Evidence map›Paper›PMID 39497053›Full record

SynthesisBMC cancer2024

Efficacy and toxicity of lurbinectedin in subsequent systemic therapy of extensive-stage small cell lung cancer: a meta-analysis.

Jiayi Tang, Tianlei Wang, Hongwei Wu, Xinrui Bao, Ke Xu, Tao Ren

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Jiayi Tang *Clinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China.
Tianlei Wang *Clinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China.
Hongwei Wu *Clinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China.
Xinrui BaoClinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China.
Ke XuClinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China. xuke@cmc.edu.cn.ORCID http://orcid.org/0000-0002-5520-5754
Tao RenClinical Medical College, Chengdu Medical College, Chengdu, Sichuan, China. rentao509@cmc.edu.cn.

Funding

Chengdu Medical College Elite Peak Program 2024qnGzn04Key Clinical Specialty of Sichuan Province No. YS00109Natural Science Foundation of Sichuan Province No. 2023NSFSC0729Sichuan Provincial Health Commission Clinical Research Project No. 23LCYJ049
6 · The paper itself

Abstract

objectiveThis study aimed to systematically analyze the efficacy and toxicity of lurbinectedin as a second-line or subsequent treatment for extensive-stage small cell lung cancer (ES-SCLC).

methodsCandidate studies were identified in PubMed, Embase, Cochrane Library, ClinicalTrials.gov, CNKI, and Wanfang databases up to 1 May 2024. Objective remission rate (ORR), disease control rate (DCR), duration of response (DOR), progression-free survival (PFS), overall survival (OS), and adverse events (AEs) were extracted, respectively. The efficacy and toxicity of lurbinectedin in ES-SCLC were analyzed by meta-analysis.

resultsSix eligible prospective studies were included in this meta-analysis, including 536 patients with ES-SCLC who received second-line or subsequent treatment. In pooled analysis, the ORR of lurbinectedin was 35% (95% confidence interval [CI] 29-41), DCR was 67% (95%CI 58-76), DOR was 5.33 months (95%CI 4.51-6.16), PFS was 3.38 months (95%CI 2.59-4.17), and OS was 7.49 months (95%CI 5.11-9.87). The incidence of AEs and severe adverse events (SAEs) was 92% (95%CI 78-100) and 37% (95%CI 19-57), respectively. The most common AEs were leukopenia, neutropenia, anemia, and thrombocytopenia, with incidences of 81% (68-91), 74% (57-88), 73% (35-98) and 57% (46-68), respectively.

conclusionAs a promising alternative for second-line treatment for ES-SCLC, lurbinectedin has a certain level of efficacy and a favorable safety profile. The integration of lurbinectedin with other therapeutic modalities presents an emerging area warranting further investigation.

Indexed as

CarbolinesHeterocyclic Compounds, 4 or More RingsLung NeoplasmsSmall Cell Lung CarcinomaAntineoplastic AgentsHumansNeoplasm StagingProgression-Free SurvivalTreatment OutcomeAntineoplastic AgentsCarbolinesHeterocyclic Compounds, 4 or More RingsPM 01183EfficacyExtensive-stage small cell lung cancerLurbinectedinMeta-analysisToxicity

Identifiers

PMID39497053
PMCPMC11533368

What OpenQuestion holds

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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.