Evidence map›Paper›PMID 38659392›Full record

Trial reportCancer medicine2024

Six versus four or five cycles of first-line etoposide and platinum-based chemotherapy combined with thoracic radiotherapy in patients with limited-stage small-cell lung cancer: A propensity score-matched analysis of a prospective randomized trial.

Tian-Tian Yu, Xiao Hu, Wei-Jian Liufu, Shao-Qing Niu, Hui-Min Lian, Hong-Lian Ma, Jin Wang, Yong Bao, Ming Chen, Fang Peng

Open access · goldAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Cancer medicine, 2024. 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
0.6field-weighted citation impact, top 30% 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, 2 citations in OpenAlex.

  1. Trial
  2. Article
  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

10 authors at 2 institutions in 1 country.

Tian-Tian YuDepartment of Radiation Oncology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.ORCID 0009-0007-1686-5163
Xiao HuZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Wei-Jian LiufuDepartment of Radiation Oncology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Shao-Qing NiuDepartment of Radiation Oncology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Hui-Min LianDepartment of Radiation Oncology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Hong-Lian MaZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Jin WangZhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yong BaoDepartment of Radiation Oncology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Ming ChenState Key Laboratory of Oncology in South China, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Fang PengDepartment of Radiation Oncology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Sun Yat-sen University · CNChinese Academy of Sciences · CN

Funding

Beijing Xisike Clinical Oncology Research Foundation 2019051National Natural Science Foundation of China 81602661National Natural Science Foundation of China 82272744Natural Science Foundation of Guangdong Province 2016A030310164Natural Science Foundation of Guangdong Province 2022A1515010814
6 · The paper itself

Abstract

objectivesThe recommended treatment for limited-stage small-cell lung cancer (LS-SCLC) is a combination of thoracic radiotherapy (TRT) and etoposide plus cisplatin (EP) chemotherapy, typically administered over 4-6 cycles. Nonetheless, the optimal duration of chemotherapy is still not determined. This study aimed to compare the outcomes of patients with LS-SCLC who received either 6 cycles or 4-5 cycles of EP chemotherapy combined with TRT. MATERIALS AND

methodsIn this retrospective analysis, we utilized data from our prior prospective trial to analyze the outcomes of 265 LS-SCLC patients who received 4-6 courses of EP combined with concurrent accelerated hyperfractionated TRT between 2002 and 2017. Patients were categorized into two groups depending on their number of chemotherapy cycles: 6 or 4-5 cycles. To assess overall survival (OS) and progression-free survival (PFS), we employed the Kaplan-Meier method after conducting propensity score matching (PSM).

resultsAmong the 265 LS-SCLC patients, 60 (22.6%) received 6 cycles of EP chemotherapy, while 205 (77.4%) underwent 4-5 cycles. Following PSM (53 patients for each group), the patients in the 6 cycles group exhibited a significant improvement in OS and PFS in comparison to those in the 4-5 cycles group [median OS: 29.8 months (95% confidence interval [CI], 23.6-53.1 months) vs. 22.7 months (95% CI, 20.8-29.1 months), respectively, p = 0.019; median PFS: 17.9 months (95% CI, 13.7-30.5 months) vs. 12.0 months (95% CI, 9.8-14.2 months), respectively, p = 0.006]. The two-year and five-year OS rates were 60.38% and 29.87% in the 6 cycles group, whereas 47.17% and 15.72% in the 4-5 cycles group, respectively.

conclusionPatients diagnosed with LS-SCLC who were treated with EP regimen chemotherapy combined with TRT exhibited notably enhanced survival when administered 6 cycles of chemotherapy, as compared to those who underwent only 4-5 cycles.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsChemoradiotherapyCisplatinEtoposideLung NeoplasmsPropensity ScoreSmall Cell Lung CarcinomaAdultAgedDrug Administration ScheduleFemaleHumansMaleMiddle AgedNeoplasm StagingProgression-Free SurvivalCisplatinEtoposidechemotherapyconcurrent chemoradiotherapycycles of chemotherapylimited‐stage SCLCradiotherapy

Identifiers

PMID38659392
PMCPMC11043670
OpenAlexW4395455648

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.