Research Article

Comparison of Different First-Line Systemic Therapies in Advanced Biliary Tract Cancer Based on Updated Random Controlled Trials: A Systematic Review and Network Meta-Analysis

Table 1

Baseline characteristics for patients included.

Author/Publication yearCountryCohortNumberGender(M/F)Age (years old)ECOGPrimary tumor

Kang MJ, et al. [14]Korea.GemCis4931/1859(32-77)0-1:42(86%) 2:7(14%)ICC:20(41%)ECC:29(59%)
S1Cis4731/1660(36-77)0-1:43(91%) 2:4(9%)ICC:18(38%)ECC:29(62%)

Li H, et al. [22]China.Gem2516/955.1±8.5NRNR
S12519/656.8±7.9NRNR
GemS12519/657.0±7.2NRNR

Morizane C, et al. [15]Japan.GemS15127/2466.0(39-78)0:39(76.5%) 1:12(23.5%)ICC:20(39.2%)CC:9(17.6%)GC:19(37.3%)AV:3(5.9%)
S15028/2262.5(49-79)0:37(74.0%) 1:13(26.0%)ICC:20(39.2%)ECC:9(17.6%)GC:19(37.3%)AV:3(5.9%)

Santoro A, et al. [9]Italy.Vandetanib5925/3462.4±10.10:38(64.4%) 1:20(33.9%) 2:1(1.7%)ICC:27(45.8%)ECC:16(27.1%)GC:11(18.6%)AV:5(8.5%)
Gem+Vandetanib5831/2764.4±9.50:36(61.0%) 1:20(33.9%) 2:3(5.1%)ICC:31(53.4%)ECC:10(17.3%)GB:13(22.4%)AV:4(6.9%)
Gem5625/3164.0±8.80:34(61.8%) 1:20(36.4%) 2:1(1.8%)ICC:29(52.7%)ECC:13(22.4%)GC:7(12.7%)AV:6(10.9%)

Sharma A, et al. [6]India.BSC276/21Median:51≤2:27(100%)GC:27(100%)
FUFA285/23Median:47≤2:28(100%)GC:28(100%)
GemOxa265/21Median:49≤2:26(100%)GC:26(100%)

Lee J, et al. [16]Korea.GemOxa13379/5461(55-68)0:20(15%) 1:100(75%) 2:13(10%)CC:84(63%)GC:47(35%)AV:2(2%)
GemOxa+Erlotinib13591/4459(54-66)0:26(19%) 1:104(77%) 2:5(4%)CC:96(71%)GC:35(26%)AV:4(3%)

Malka D, et al. [10]France. Germany.GemOxa+Cetuximab7643/3361(35-75)0:35(46%)1:36(47%)2:0(0%)Unspecified:5(7%)CC:62(82%)GC:11(14%)AV:1(1%)Multifocal:1(1%)Unspecified:1(1%)
GemOxa7442/3262(39-75)0:27(36%) 1:42(57%) 2:1(1%) Unspecified:4(5%)CC:61(82%)GC:11(15%)AV:0(0%)Multifocal:1(1%)Unspecified:1(1%)

Valle JW, et al. [11]UK.GemCis+Cediranib6234/2868.0(60.4-73.0)0:27(44%) 1:35(56%)ICC:14(23%)ECC:24(39%)GC:20(32%)AV:4(6%)
GemCis6228/3464.5(59.7-73.1)0:28(45%) 1:34(55%)ICC:15(24%)ECC:24(39%)GC:19(31%)AV:4(6%)

Phelip JM, et al. [17]France.FOLFIRINOX9457/3765(58-70)0:45(47.9%) 1:48(52.1%)ICC:60(63.8%)ECC:18(19.1%)GC:16(17.1%)
GemCis9647/4963(55-67)0:46(47.9%) 1:50(52.1%)ICC:59(61.5%)ECC:20(20.8%)GC:17(17.7%)

Valle JW, et al. [18]UK.GemCis+Ramucirumab10646/6064(58-71)0:45(43%) 1:58(55%) Missing:3(2%)ICC:56(53%)GC:24(23%)ECC:18(17%)AV:8(8%)
GemCis+Merestinib10248/5462(56-67)0:52(51%) 1:50(49%) Missing:0(0%)ICC:60(59%)GC:22(22%)ECC:14(14%)AV:6(6%)
GemCis10153/4859(52-68)0:61(60%) 1:39(39%) Missing:1(1%)ICC:55(55%)GC:26(26%)ECC:14(14%)AV:5(5%)

Morizane C, et al. [7, 26]Japan.GemCis17599/7667(41-78)0:130(74%) 1:45(26%)GC:68(39%)ICC:50(29%)ECC:49(28%)AV:7(4%)
GemS117997/8267(27-79)0:124(69%) 1:55(31%)GC:69(39%) ICC:44(25%) ECC:59(33%) AV:6(3%)

Kim ST, et al. [8]Korea.GemOxa11470/4464.0(35.0-83.0)0:25(22%) 1:86(75%) 2:3(2%)CC:84(74%) GC:30(26%)
XELOX10874/3462.0(28.0-84.0)0:35(32%) 1:71(66%) 2:1(1%)CC:77(71%)GC:31(29%)

Sasaki T, et al. [19]Japan.GemS13016/1468(47-83)0:18(60%) 1:11(37%) 2:1(3%)GC:16(53%)ICC:8(27%)ECC:6(20%)
Gem3220/1275(55-86)0:18(56%) 1:12(38%) 2:2(6%)GC:14(44%)ICC:8(25%)ECC:10(31%)

Valle J, et al. [4]UK.Gem20698/10863.2(23.4-84.8)0:64(31.1%) 1:117(56.8%)2:24(11.7%)GC:76(36.9%)CC:119(57.8%)AV:11(5.3%)
GemCis20496/10863.9(32.8-81.9)0:66(32.4%) 1:111(54.4%)
2:27(13.2%)
GC:73(35.8%)CC:122(59.8%)AV:9(4.4%)

Oh DY, et al.2022 [12]Multiple countiesGemCis+Durvalumab341169/17264(20-84)0:50.7%NR
GemCis344176/16864(31-85)0:47.4%NR

Sharma A, et al. [20]India.GemOxa11943/7648.1±9.920:7(5.9%)1:72(60.5%)2:40(33.6%)GC:119(100%)
GemCis12439/8547.8±12.050:7(5.6%)1:64(51.6%)2:53(42.7%)GC:124(100%)

Leone F, et al. [21]Italy.GemOxa+Panitumumab4517/2863.9(46.7-78.5)0-1:45(100%)ICC: 21 (46.7%)ECC: 21 (26.7%)GC: 12 (26.6%)
GemOxa4415/2964.2(36.8-78.5)0-1:43(97.7%)2:1(2.3%)ICC: 21 (47.7%)ECC: 7 (15.9%)GC: 16 (36.4%)

GemCis, gemcitabine plus cisplatin; GemOxa, gemcitabine plus oxaliplatin; GemS1, gemcitabine plus S-1; S1Cis, S1 plus Cisplatin; XELOX, capecitabine plus oxaliplatin; BSC, best supportive care; FUFA, Fluorouracil+folinic; FOLFIRINOX, Oxaliplatin plus irinotecan plus infusional fluorouracil; iCC, intrahepatic cholangiocarcinoma; eCC, extrahepatic cholangiocarcinoma; pCC, perihilar cholangiocarcinoma; dCC, distal cholangiocarcinoma; GC, gallbladder cancer; AV, ampulla of Vater; NR, not report.