Evidence map›Paper›PMID 23452509›Full record

Trial reportRadiation oncology (London, England)2013

Stereotactic body radiation therapy with concurrent full-dose gemcitabine for locally advanced pancreatic cancer: a pilot trial demonstrating safety.

Marie K Gurka, Sean P Collins, Rebecca Slack, Gary Tse, Aline Charabaty, Lisa Ley, Liam Berzcel, Siyuan Lei, Simeng Suy, Nadim Haddad and 5 more

3 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Radiation oncology (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 2% 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.

NCT02716207 nacompletednot on this mapstarted 2016, after this paper: background citation

Mono-Center Phase ǀ Study on Dose Escalation of Stereotactic Body Radiotherapy (SBRT) Treating Pancreatic Cancer Patients With CyberKnife

TypeinterventionalSponsorChanghai HospitalRan2016 to 2020Enrolled16ConditionsPancreatic TumorArmsCyberKnife
NCT02745847 naunknown statusnot on this mapstarted 2016, after this paper: background citation

The Safety and Efficacy of Re-irradiation With Stereotactic Body Radiotherapy for Relapsed Pancreatic Cancer

TypeinterventionalSponsorChanghai HospitalRan2016 to 2023Enrolled30ConditionsPancreatic CancerArmsRe-irradiation with SBRT
NCT07173387 phase2active not recruitingnot on this mapstarted 2025, after this paper: background citation

Stereotactic Body Radiotherapy and NALIRIFOX for Locally Advanced Pancreatic Cancer: A Prospective Clinical Trial

TypeinterventionalSponsorShandong Cancer Hospital and InstituteRan2025 to 2028Enrolled42ConditionsPancreatic CancerArmsNALIRIFOX (liposomal irinotecan-based chemotherapy)., Stereotactic Body Radiation Therapy (SBRT).
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 122 citations in OpenAlex.

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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

15 authors at 3 institutions in 2 countries.

Marie K GurkaDepartment of Radiation Oncology, Georgetown University Hospital, Washington, DC 20007, USA.
Sean P Collins
Rebecca Slack
Gary Tse
Aline Charabaty
Lisa Ley
Liam Berzcel
Siyuan Lei
Simeng Suy
Nadim Haddad
Reena Jha
Colin D Johnson
Patrick Jackson
John L Marshall
Michael J Pishvaian
Georgetown University · USGeorgetown University Medical Center · USUniversity of Southampton · GB

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
NCI NIH HHS P30 CA016672NCI NIH HHS P30CA051008
6 · The paper itself

Abstract

backgroundConcurrent chemoradiation is a standard option for locally advanced pancreatic cancer (LAPC). Concurrent conventional radiation with full-dose gemcitabine has significant toxicity. Stereotactic body radiation therapy (SBRT) may provide the opportunity to administer radiation in a shorter time frame with similar efficacy and reduced toxicity. This Pilot study assessed the safety of concurrent full-dose gemcitabine with SBRT for LAPC.

methodsPatients received gemcitabine, 1000 mg/m2 for 6 cycles. During week 4 of cycle 1, patients received SBRT (25 Gy delivered in five consecutive daily fractions of 5 Gy prescribed to the 75-83% isodose line). Acute and late toxicities were assessed using NIH CTCAE v3. Tumor response was assessed by RECIST. Patients underwent an esophagogastroduodenoscopy at baseline, 2, and 6 months to assess the duodenal mucosa. Quality of life (QoL) data was collected before and after treatment using the QLQ-C30 and QLQ-PAN26 questionnaires.

resultsBetween September 2009 and February 2011, 11 patients enrolled with one withdrawal during radiation therapy. Patients had grade 1 to 2 gastrointestinal toxicity from the start of SBRT to 2 weeks after treatment. There were no grade 3 or greater radiation-related toxicities or delays for cycle 2 of gemcitabine. On endoscopy, there were no grade 2 or higher mucosal toxicities. Two patients had a partial response. The median progression free and overall survival were 6.8 and 12.2 months, respectively. Global QoL did not change between baseline and immediately after radiation treatment.

conclusionsSBRT with concurrent full dose gemcitabine is safe when administered to patients with LAPC. There is no delay in administration of radiation or chemotherapy, and radiation is completed with minimal toxicity.

Indexed as

AdenocarcinomaAgedAntimetabolites, AntineoplasticChemoradiotherapyDeoxycytidineDisease ProgressionDose-Response Relationship, DrugDrug Administration ScheduleFemaleGemcitabineHumansMaleMiddle AgedPancreatic NeoplasmsPilot ProjectsQuality of LifeAntimetabolites, AntineoplasticDeoxycytidineGemcitabine

Identifiers

PMID23452509
PMCPMC3607991
OpenAlexW2109736870

What OpenQuestion holds

Textmetadata
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.