Evidence map›Paper›PMID 23308140›Full record

Trial reportPloS one2013

Prognostic impact of [18F]fluorothymidine and [18F]fluoro-D-glucose baseline uptakes in patients with lung cancer treated first-line with erlotinib.

Matthias Scheffler, Thomas Zander, Lucia Nogova, Carsten Kobe, Deniz Kahraman, Markus Dietlein, Irini Papachristou, Lukas Heukamp, Reinhard Büttner, Ron Boellaard and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00568841 (A Phase-II Clinical Trial to Evaluate the Accuracy of FDG-/FLT-PET for Early Prediction of Non-progression in Patients With Advanced NSCLC Treated With Erlotinib and to Associate PET Findings With Molecular Markers), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.6field-weighted citation impact, top 4% 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.

NCT00568841 phase2unknown statusnot on this map

A Phase-II Clinical Trial to Evaluate the Accuracy of FDG-/FLT-PET for Early Prediction of Non-progression in Patients With Advanced NSCLC Treated With Erlotinib and to Associate PET Findings With Molecular Markers

TypeinterventionalSponsorLung Cancer Group CologneRan2007 to 2009Enrolled40ConditionsCarcinoma, Non-Small-Cell LungArmserlotinib, FDG-/FLT-PET
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 42 citations in OpenAlex.

  1. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  2. Review
  3. Clinical value of 3'-deoxy-3'-[Insights into imaging · 2021
    Review
  4. Impact of [Diagnostics (Basel, Switzerland) · 2021
    Article
  5. Article
  6. EJNMMI research · 2019
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Applications of PET imaging with the proliferation marker [18F]-FLT.The quarterly journal of nuclear medicine and molecular imaging : official publication of the Italian Association of Nuclear Medicine (AIMN) [and] the International Association of Radiopharmacology (IAR), [and] Section of the Society of... · 2015
    Review
  12. Article
  13. Review
  14. Article
  15. FLT PET-CT in evaluation of treatment response.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India · 2014
    Review
  16. New strategy for monitoring targeted therapy: molecular imaging.International journal of nanomedicine · 2013
    Review
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

16 authors at 4 institutions in 2 countries.

Matthias SchefflerDepartment I for Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Thomas Zander
Lucia Nogova
Carsten Kobe
Deniz Kahraman
Markus Dietlein
Irini Papachristou
Lukas Heukamp
Reinhard Büttner
Ron Boellaard
Adriaan A Lammertsma
Silvia Querings
Erich Stoelben
Walburga Engel-Riedel
Bernd Neumaier
Jürgen Wolf
University Hospital Cologne · DEAmsterdam UMC Location VUmc · NLLungenklinik Köln-Merheim · DEMax Planck Institute for Metabolism Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelled3'-deoxy-3'-[(18)F]fluoro-L-thymidine (FLT) and 2'-deoxy-2'-[(18)F]fluoro-D-glucose (FDG) are used to visualize proliferative and metabolic activity of tumors. In this study we aimed at evaluating the prognostic value of FLT and FDG uptake measured by positron emission tomography (PET) in patients with metastatic non-small cell lung cancer (NSCLC) prior to systemic therapy with erlotinib. FLT and FDG maximum standardized uptake (SUVmax) values per patient were analyzed in 40 chemotherapy naive patients with advanced NSCLC (stage IV) before treatment with erlotinib. Prior therapy median SUVmax was 6.6 for FDG and 3.0 for FLT, respectively. In univariate analysis, patients with an FDG SUVmax <6.6 had a significantly better overall survival (16.3 months [95% confidence interval [CI] 7.1-25.4 months]) compared to patients with an FDG SUVmax ≥6.6 (3.1 months [95% CI 0.6-5.5 months]) (p<0.001, log rank). Similarly, low FLT uptake (SUVmax <3.0) was associated with significantly longer survival (10.3 months (0-23.3 months, 95% CI) compared to high FLT uptake (3.4 months (0-8.1 months, 95% CI) (p = 0.027). The independent prognostic value of baseline FDG uptake was demonstrated in multivariate analysis (p = 0.05, Cox regression). These data suggest that baseline SUVmax values for both FDG and FLT PET might be further developed as markers for prognostic stratification of patients in advanced NSCLC treated with tyrosine kinase inhibitors (TKI) directed against the epidermal growth factor receptor (EGFR).

trial registrationClinicaltrials.gov, Identifier: NCT00568841.

Indexed as

DideoxynucleosidesFluorodeoxyglucose F18AdultAgedCarcinoma, Non-Small-Cell LungErlotinib HydrochlorideFemaleGenes, erbB-1HumansKaplan-Meier EstimateLungLung NeoplasmsMaleMiddle AgedMutationPositron-Emission TomographyalovudineDideoxynucleosidesErlotinib HydrochlorideFluorodeoxyglucose F18Protein Kinase InhibitorsQuinazolines

Identifiers

PMID23308140
PMCPMC3537767
OpenAlexW2079895289

What OpenQuestion holds

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LicenceCC BY
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.