Evidence map›Paper›PMID 25635138›Full record

Trial reportJournal of nuclear medicine : official publication, Society of Nuclear Medicine2015

Castration-resistant prostate cancer bone metastasis response measured by 18F-fluoride PET after treatment with dasatinib and correlation with progression-free survival: results from American College of Radiology Imaging Network 6687.

Evan Y Yu, Fenghai Duan, Mark Muzi, Xuan Deng, Bennett B Chin, Joshi J Alumkal, Mary-Ellen Taplin, Jina M Taub, Ben Herman, Celestia S Higano and 4 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00918385 (A Phase II Trial of Genomic Guided Therapy With Dasatinib or Nilutamide in Metastatic Castration-Resistant Prostate Cancer), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
7.7field-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.

NCT00918385 phase2terminatednot on this map

A Phase II Trial of Genomic Guided Therapy With Dasatinib or Nilutamide in Metastatic Castration-Resistant Prostate Cancer

TypeinterventionalSponsorDuke UniversityRan2009 to 2013Enrolled57ConditionsProstate CancerArmsNilutamide, Dasatinib
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Whole-Body [Tomography (Ann Arbor, Mich.) · 2021
    Trial
  3. Trial
  4. Prediction of therapy response in bone-predominant metastatic breast cancer: comparison of [European journal of nuclear medicine and molecular imaging · 2019
    Trial
  5. Quantitative Assessment of Early [Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Tanshinone IIA Inhibits Osteosarcoma Growth through a Src Kinase-Dependent Mechanism.Evidence-based complementary and alternative medicine : eCAM · 2021
    Article
  14. Article
  15. Article
  16. Is Response Assessment of Breast Cancer Bone Metastases Better with Measurement ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Article
  17. Prospective Study of SerialJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2018
    Article
  18. The British journal of radiology · 2018
    Review
  19. Functional and Hybrid Imaging of Bone Metastases.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2018
    Review
  20. 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

14 authors at 8 institutions in 1 country.

Evan Y YuUniversity of Washington, Seattle, Washington evanyu@uw.edu.
Fenghai DuanDepartment of Biostatistics and Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.
Mark MuziUniversity of Washington, Seattle, Washington.
Xuan DengDepartment of Biostatistics and Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.
Bennett B ChinDuke University, Durham, North Carolina.
Joshi J AlumkalOregon Health & Science University, Portland, Oregon.
Mary-Ellen TaplinDana-Farber Cancer Institute, Boston, Massachusetts.
Jina M TaubUniversity of Washington, Seattle, Washington.
Ben HermanDepartment of Biostatistics and Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.
Celestia S HiganoUniversity of Washington, Seattle, Washington.
Robert K DootUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Donna HartfeilAmerican College of Radiology Imaging Network (ACRIN), Philadelphia, Pennsylvania; and.
Philip G FebboUniversity of California San Francisco, San Francisco, California.
David A MankoffUniversity of Pennsylvania, Philadelphia, Pennsylvania.
University of Washington · USBrown University · USUniversity of Pennsylvania · USAmerican College of Radiology · USDana-Farber Cancer Institute · USDuke University · USOregon Health & Science University · USUniversity of California, San Francisco · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
ARRA - ADOPT New Technologies for RDC/CDMSU01CA080098 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI SCHNALL, MITCHELL D. · 1999 to 2011
$182.7M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
BIOSTATISTICS DATA MANAGEMENT CENTER FOR ACROINU01CA079778 · NCI · BROWN UNIVERSITY · PI GATSONIS, CONSTANTINE A. · 1999 to 2011
$48.6M
Advanced PET/CT Imaging for Improving Clinical TrialsU01CA148131 · NCI · UNIVERSITY OF WASHINGTON · PI KINAHAN, PAUL E., LINDEN, HANNAH M · 2010 to 2019
$6.0M
NCI NIH HHS P30 CA016520NCI NIH HHS U01 CA079778NCI NIH HHS U01 CA080098NCI NIH HHS U01 CA148131NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820
6 · The paper itself

Abstract

unlabelled(18)F-fluoride PET quantitatively images bone metabolism and may serve as a pharmacodynamic assessment for systemic therapy such as dasatinib, a potent SRC kinase inhibitor, with activity in bone.

methodsThis was an imaging companion trial (American College of Radiology Imaging Network [ACRIN] 6687) to a multicenter metastatic castration-resistant prostate cancer (CRPC) tissue biomarker-guided therapeutic trial (NCT00918385). Men with bone metastatic CRPC underwent (18)F-fluoride PET before and 12 weeks after initiation of dasatinib (100 mg daily). Dynamic imaging was performed over a 15-cm field of view for trial assessments. The primary endpoint was to determine whether changes in (18)F-fluoride incorporation in tumor and normal bone occurred in response to dasatinib. Other endpoints included differential effect of dasatinib between (18)F-fluoride incorporation in tumor and normal bone, (18)F-fluoride transport in bone metastases, correlation with progression-free survival (PFS), prostate-specific antigen, and markers of bone turnover.

resultsEighteen participants enrolled, and 17 underwent interpretable baseline (18)F-fluoride PET imaging before initiation of dasatinib. Twelve of 17 patients underwent on-treatment PET imaging. Statistically significant changes in response to dasatinib were identified by the SUVmaxavg (average of maximum standardized uptake value [SUVmax] for up to 5 tumors within the dynamic field of view) in bone metastases (P = 0.0002), with a significant differential (18)F-fluoride PET response between tumor and normal bone (P < 0.0001). Changes in (18)F-fluoride incorporation in bone metastases had borderline correlation with PFS by SUVmaxavg (hazard ratio, 0.91; 95% confidence interval, 0.82-1.00; P = 0.056). Changes by SUVmaxavg correlated with bone alkaline phosphatase (P = 0.0014) but not prostate-specific antigen (P = 0.47).

conclusionThis trial provides evidence of the ability (18)F-fluoride PET to delineate treatment response of dasatinib in CRPC bone metastases with borderline correlation with PFS.

Indexed as

Fluorine RadioisotopesPositron-Emission TomographyAgedAged, 80 and overAntineoplastic AgentsBiomarkers, TumorBiopsyBone and BonesBone NeoplasmsDasatinibDisease-Free SurvivalHumansImage Processing, Computer-AssistedMaleMiddle AgedNeoplasm MetastasisAntineoplastic AgentsBiomarkers, TumorDasatinibFluorine RadioisotopesProtein Kinase InhibitorsPyrimidinesReceptors, AndrogenThiazoles18F-fluoride PETbone metastasesdasatinibmetastatic castration-resistant prostate cancer

Identifiers

PMID25635138
PMCPMC4410847
OpenAlexW2150717368

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.