Evidence map›Paper›PMID 40481437›Full record

Trial reportBMC medicine2025

Intraoperatively preventive intraperitoneal perfusion chemotherapy with lobaplatin in colorectal cancer: a prospective, randomised, controlled, multicentre study.

Hao Su, Rui Zhang, Yunfeng Li, Yanke Li, Wei Pei, Zhigang Jie, Zhimin Liu, Meijin Huang, Jing Zhuang, Qian Jiang and 17 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

27 authors.

Hao Su *Department of Gastrointestinal Surgery, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, 100142, China.
Rui Zhang *Department of Colorectal Surgery, Cancer Hospital of China Medical University, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Insititute, Shenyang, 110042, China.
Yunfeng Li *Department of Colorectal Surgery, Yunnan Cancer Hospital, Kunming, 650000, China.
Yanke Li *Department of Anus and Intestine Surgery, First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Wei PeiDepartment of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100021, China.
Zhigang JieDepartment of Colorectal Surgery, the First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Zhimin LiuDepartment of Laparoscopic Comprehensive Surgery, Zibo Central Hospital, Zibo, 255000, China.
Meijin HuangDepartment of Colon and Rectum Surgery, Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510000, China.
Jing ZhuangDepartment of General Surgery, Henan Cancer Hospital, Zhengzhou, 450000, China.
Qian JiangDepartment of General Surgery, Jiangsu Cancer Hospital, Nanjing, 210000, China.
Ming XieDepartment of Gastrointestinal Surgery, Afiliated Hospital of Zunyi Medical University, Zunyi, 563000, China.
Guiying WangThe Second Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Wenbin ZhangGastrointestinal Tumor Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830000, China.
Ming LiuDepartment of General Surgery, The Fourth Hospital of HARBIN Medical University, Harbin, 150000, China.
Jiansi ChenDepartment of Gastrointestinal Surgery, Guangxi Medical University Cancer Hospital, Nanning, 530000, China.
Zejun WangDepartment of Gastrointestinal Surgery, Cancer Hospital Affiliated to Guizhou Medical University, Guiyang, 550000, China.
Kang WangDepartment of Gastrointestinal Surgery, Sichuan Provincial People's Hospital, Chengdu, 610000, China.
Xinghong ZhangDepartment of Gastrointestinal Surgery, Heilongjiang Agricultural Reclamation General Hospital, Harbin, 150000, China.
Guoxin LiCancer Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, 102218, China.
Xiangfu ZengDepartment of General Surgery, First Affiliated Hospital of Gannan Medical University, Ganzhou, 341000, China.
Xinxiang LiDepartment of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200025, China.
Xuejun SunDepartment of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710000, China.
Ju WangDepartment of Gastrointestinal Surgery, Inner Mongolia Autonomous Region People's Hospital, Hohhot, 010000, China.
Dongzhu ZengDepartment of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 404100, China.
Changlong ZhuangHainan Changan International Pharmaceutical Co., Ltd., Haikou, 570100, China.
Haitao ZhouDepartment of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100021, China. zhouhaitao@cicams.ac.cn.
Xishan WangDepartment of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100021, China. wxshan1208@126.com.

Funding

2021 Research Project on Clinical Application Norms of Minimally Invasive Surgery by the Medical and Health Science and Technology Development Research Center of the National Health Commission wa2021rw13Beijing Hope Run Special Fund of Cancer Foundation of China LC2022A01Chinese Academy of Medical Sciences Initiative for Innovative Medicine CAMS-2017-I2M-4-002National Key Research and Development Program of China 2023YFC3403800, 2023YFC3403804
6 · The paper itself

Abstract

backgroundPeritoneal metastasis (PM) after radical surgery is an important cause of treatment failure in colorectal cancer (CRC). Intraoperative intraperitoneal perfusion chemotherapy may be an effective method for preventing postoperative PM in patients with CRC. This study aimed to explore the safety and feasibility of intraoperatively preventive intraperitoneal perfusion chemotherapy using lobaplatin for CRC.

methodsBetween 12 December 2017 and 17 October 2019, 720 eligible CRC patients with T4 or N + clinical TNM stage were recruited from 25 hospitals in China. Eligible patients were randomised in a 1:1 ratio to undergo resection of CRC only (control group) or resection of CRC with intraperitoneal perfusion chemotherapy with lobaplatin intraoperatively (lobaplatin group). The primary endpoint of this trial was the rate of PM after surgery, while secondary endpoints included safety, overall survival (OS) time, recurrence-free survival (RFS) time, peritoneal recurrence-free survival (PRFS) time, and the rate of liver metastasis.

resultsOf 716 patients included in the full analysis set (FAS), 352 were assigned to the lobaplatin group and 364 to the control group. In the FAS population, adding intraoperatively preventive intraperitoneal perfusion chemotherapy with lobaplatin decreased the primary end point rate of 3-year PM (3.56% vs 8.75%, P = 0.0053). There was no significant difference in the 3-year OS between the groups (93.2% vs 90.4%, P = 0.1660). The 3-year RFS rate (88.1% vs 81.6%, 0.0146) and 3-year PRFS rate (96.6% vs 91.5%, P = 0.0053) were significantly higher in the lobaplatin group than the control group. There were no statistically significant differences between the two groups in the incidence (69.77% vs 64.75%) or severity of adverse events (AEs) in the safety set (SS) population.

conclusionsInitiation of intraoperatively preventive intraperitoneal perfusion chemotherapy with lobaplatin reduced the 3-year PM rate in CRC patients while improving both 3-year RFS and PRFS. The treatment was well tolerated, and the safety findings were comparable with those of the control group.

trial registrationChinese Clinical Trial Registry, ChiCTR1800014617.

Indexed as

Antineoplastic AgentsColorectal NeoplasmsCyclobutanesOrganoplatinum CompoundsPeritoneal NeoplasmsAdultAgedChinaFemaleHumansIntraoperative CareMaleMiddle AgedProspective StudiesAntineoplastic AgentsCyclobutaneslobaplatinOrganoplatinum CompoundsColorectal cancerIntraperitoneal perfusion chemotherapyPeritoneal metastasesRecurrence-free survival

Identifiers

PMID40481437
PMCPMC12142866

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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.