Evidence map›Paper›PMID 39199003›Full record

Trial reportThoracic cancer2024

The significance of consolidation chemotherapy after concurrent chemoradiotherapy in esophageal squamous cell carcinoma: a randomized controlled phase III clinical trial.

Qingshan Zhu, Chi Zhang, Zhuoqi Li, Tingwei Ma, Nengchao Wang, Weipeng Liu, Zhijie He, Jing Shen, Tao Wei, Shijie Zhao and 2 more

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Thoracic cancer, 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
–field-weighted citation impact
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.

  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

12 authors.

Qingshan ZhuRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Chi ZhangDepartment of Cardiology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Zhuoqi LiDepartment of Radiotherapy Oncology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Tingwei MaRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Nengchao WangRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Weipeng LiuRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Zhijie HeRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Jing ShenRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Tao WeiRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Shijie ZhaoRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Lianjie FengRadiotherapy Department, Anyang Cancer Hospital of Henan Province, Anyang, China.
Yuan TianDepartment of Radiotherapy Oncology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.ORCID 0000-0002-2296-1246

Funding

Clinical Research Fund of Shandong Medical Association Qilu Special Project YXH2022ZX02016Clinical Research Special Support Fund of Wu Jieping Medical Foundation 320.6570.2023-16-12Henan Province Medical Science and Technology 2018021020Science and Technology Research Plan of Anyang City, Henan Province 2022C01SF003
6 · The paper itself

Abstract

backgroundThis study explored the significance of consolidation maintenance chemotherapy after concurrent chemoradiotherapy with different regimens in patients with esophageal squamous cell carcinoma.

methodA prospective randomized controlled phase III clinical trial was designed and registered in the China Clinical Trials Registry (Registration number: ChiCTR-TRC-12002719). Survival data were analyzed in terms of intention-to-treat (ITT) and per-protocol (PP) sets for patients undergoing cisplatin and 5-fluorouracil (PF) (group A), or cisplatin and paclitaxel (TP) (group B).

resultsThe incidence risk of grade III-IV leukopenia in group B was higher than in group A (49.2% vs. 25.5%, p = 0.012). The survival rates at 1, 2, 3, and 5 years were 83.8%, 62.6%, 53.1%, and 41.3%, respectively. Consolidation chemotherapy after concurrent chemoradiation therapy had no benefit on median progression-free survival (PFS) (p = 0.95) and overall survival (OS) (p = 0.809). According to the ITT analysis, the median PFS in group A and group B was 28.6 months and 30.3 months (X

conclusionSimilar PFS and OS were found between PF and TP regimens with concurrent chemoradiotherapy. Consolidation chemotherapy did not show any significant OS benefits.

Indexed as

ChemoradiotherapyConsolidation ChemotherapyEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCisplatinFemaleFluorouracilHumansMaleMiddle AgedPaclitaxelProspective StudiesSurvival RateCisplatinFluorouracilPaclitaxelconcurrent chemoradiotherapyconsolidation chemotherapyesophageal squamous cell carcinoma

Identifiers

PMID39199003
PMCPMC11444924

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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.