Evidence map›Paper›PMID 24323313›Full record

ArticlePituitary2014

Peptide receptor radionuclide therapy for aggressive atypical pituitary adenoma/carcinoma: variable clinical response in preliminary evaluation.

Jillian Maclean, Matthew Aldridge, Jamshed Bomanji, Susan Short, Naomi Fersht

Abstract read
PubMed Publisher
In one paragraph

Article in Pituitary, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Functional pituitary adenoma imaging.Reviews in endocrine & metabolic disorders · 2026
    Review
  4. Therapy for aggressive pituitary tumors and carcinomas.Reviews in endocrine & metabolic disorders · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Success ofEndocrine oncology (Bristol, England) · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Aggressive Pituitary Tumors and Pituitary Carcinomas: From Pathology to Treatment.The Journal of clinical endocrinology and metabolism · 2023
    Article
  13. Review
  14. Recent Therapeutic Advances in Pituitary Carcinoma.Journal of immunotherapy and precision oncology · 2023
    Review
  15. LutatheraPharmaceutics · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

5 authors at 3 institutions in 1 country.

Jillian MacleanUniversity College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK, jillianmaclean@nhs.net.
Matthew Aldridge
Jamshed Bomanji
Susan Short
Naomi Fersht
University College London · GBUniversity College London Hospitals NHS Foundation Trust · GBSt James's University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are limited treatment options for progressive atypical pituitary adenomas and carcinomas. Peptide receptor radionuclide therapy that targets somatostatin receptors has recently been proposed as a potential treatment option. The theoretical rationale for efficacy is elegant but evaluation of outcomes in the first patients treated for this indication is required to assess whether further study is warranted.

methodsWe performed a case review of the three pituitary patients we have treated with (177)Lutetium DOTATATE in our institution (two atypical adenomas, one carcinoma) and dosimetric analysis of the radiation uptake in one patient.

resultsTreatment was well tolerated. One patient with slowly progressive pituitary carcinoma has stable disease 40 months after completing the planned 4 cycles of treatment. Two patients with rapidly progressive atypical adenomas terminated treatment early due to continued disease progression. Dosimetric evaluation revealed inhomogenous uptake across the tumour (1.3-11.9 Gy with one cycle).

conclusionWe have found mixed results in our first 3 patients with stable disease achieved only in the patient with the more slowly progressive tumour. As only a limited number of centres offer Peptide receptor radionuclide therapy, a formal study with prospective data collection may be feasible and if carried out should include dosimetric evaluation of absorbed dose.

Indexed as

AdultGrowth Hormone-Secreting Pituitary AdenomaHumansLutetiumMaleMiddle AgedOctreotideOrganometallic CompoundsPituitary NeoplasmsPositron-Emission TomographyProlactinomaRadioisotopesRadiopharmaceuticalsReceptors, PeptideTomography, Emission-Computed, Single-PhotonTomography, X-Ray Computedgallium Ga 68 dotatateLutetiumlutetium Lu 177 dotatateOctreotideOrganometallic CompoundsRadioisotopesRadiopharmaceuticalsReceptors, Peptide

Identifiers

PMID24323313
OpenAlexW2073442773

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.