Gemcitabine plus S-1 versus gemcitabine alone in the treatment of advanced pancreatic cancer: a Meta-analysis
JIANG Yi-Fan, GONG Jian-Ping
2014, 41 (3):
233-237.
doi: 10.3760/cma.j.issn.1673422X.2014.03.023
ObjectiveTo compare the gemcitabine (GEM) plus S1 and gemcitabine alone in the treatment of advanced pancreatic cancer (PC) by metaanalysis. MethodsArticles were searched in PubMed, Cochrane library, Embase, CNKI, and CBM up to August 1st, 2013. Only randomized controlled trails (RCTs) for GEM+S1 and GEM alone in advanced PC were included. Two reviewers retrieved and collected data respectively. Data were selected basing on inclusion and exclusion criteria. The metaanalysis was base on survival advantage (include overall survival and progress free survival), object response rate, disease control rate and adverse reaction. ResultsA total of 3 trials with 772 cases were included. Metaanalysis demonstrated that GEM plus S1 significantly improved the progress free survival (HR: 0.64, 95%CI: 0.540.75, P<0.000 01) and overall survival (HR: 0.81, 95%CI: 0.680.96, P=0.01), improved object response rate (RD: 0.16, 95%CI: 0.100.21, P<0.000 01) and disease control rate (RD: 0.10, 95%CI: 0.030.17, P=0.009) also. However, the incidence of WHO 3/4 grade adverse reaction was increased significantly in the GEM+S1 group. Neutropenia, thrombocytopenia, and gastrointestinal reaction were increased by 18% (P=0.02), 18% (P=0.008) and 8% (P<0.000 01) respectively. ConclusionGEM combined with S1 can improve the chemotherapy effect compared with GEM alone. The adverse reactions also increase significantly, but the overall survival is benefit.
References |
Related Articles |
Metrics
|