Evidence map›Paper›PMID 39477393›Full record

ArticleIn vivo (Athens, Greece)

Insight from Lymphocyte-Albumin Scores into Treatment Continuity of Nanoliposomal Irinotecan With 5-Fluorouracil and L-leucovorin in Metastatic Pancreatic Cancer.

Takahiro Ito, Manabu Suno, Minae Shintani, Ayaka Iwata, Reiko Ashida, Manabu Kawai, Kazuo Matsubara

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

7 authors.

Takahiro ItoSchool of Pharmaceutical Sciences, Wakayama Medical University, Wakayama, Japan.
Manabu SunoSchool of Pharmaceutical Sciences, Wakayama Medical University, Wakayama, Japan; sunoma@wakayama-med.ac.jp.
Minae ShintaniSchool of Pharmaceutical Sciences, Wakayama Medical University, Wakayama, Japan.
Ayaka IwataSchool of Pharmaceutical Sciences, Wakayama Medical University, Wakayama, Japan.
Reiko AshidaSecond Department of Internal Medicine, School of Medicine, Wakayama Medical University, Wakayama, Japan.
Manabu KawaiSecond Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.
Kazuo MatsubaraSchool of Pharmaceutical Sciences, Wakayama Medical University, Wakayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimNanoliposomal irinotecan with 5-fluorouracil and L-leucovorin (nal-IRI/FL) is the standard regimen for metastatic pancreatic cancer, but there are no reports on prediction of early discontinuation. In this study, we investigated predictive factors of early discontinuation of nal-IRI/FL. PATIENTS AND

methodsThe study included 36 patients who received nal-IRI/FL at Wakayama Medical University Hospital between June 2021 and May 2022. Those with time-to-treatment failure (TTF) ≤28 days were defined as the early discontinuation group (group ED), and those with TTF >28 days were placed in the continuation group (group C). Laboratory data were collected just before and every 14 days after initiation of nal-IRI/FL treatment.

resultsThere were six patients (16.7%) in group ED and 30 patients (83.3%) in group C. The lymphocyte×albumin (LA) score before therapy was significantly lower in group ED (p=0.005). In receiver operating characteristic analysis, pre-treatment LA was the best predictor for early discontinuation, with a cutoff value of 4,142 (sensitivity: 1.00, specificity: 0.77, p=0.004). In group C, LA was significantly lower at 28 days before nal-IRI/FL treatment failure compared to the value before the start of therapy [median with range: 3,299 (1,478-6,994) vs. 4,304 (2,085-8,085), p=0.006].

conclusionThe LA score is a useful marker for evaluating treatment continuity, and especially early discontinuation, of nal-IRI/FL in patients with pancreatic cancer.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsFluorouracilIrinotecanLeucovorinLiposomesLymphocytesPancreatic NeoplasmsAdultAgedAged, 80 and overAlbuminsFemaleHumansMaleMiddle AgedNeoplasm MetastasisAlbuminsFluorouracilIrinotecanLeucovorinLiposomeslymphocyte-albumin scoremetastatic pancreatic cancerNanoliposomal irinotecantreatment continuity

Identifiers

PMID39477393
PMCPMC11535957

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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.