Evidence map›Paper›PMID 9400948›Full record

Trial reportBritish journal of cancer1997

Phase I study of sequentially administered topoisomerase I inhibitor (irinotecan) and topoisomerase II inhibitor (etoposide) for metastatic non-small-cell lung cancer.

M Ando, K Eguchi, T Shinkai, T Tamura, Y Ohe, N Yamamoto, T Kurata, T Kasai, H Ohmatsu, K Kubota and 7 more

Abstract readClinical TrialClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

M AndoThe Department of Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
K Eguchi
T Shinkai
T Tamura
Y Ohe
N Yamamoto
T Kurata
T Kasai
H Ohmatsu
K Kubota
I Sekine
N Hojo
T Matsumoto
T Kodama
R Kakinuma
Y Nishiwaki
N Saijo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a phase I study of irinotecan (CPT-11) and etoposide (VP-16) given sequentially to untreated patients with metastatic non-small-cell lung cancer. Arm A: CPT-11 was given over 90 min on days 1-3 and VP-16 was given over 60 min on days 4-6. Arm B: VP-16 was given on days 1-3 and CPT-11 on days 4-6. G-CSF was given to all patients daily on days 7-17. Twenty-seven patients were entered randomly at the two arms. The major dose-limiting toxicities in arms A and B were granulocytopenia and diarrhoea. Transient elevations of transaminases and bilirubin were observed in both arms. The degree of the toxicities did not differ between the two arms. The maximum tolerated doses (MTDs) were 60 mg m-2 CPT-11 and 60 mg m-2 VP-16 in both arms. Of the 13 patients who received more than two cycles, two out of five achieved partial response (PR) at the first level of arm A and one out of four achieved PR at the second level of arm B. We conclude that these schedules of sequential CPT-11 and VP-16 administration were inappropriate because of severe toxicities.

Indexed as

Topoisomerase II InhibitorsTopoisomerase I InhibitorsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCamptothecinCarcinoma, Non-Small-Cell LungDrug Administration ScheduleEnzyme InhibitorsEtoposideFemaleHematologic DiseasesHumansIrinotecanLung NeoplasmsMaleCamptothecinEnzyme InhibitorsEtoposideIrinotecanTopoisomerase II InhibitorsTopoisomerase I Inhibitors

Identifiers

PMID9400948
PMCPMC2228187

What OpenQuestion holds

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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.