Evidence map›Paper›PMID 24085501›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2014

Somatostatin-based radiopeptide therapy with [177Lu-DOTA]-TOC versus [90Y-DOTA]-TOC in neuroendocrine tumours.

A Romer, D Seiler, N Marincek, P Brunner, M T Koller, Q K T Ng, H R Maecke, J Müller-Brand, C Rochlitz, M Briel and 2 more

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

Trial report in European journal of nuclear medicine and molecular imaging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04790708 (Peptide Receptor Radionuclide Therapy), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
5.5field-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.

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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Reconstructed SPECT images ofScientific data · 2022
    Article
  11. Review
  12. Article
  13. Nephrotoxicity after radionuclide therapies.Translational oncology · 2022
    Article
  14. Pharmaceutics · 2021
    Review
  15. Article
  16. Review
  17. Correlation of dose with toxicity and tumour response toEuropean journal of nuclear medicine and molecular imaging · 2018
    Review
  18. Review
  19. Review
  20. The prognostic and predictive value of sstrEuropean journal of nuclear medicine and molecular imaging · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

A RomerInstitute of Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
D Seiler
N Marincek
P Brunner
M T Koller
Q K T Ng
H R Maecke
J Müller-Brand
C Rochlitz
M Briel
C Schindler
M A Walter
University Hospital of Basel · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSomatostatin-based radiopeptide treatment is generally performed using the β-emitting radionuclides (90)Y or (177)Lu. The present study aimed at comparing benefits and harms of both therapeutic approaches.

methodsIn a comparative cohort study, patients with advanced neuroendocrine tumours underwent repeated cycles of [(90)Y-DOTA]-TOC or [(177)Lu-DOTA]-TOC until progression of disease or permanent adverse events. Multivariable Cox regression and competing risks regression were employed to examine predictors of survival and adverse events for both treatment groups.

resultsOverall, 910 patients underwent 1,804 cycles of [(90)Y-DOTA]-TOC and 141 patients underwent 259 cycles of [(177)Lu-DOTA]-TOC. The median survival after [(177)Lu-DOTA]-TOC and after [(90)Y-DOTA]-TOC was comparable (45.5 months versus 35.9 months, hazard ratio 0.91, 95% confidence interval 0.63-1.30, p = 0.49). Subgroup analyses revealed a significantly longer survival for [(177)Lu-DOTA]-TOC over [(90)Y-DOTA]-TOC in patients with low tumour uptake, solitary lesions and extra-hepatic lesions. The rate of severe transient haematotoxicities was lower after [(177)Lu-DOTA]-TOC treatment (1.4 vs 10.1%, p = 0.001), while the rate of severe permanent renal toxicities was similar in both treatment groups (9.2 vs 7.8%, p = 0.32).

conclusionThe present results revealed no difference in median overall survival after [(177)Lu-DOTA]-TOC and [(90)Y-DOTA]-TOC. Furthermore, [(177)Lu-DOTA]-TOC was less haematotoxic than [(90)Y-DOTA]-TOC.

Indexed as

AdolescentAdultAged, 80 and overChildFemaleHumansMaleMiddle AgedNeuroendocrine TumorsOctreotideRadiopharmaceuticalsTreatment Outcome177Lu-octreotide, DOTA(0)-Tyr(3)-90Y-octreotide, DOTA-Tyr(3)-OctreotideRadiopharmaceuticals

Identifiers

PMID24085501
OpenAlexW2024786905

What OpenQuestion holds

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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.