Evidence map›Paper›PMID 24575360›Full record

ArticleJournal of pulmonary & respiratory medicine2013

Dietary Flaxseed in Non-Small Cell Lung Cancer Patients Receiving Chemoradiation.

Abigail T Berman, Jason Turowski, Rosemarie Mick, Keith Cengel, Nicole Farnese, Lisa Basel-Brown, Clementina Mesaros, Ian Blair, James Lawson, Melpo Christofidou-Solomidou and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pulmonary & respiratory medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

12 authors at 1 institution in 1 country.

Abigail T BermanDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, USA.
Jason TurowskiDepartment of Medicine, Pulmonary Allergy and Critical Care Division, University of Pennsylvania, Philadelphia, USA.
Rosemarie MickDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, USA.
Keith CengelDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, USA.
Nicole FarneseDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, USA.
Lisa Basel-BrownDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, USA.
Clementina MesarosDepartment of Pharmacology, University of Pennsylvania, Philadelphia, USA.
Ian BlairDepartment of Pharmacology, University of Pennsylvania, Philadelphia, USA.
James LawsonDepartment of Pharmacology, University of Pennsylvania, Philadelphia, USA.
Melpo Christofidou-SolomidouDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, USA.
James LeeDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, USA.
Ramesh RenganDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, USA.
University of Pennsylvania · US

Funding

Secoisolariciresinol Diglucoside (SDB) Protection in Radiation PheumonopathyR01CA133470 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTOFIDOU-SOLOMIDOU, MELPO · 2008 to 2012
$2.2M
NCI NIH HHS R01 CA133470
6 · The paper itself

Abstract

purposeThe standard of care in Locally-Advanced Non-Small Cell Lung Cancer (LA-NSCLC) is chemotherapy and radiation; however, Radiation-Induced Lung Injury (RILI), which may be prevented by the anti-inflammatory and anti-oxidant properties of Flaxseed (FS), impedes its maximum benefit. MATERIALS AND

methodsPatients with LA-NSCLC requiring definitive RT were randomized to one FS or control muffin daily from start to 2 weeks after RT. Blood and urine were collected to quantify plasma FS metabolites, Enterodione (ED) and Enterolactone (EL), and urinary oxidative stress biomarkers, 8, 12-iso-iPF2a-VI (isoprostane) and 8-oxo-7,8-dihydro-2'deoxyguanosine (8-oxo-dGuo). Tolerability was defined as consuming ≥ 75% of the intended muffins and no ≥ grade 3 gastrointestinal toxicities.

resultsFourteen patients (control,7; FS,7) were enrolled. The tolerability rates were 42.9 versus 71.4% (p=0.59) for FS and control, respectively. Mean percentages of intended number of muffins consumed were 37% versus 73% (p=0.12). ED and EL increased at onset of FS and decreased with discontinuation, confirming bioavailability. Isoprostane and 8-oxo-dGuo were detectable. There was a trend towards decreased rates of pneumonitis in FS.

conclusionsThis is the first study to report FS bioavailability and quantify oxidative stress markers in NSCLC patients. FS in the administered muffin formulation did not meet tolerability criteria. Given the promising mechanism of FS as a radioprotectant, further investigations should focus on the optimal method for administration of FS.

Indexed as

8-oxo dGuoEsophagitisFibrosisFlaxseedIsoprostaneLignanNon-small cell lung cancerPneumonitisRadiationRadiation induced lung injuryRILI

Identifiers

PMID24575360
PMCPMC3932620
OpenAlexW1462561006

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.