Evidence map›Paper›PMID 16847654›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2006

Comparison of [(177)Lu-DOTA(0),Tyr(3)]octreotate and [(177)Lu-DOTA(0),Tyr(3)]octreotide: which peptide is preferable for PRRT?

J P Esser, E P Krenning, J J M Teunissen, P P M Kooij, A L H van Gameren, W H Bakker, D J Kwekkeboom

Registry-linked trialAbstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04029428 (Clinical Study of the Use of Yttrium-90), which is not on this map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
7.1field-weighted citation impact, top 3% of its field
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.

NCT04029428 phase2unknown statusnot on this map

Clinical Study of the Use of Yttrium-90 (90Y) and/or Lutecium-177 (177Lu) DOTATATE (DOTA-0-Tyr3-Octreotate) in the Treatment of Disseminated and / or Symptomatic Tumors With Somatostatin Receptor Overexpression

TypeinterventionalSponsorUniversity of Warmia and MazuryRan2004 to 2021Enrolled150ConditionsNeuroendocrine TumorsArms90Y-DOTATATE, (177Lu-DOTAOTyr3)Octreotate, 90Y DOTATATE and 177Lu DOTATATE (mix each of 50%)
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 178 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Peptide receptor radionuclide therapy with (90)Y-DOTATOC in recurrent meningioma.European journal of nuclear medicine and molecular imaging · 2009
    Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Comparison ofHeliyon · 2024
    Article
  13. Review
  14. Review
  15. Correlations between [Cancers · 2023
    Article
  16. Preclinical evaluation of [European journal of nuclear medicine and molecular imaging · 2021
    Article
  17. Pharmaceutics · 2021
    Review
  18. Article
  19. Evaluation of Ac-LysJournal of neuro-oncology · 2021
    Article
  20. Radiological and Clinical Efficacy of Intra-ArterialJournal of clinical medicine · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

J P EsserDepartment of Nuclear Medicine, Erasmus MC Rotterdam, The Netherlands. J.Esser@ziekenhuis-mst.nl
E P Krenning
J J M Teunissen
P P M Kooij
A L H van Gameren
W H Bakker
D J Kwekkeboom
Erasmus MC · NLErasmus University Rotterdam · NLHavenziekenhuis Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with somatostatin receptor subtype 2-positive metastasised neuroendocrine tumours can be treated with [(177)Lu-DOTA(0),Tyr(3)]octreotate. Some use octreotide as the peptide for peptide receptor radionuclide therapy (PRRT). We compared in seven patients [(177)Lu-DOTA(0),Tyr(3)]octreotide ((177)Lu-DOTATOC) and [(177)Lu-DOTA(0),Tyr(3)]octreotate ((177)Lu-DOTATATE), to see which peptide should be preferred for PRRT with (177)Lu.

methodsIn the same patients, 3,700 MBq (177)Lu-DOTATOC and 3,700 MBq (177)Lu-DOTATATE was administered in separate therapy sessions. Amino acids were co-administered. Whole-body scanning was performed on days 1, 4 and 7 post therapy. Blood and urine samples were collected. We calculated residence times for tumours, spleen and kidneys.

resultsAll patients had longer residence times in spleen, kidneys and tumours after use of (177)Lu-DOTATATE (p=0.016 in each case). Comparing (177)Lu-DOTATATE with (177)Lu-DOTATOC, the mean residence time ratio was 2.1 for tumour, 1.5 for spleen and 1.4 for kidneys. Dose-limiting factors for PRRT are bone marrow and/or kidney dose. Although the residence time for kidneys was longer when using (177)Lu-DOTATATE, the mean administered dose to tumours would still be advantageous by a factor of 1.5, assuming a fixed maximum kidney dose is reached. Plasma radioactivity after (177)Lu-DOTATATE was comparable to that after (177)Lu-DOTATOC. Urinary excretion of radioactivity was comparable during the first 6 h; thereafter there was a significant advantage for (177)Lu-DOTATOC.

conclusion(177)Lu-DOTATATE had a longer tumour residence time than (177)Lu-DOTATOC. Despite a longer residence time in kidneys after (177)Lu-DOTATATE, tumour dose will always be higher. Therefore, we conclude that the better peptide for PRRT is octreotate.

Indexed as

AdultAgedFemaleHumansMaleMetabolic Clearance RateMiddle AgedNeuroendocrine TumorsOctreotideOrganometallic CompoundsOrgan SpecificityRadiopharmaceuticalsTissue Distribution177Lu-octreotide, DOTA(0)-Tyr(3)-lutetium Lu 177 dotatateOctreotideOrganometallic CompoundsRadiopharmaceuticals

Identifiers

PMID16847654
OpenAlexW1993872787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.