Evidence map›Paper›PMID 38366864›Full record

SynthesisThe oncologist2024

Efficacy and Safety of Trifluridine/Tipiracil-Containing Combinations in Colorectal Cancer and Other Advanced Solid Tumors: A Systematic Review.

Kohei Shitara, Alfred Falcone, Marwan G Fakih, Ben George, Raghav Sundar, Sandip Ranjan, Eric Van Cutsem

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in The oncologist, 2024. 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
1.7field-weighted citation impact, top 14% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

7 authors at 6 institutions in 5 countries.

Kohei ShitaraNational Cancer Center Hospital East, Chiba, Japan.
Alfred FalconeUniversity of Pisa, Pisa, Italy.
Marwan G FakihCity of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Ben GeorgeMedical College of Wisconsin, Milwaukee, WI, USA.
Raghav SundarDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, National University Hospital, Singapore.ORCID 0000-0001-9423-1368
Sandip RanjanSmartAnalyst, an Ashfield Advisory Company, Gurugram, Haryana, India.
Eric Van CutsemUniversity Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium.ORCID 0000-0002-6372-1230
City of Hope · USMedical College of Wisconsin · USNational Cancer Center Hospital East · JPNational University of Singapore · SGUniversitair Ziekenhuis Leuven · BEUniversity of Pisa · IT

Funding

Taiho Oncology, Inc
6 · The paper itself

Abstract

We performed a systematic literature review to identify and summarize data from studies reporting clinical efficacy and safety outcomes for trifluridine/tipiracil (FTD/TPI) combined with other antineoplastic agents in advanced cancers, including metastatic colorectal cancer (mCRC). We conducted a systematic search on May 29, 2021, for studies reporting one or more efficacy or safety outcome with FTD/TPI-containing combinations. Our search yielded 1378 publications, with 38 records meeting selection criteria: 35 studies of FTD/TPI-containing combinations in mCRC (31 studies second line or later) and 3 studies in other tumor types. FTD/TPI plus bevacizumab was extensively studied, including 19 studies in chemorefractory mCRC. Median overall survival ranged 8.6-14.4 months and median progression-free survival 3.7-6.8 months with FTD/TPI plus bevacizumab in refractory mCRC. Based on one randomized and several retrospective studies, FTD/TPI plus bevacizumab was associated with improved outcomes compared with FTD/TPI monotherapy. FTD/TPI combinations with chemotherapy or other targeted agents were reported in small early-phase studies; preliminary data indicated higher antitumor activity for certain combinations. Overall, no safety concerns existed with FTD/TPI combinations; most common grade ≥ 3 adverse event was neutropenia, ranging 5%-100% across all studies. In studies comparing FTD/TPI combinations with monotherapy, grade ≥ 3 neutropenia appeared more frequently with combinations (29%-67%) vs. monotherapy (5%-41%). Discontinuation rates due to adverse events ranged 0%-11% for FTD/TPI plus bevacizumab and 0%-17% with other combinations. This systematic review supports feasibility and safety of FTD/TPI plus bevacizumab in refractory mCRC. Data on non-bevacizumab FTD/TPI combinations remain preliminary and need further validation.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsDrug CombinationsPyrrolidinesThymineTrifluridineBevacizumabHumansBevacizumabDrug CombinationsPyrrolidinesThymineTrifluridinetrifluridine tipiracil drug combinationantineoplastic agentsantineoplastic drugscolorectal neoplasmsreview literaturetipiraciltrifluridine

Identifiers

PMID38366864
PMCPMC11067808
OpenAlexW4391897096

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.