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Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis
The aim of the present analysis was to compare the efficacy and safety profile of S-1-based chemotherapy (SBCT) versus capecitabine-based chemotherapy (CBCT) for advanced gastric cancer (AGC) and advanced colorectal cancer (ACRC). A meta-analysis was performed, which included eligible randomized con...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991506/ https://www.ncbi.nlm.nih.gov/pubmed/24940424 http://dx.doi.org/10.3892/etm.2014.1576 |
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author | YE, JIA-XIANG LIU, AI-QUN GE, LIAN-YING ZHOU, SHAO-ZHANG LIANG, ZHONG-GUO |
author_facet | YE, JIA-XIANG LIU, AI-QUN GE, LIAN-YING ZHOU, SHAO-ZHANG LIANG, ZHONG-GUO |
author_sort | YE, JIA-XIANG |
collection | PubMed |
description | The aim of the present analysis was to compare the efficacy and safety profile of S-1-based chemotherapy (SBCT) versus capecitabine-based chemotherapy (CBCT) for advanced gastric cancer (AGC) and advanced colorectal cancer (ACRC). A meta-analysis was performed, which included eligible randomized controlled trials (RCTs) that were identified using RevMan 5.1.0 software. A total of 1,064 patients from 11 RCTs, comprising of 527 patients in the SBCT group and 537 patients in the CBCT group, were included in the analysis. For AGC, the meta-analysis of overall survival (OS) [hazard ratio (HR), 0.98; 95% confidence interval (CI), 0.85–1.12], time to progression (HR, 0.95; 95% CI, 0.80–1.12) and overall response rate (ORR) [odds ratio (OR), 1.06; 95% CI, 0.72–1.55] of patients in the SBCT group indicated no statistical significance when compared with those in the CBCT group. Furthermore, for ACRC, a pooled analysis demonstrated no significant difference between the SBCT and CBCT groups (OS: HR, 0.82; 95% CI, 0.61–1.10; progression-free survival: HR, 0.79; 95% CI=0.60–1.04; ORR: OR, 1.27; 95% CI, 0.91–1.78). The statistically significant differences identified in the overall meta-analysis indicated a low incidence of grade 3–4 hand-foot-syndrome (OR, 0.15; 95% CI, 0.06–0.36) in the SBCT group; however no statistically significant difference was observed in the incidence of grade 3–4 anemia, thrombocytopenia, leucopenia, neutropenia, diarrhea, stomatitis or nausea/vomiting. The SBCT treatment exhibited similar efficacy and an approximately equivalent safety profile compared with the CBCT treatment and was an alternative to CBCT for patients with AGC or ACRC; however, further investigation is required to provide confirmation. |
format | Online Article Text |
id | pubmed-3991506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-39915062014-06-17 Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis YE, JIA-XIANG LIU, AI-QUN GE, LIAN-YING ZHOU, SHAO-ZHANG LIANG, ZHONG-GUO Exp Ther Med Articles The aim of the present analysis was to compare the efficacy and safety profile of S-1-based chemotherapy (SBCT) versus capecitabine-based chemotherapy (CBCT) for advanced gastric cancer (AGC) and advanced colorectal cancer (ACRC). A meta-analysis was performed, which included eligible randomized controlled trials (RCTs) that were identified using RevMan 5.1.0 software. A total of 1,064 patients from 11 RCTs, comprising of 527 patients in the SBCT group and 537 patients in the CBCT group, were included in the analysis. For AGC, the meta-analysis of overall survival (OS) [hazard ratio (HR), 0.98; 95% confidence interval (CI), 0.85–1.12], time to progression (HR, 0.95; 95% CI, 0.80–1.12) and overall response rate (ORR) [odds ratio (OR), 1.06; 95% CI, 0.72–1.55] of patients in the SBCT group indicated no statistical significance when compared with those in the CBCT group. Furthermore, for ACRC, a pooled analysis demonstrated no significant difference between the SBCT and CBCT groups (OS: HR, 0.82; 95% CI, 0.61–1.10; progression-free survival: HR, 0.79; 95% CI=0.60–1.04; ORR: OR, 1.27; 95% CI, 0.91–1.78). The statistically significant differences identified in the overall meta-analysis indicated a low incidence of grade 3–4 hand-foot-syndrome (OR, 0.15; 95% CI, 0.06–0.36) in the SBCT group; however no statistically significant difference was observed in the incidence of grade 3–4 anemia, thrombocytopenia, leucopenia, neutropenia, diarrhea, stomatitis or nausea/vomiting. The SBCT treatment exhibited similar efficacy and an approximately equivalent safety profile compared with the CBCT treatment and was an alternative to CBCT for patients with AGC or ACRC; however, further investigation is required to provide confirmation. D.A. Spandidos 2014-05 2014-02-24 /pmc/articles/PMC3991506/ /pubmed/24940424 http://dx.doi.org/10.3892/etm.2014.1576 Text en Copyright © 2014, Spandidos Publications http://creativecommons.org/licenses/by/3.0 This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited. |
spellingShingle | Articles YE, JIA-XIANG LIU, AI-QUN GE, LIAN-YING ZHOU, SHAO-ZHANG LIANG, ZHONG-GUO Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis |
title | Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis |
title_full | Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis |
title_fullStr | Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis |
title_full_unstemmed | Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis |
title_short | Effectiveness and safety profile of S-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: A meta-analysis |
title_sort | effectiveness and safety profile of s-1-based chemotherapy compared with capecitabine-based chemotherapy for advanced gastric and colorectal cancer: a meta-analysis |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991506/ https://www.ncbi.nlm.nih.gov/pubmed/24940424 http://dx.doi.org/10.3892/etm.2014.1576 |
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