

Trial reportAnnals of surgical oncology2024

Phase II Study of Intraperitoneal Administration of Paclitaxel Combined with S-1 and Cisplatin for Gastric Cancer with Peritoneal Metastasis.

Daisuke Kobayashi, Yasuhiro Kodera, Ryoji Fukushima, Masaru Morita, Sachio Fushida, Naoyuki Yamashita, Kozo Yoshikawa, Shugo Ueda, Hiroshi Yabusaki, Tetsuya Kusumoto and 14 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Catheter based intraperitoneal chemotherapy using taxane for peritoneal metastases from gastric cancer: from bench to bedside-a narrative review.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Asian consensus on normothermic intraperitoneal and systemic treatment for gastric cancer with peritoneal metastasis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 20 institutions in 1 country.

Daisuke KobayashiDepartment of Gastroenterological Surgery, Komaki City Hospital, Komaki, Japan. kobadai@komakihp.gr.jp.
Yasuhiro KoderaDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ryoji FukushimaDepartment of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Masaru MoritaDepartment of Gastroenterological Surgery, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Sachio FushidaDepartment of Gastrointestinal Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.
Naoyuki YamashitaDepartment of Surgery, Tsuboi Hospital, Koriyama, Japan.
Kozo YoshikawaDepartment of Digestive and Transplant Surgery, Tokushima University Hospital, Tokushima, Japan.
Shugo UedaDepartment of Gastroenterological Surgery and Oncology, Medical Research Institute Kitano Hospital, Osaka, Japan.
Hiroshi YabusakiDepartment of Gastroenterological Surgery, Niigata Cancer Center Hospital, Niigata, Japan.
Tetsuya KusumotoDepartment of Gastroenterological Surgery, Clinical Research Institute Cancer Research Division, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Takaaki ArigamiDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Akio HidemuraDepartment of Surgery, Kanto Rosai Hospital, Kawasaki, Japan.
Takeshi OmoriDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Hironori YamaguchiDepartment of Clinical Oncology, Jichi Medical University, Shimotsuke, Japan.
Yasuo HironoCancer Care Promotion Center, University of Fukui Hospital, Fukui, Japan.
Yasushi TsujiDepartment of Medical Oncology, Tonan Hospital, Sapporo, Japan.
Jeong Ho MoonDepartment of Surgery, Osaka Police Hospital, Osaka, Japan.
Toshihiko TomitaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Hyogo Medical University, Nishinomiya, Japan.
Hiroshi ImamuraDepartment of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
Koki NakanishiDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Dai ShimizuDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Akihiro HirakawaDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Hironori IshigamiDepartment of Chemotherapy, The University of Tokyo, Tokyo, Japan.
Joji KitayamaCenter for Clinical Research, Jichi Medical University Hospital, Shimotsuke, Japan.
Nagoya University · JPHyogo University · JPJichi Medical University · JPJichi Medical University Hospital · JPKagoshima University · JPKanazawa University · JPKansai Rosai Hospital · JPKitano Hospital · JPKomaki City Hospital · JPKoriyama Institute of Health Sciences · JPNational Hospital Organization Kyushu Cancer Center · JPNational Kyushu Medical Center · JPNiigata Cancer Center Hospital · JPOsaka International Cancer Institute · JPOsaka Police Hospital · JPTeikyo University · JPThe University of Tokyo · JPTokushima University Hospital · JPTokyo Medical and Dental University · JPTonan Hospital · JP

Funding

Japan Society of Clinical Oncology Clinical Trials of Cancer Research Grant Program
6 · The paper itself

Abstract

backgroundIntraperitoneal chemotherapy is promising for gastric cancer with peritoneal metastasis. Although a phase III study failed to show a statistically significant superiority of intraperitoneal paclitaxel combined with S-1 and intravenous paclitaxel, the sensitivity analysis suggested clinical efficacy. Thus, attempts to combine intraperitoneal paclitaxel with other systemic therapies with higher efficacy have been warranted. We sought to explore the efficacy of intraperitoneal paclitaxel with S-1 and cisplatin. PATIENTS AND

methodsGastric cancer patients with peritoneal metastasis were enrolled in the phase II trial. In addition to the established S-1 and cisplatin regimen every 5 weeks, intraperitoneal paclitaxel was administered on days 1, 8, and 22 at a dose of 20 mg/m

resultsFifty-three patients were enrolled and fully evaluated for efficacy and toxicity. The 1-year overall survival rate was 73.6% (95% confidence interval 59.5-83.4%), and the primary endpoint was met. The median survival time was 19.4 months (95% confidence interval, 16.1-24.6 months). The 1-year progression-free survival rate was 49.6% (95% confidence interval, 34.6-62.9%). The incidences of grade 3/4 hematological and non-hematological toxicities were 43% and 47%, respectively. The frequent grade 3/4 toxicities included neutropenia (25%), anemia (30%), diarrhea (13%), and anorexia (17%). Intraperitoneal catheter and implanted port-related complications were observed in four patients. There was one treatment-related death.

conclusionsIntraperitoneal paclitaxel combined with S-1 and cisplatin is well tolerated and active in gastric cancer patients with peritoneal metastasis.

Indexed as

Peritoneal NeoplasmsStomach NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCisplatinHumansPaclitaxelCisplatinPaclitaxel

Identifiers

PMID37952018
OpenAlexW4388590837

What OpenQuestion holds

Textmetadata
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.