Evidence map›Paper›PMID 23389427›Full record

GuidelineEuropean journal of nuclear medicine and molecular imaging2013

The joint IAEA, EANM, and SNMMI practical guidance on peptide receptor radionuclide therapy (PRRNT) in neuroendocrine tumours.

L Bodei, J Mueller-Brand, R P Baum, M E Pavel, D Hörsch, M S O'Dorisio, T M O'Dorisio, T M O'Dorisiol, J R Howe, M Cremonesi and 2 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in European journal of nuclear medicine and molecular imaging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04790708 (Peptide Receptor Radionuclide Therapy), which is not on this map. Cited by 338 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
338citing papers in PubMed, 3 pooled it
30.3field-weighted citation impact, top 1% 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.

NCT04790708 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Peptide Receptor Radionuclide Therapy (PRRT) in Tumors With High Expression of Somatostatin Receptors

TypeinterventionalSponsorUniversity Hospital of FerraraRan2018 to 2023Enrolled250ConditionsNeuroendocrine Tumors, Peptide Receptor Radionuclide Therapy (PRRT)ArmsLutetium-177 (177Lu)-DOTATOC, Yttrium-90 (90Y)-DOTATOC, 177Lu-DOTATOC + 90Y-DOTATOC, Re-treatment 177Lu-DOTATOC, Re-treatment 90Y-DOTATOC
3 · Its place in the literature

Who cites it

338 citing papers in PubMed, 3 syntheses or guidelines pooled it, 798 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Dosimetry and pharmacokinetics of [European journal of nuclear medicine and molecular imaging · 2024
    Trial
  5. Efficacy ofCurrent oncology (Toronto, Ont.) · 2020
    Trial
  6. Trial
  7. Trial
  8. Cholecystokinin 2 Receptor AgonistJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Trial
  9. Application of theranostics in thyroid cancer management.The Journal of clinical endocrinology and metabolism · 2026
    Review
  10. Precision radiation oncology · 2026
    Article
  11. Targeted Radionuclide Therapy: Current Landscape and Combination Approaches to Improve Oncology Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  12. Article
  13. Article
  14. [EClinicalMedicine · 2026
    Article
  15. Article
  16. Estimation of split renal function on PET using the SSTR-targeting radioligands [European journal of nuclear medicine and molecular imaging · 2026
    Article
  17. Article
  18. Review
  19. Article
  20. Review

278 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 6 countries.

L Bodei
J Mueller-Brand
R P Baum
M E Pavel
D Hörsch
M S O'Dorisio
T M O'Dorisio
T M O'Dorisiol
J R Howe
M Cremonesi
D J Kwekkeboom
John J Zaknun
University of Iowa · USZentralklinik Bad Berka · DEEuropean Institute of Oncology · ITCharité - Universitätsmedizin Berlin · DEErasmus MC · NLUniversity Hospital of Basel · CH

Funding

Image-guided Diagnosis and Therapy of Neuroendocrine TumorsR01CA167632 · NCI · UNIVERSITY OF IOWA · PI MENDA, YUSUF, O'DORISIO, M. SUE · 2012 to 2016
$2.6M
NCI NIH HHS R01 CA167632
6 · The paper itself

Abstract

Peptide receptor radionuclide therapy (PRRNT) is a molecularly targeted radiation therapy involving the systemic administration of a radiolabelled peptide designed to target with high affinity and specificity receptors overexpressed on tumours. PRRNT employing the radiotagged somatostatin receptor agonists (90)Y-DOTATOC ([(90)Y-DOTA(0),Tyr(3)]-octreotide) or (177)Lu-DOTATATE ([(177)Lu-DOTA(0),Tyr(3),Thr(8)]-octreotide or [(177)Lu-DOTA(0),Tyr(3)]-octreotate) have been successfully used for the past 15 years to target metastatic or inoperable neuroendocrine tumours expressing the somatostatin receptor subtype 2. Accumulated evidence from clinical experience indicates that these tumours can be subjected to a high absorbed dose which leads to partial or complete objective responses in up to 30 % of treated patients. Survival analyses indicate that patients presenting with high tumour receptor expression at study entry and receiving (177)Lu-DOTATATE or (90)Y-DOTATOC treatment show significantly higher objective responses, leading to longer survival and improved quality of life. Side effects of PRRNT are typically seen in the kidneys and bone marrow. These, however, are usually mild provided adequate protective measures are undertaken. Despite the large body of evidence regarding efficacy and clinical safety, PRRNT is still considered an investigational treatment and its implementation must comply with national legislation, and ethical guidelines concerning human therapeutic investigations. This guidance was formulated based on recent literature and leading experts' opinions. It covers the rationale, indications and contraindications for PRRNT, assessment of treatment response and patient follow-up. This document is aimed at guiding nuclear medicine specialists in selecting likely candidates to receive PRRNT and to deliver the treatment in a safe and effective manner. This document is largely based on the book published through a joint international effort under the auspices of the Nuclear Medicine Section of the International Atomic Energy Agency.

Indexed as

International AgenciesNuclear EnergySocieties, ScientificEuropeFollow-Up StudiesHumansKidneyMolecular Targeted TherapyNeuroendocrine TumorsQuality ControlRadiometryRadiopharmaceuticalsRadiotherapyReceptors, PeptideRadiopharmaceuticalsReceptors, Peptide

Identifiers

PMID23389427
PMCPMC3622744
OpenAlexW2090257199

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.