Evidence map›Paper›PMID 24373762›Full record

Trial reportBrachytherapy

A Phase II study of salvage high-dose-rate brachytherapy for the treatment of locally recurrent prostate cancer after definitive external beam radiotherapy.

Yoshiya Yamada, Marisa A Kollmeier, Xin Pei, Chu Cheng Kan, Gil'ad N Cohen, Sherri M Donat, Brett W Cox, Michael J Zelefsky

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Brachytherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 6 pooled it
7.3field-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.

NCT03312972 naactive not recruitingnot on this map

F-SHARP: A Phase I/II Trial of Focal Salvage High-dose-rate BRachytherapy for Locally Recurrent Prostate Cancer in Patients Treated With Prior Radiotherapy

TypeinterventionalSponsorLoyola UniversityRan2017 to 2026Enrolled50ConditionsLocally Recurrent Prostate CancerArmsHDR Brachytherapy
NCT03553602 phase1 / phase2terminatednot on this map

A Phase I/II Study of Salvage High-dose-rate Brachytherapy, ExternAl Beam COmbined and Short-term Hormonal Therapy for the Treatment of Node-positive Locally Recurrent Prostate Cancer After Prior Definitive Radiotherapy

TypeinterventionalSponsorLoyola UniversityRan2017 to 2024Enrolled3ConditionsProstate Cancer - RecurrentArmsHDR Brachytherapy + EBRT + STAD
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 6 syntheses or guidelines pooled it, 129 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

8 authors at 1 institution in 1 country.

Yoshiya YamadaDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY. Electronic address: yamadaj@mskcc.org.
Marisa A KollmeierDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Xin PeiDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Chu Cheng KanDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Gil'ad N CohenDepartment of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, NY.
Sherri M DonatDepartment of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Brett W CoxDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Michael J ZelefskyDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeWe report the toxicity and biochemical tumor control outcome of a prospective Phase II study using high-dose-rate brachytherapy (HDR) alone as a salvage therapy for recurrent disease after external beam radiotherapy (EBRT).

methodsForty-two patients with biopsy-proven recurrence were enrolled on a Phase II study of salvage HDR monotherapy using iridium-192. Median pretreatment EBRT dose was 8100 cGy (6840-8640 cGy) and the median time from completion of EBRT to salvage HDR was 73 months. The protocol prescription dose of 3200 cGy was delivered in four fractions over 30 hours in a single insertion. Median followup after salvage HDR was 36 months (6-67 months).

resultsThe actuarial prostate-specific antigen biochemical relapse-free survival and distant metastases-free survival rates at 5 years were 68.5% and 81.5%, respectively. Cause-specific survival was 90.3%. Late genitourinary Grade 1and 2 toxicities were found in 38% and 48%, respectively, and one patient developed Grade 3 urinary incontinence. Late Grade 1 and 2 gastrointestinal toxicity was noted in 17% and 8% of patients, respectively. Three patients (7%) developed Grade 2 late urinary toxicity (urethral stricture), which were corrected with urethral dilatation, and one patient developed Grade 3 urinary incontinence. No Grade 4 toxicities were observed.

conclusionsGenitourinary toxicity was the most commonly encountered toxicity observed after salvage HDR but severe toxicities were uncommon. Salvage HDR is an effective and well-tolerated modality for locally recurrent prostate cancer and should be considered even for patients who have previously been treated with ultra-high dose levels of EBRT.

Indexed as

AgedAged, 80 and overBrachytherapyHumansIridium RadioisotopesMaleMiddle AgedNeoplasm Recurrence, LocalProspective StudiesProstate-Specific AntigenProstatic NeoplasmsRadiotherapy DosageSalvage TherapySurvival RateUrethral StrictureUrinary IncontinenceIridium RadioisotopesProstate-Specific AntigenHigh dose rate brachytherapySalvage brachytherapy

Identifiers

PMID24373762
PMCPMC5718052
OpenAlexW2164913000

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.