Cochrane · systematic review · CD011461

Molecular‐targeted first‐line therapy for advanced gastric cancer

Song, H, Zhu, J, Lu, D · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 16.7%Low 3 · 50%Moderate 2 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: Molecular‐targeted therapy plus chemotherapy compared to chemotherapy alone for people with advanced gastric cancer

Population: people with advanced gastric cancer
6 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
Summary of findings: Molecular‐targeted therapy plus chemotherapy vs chemotherapy alone
HR 0.92 [0.8, 1.05]10 studies · 3843 participantsLow
Downgraded: risk of bias, imprecision
Progression‐free survival
Summary of findings: Molecular‐targeted therapy plus chemotherapy vs chemotherapy alone
HR 0.9 [0.78, 1.04]11 studies · 4014 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Quality of life (change from baseline in EORTC QOL30 global health status scale) Duration of
Summary of findings: Molecular‐targeted therapy plus chemotherapy vs chemotherapy alone
no estimate extracted1 study · 53 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Overall response rate Duration of
Summary of findings: Molecular‐targeted therapy plus chemotherapy vs chemotherapy alone
OR 1.24 [1, 1.55]11 studies · 3723 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Adverse event (any) Duration of
Summary of findings: Molecular‐targeted therapy plus chemotherapy vs chemotherapy alone
OR 2.23 [1.27, 3.92]5 studies · 2290 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Severe adverse event (grade ≥ 3 ) Duration of
Summary of findings: Molecular‐targeted therapy plus chemotherapy vs chemotherapy alone
OR 1.19 [1.03, 1.37]8 studies · 3800 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency