Evidence map›Paper›PMID 25672894›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2015

Long-term effects of inhaled budesonide on screening-detected lung nodules.

G Veronesi, M Lazzeroni, E Szabo, P H Brown, A DeCensi, A Guerrieri-Gonzaga, M Bellomi, D Radice, M C Grimaldi, L Spaggiari and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01540552 (Evolution of Undetermined Ld-CT Detected Lung Nodules Among a Randomized Phase II Trial With Inhaled Budesonide), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT01540552 completednot on this map

Evolution of Undetermined Ld-CT Detected Lung Nodules Among a Randomized Phase II Trial With Inhaled Budesonide

TypeobservationalSponsorM.D. Anderson Cancer CenterRan2012 to 2013Enrolled320ConditionsLung Cancer, Precancerous ConditionArmsmedical chart review, computed tomography, computer-aided detection/diagnosis
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Review
  6. The Past and Future of Inflammation as a Target to Cancer Prevention.Cancer prevention research (Philadelphia, Pa.) · 2024
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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

11 authors at 5 institutions in 4 countries.

G VeronesiDivisions of Thoracic Surgery. Electronic address: giulia.veronesi@ieo.it.
M LazzeroniCancer Prevention and Genetics, European Institute of Oncology, Milan, Italy.
E SzaboDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda.
P H BrownDepartment of Clinical Cancer Prevention, University of Texas MD Anderson Cancer Center, Houston, USA.
A DeCensiCancer Prevention and Genetics, European Institute of Oncology, Milan, Italy; Division of Medical Oncology, Ospedali Galliera, Genoa.
A Guerrieri-GonzagaCancer Prevention and Genetics, European Institute of Oncology, Milan, Italy.
M BellomiDivision of Radiology, European Institute of Oncology, Milan; University of Milan, Milan.
D RadiceDivision of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy.
M C GrimaldiDivision of Radiology, European Institute of Oncology, Milan.
L SpaggiariDivisions of Thoracic Surgery; University of Milan, Milan.
B BonanniCancer Prevention and Genetics, European Institute of Oncology, Milan, Italy.
European Institute of Oncology · ITEnte Ospedaliero Ospedali Galliera · ITMylan (Switzerland) · CHNational Institutes of Health · USThe University of Texas MD Anderson Cancer Center · US

Funding

PHASE I and II CLINICAL TRIALS OF CHEMOPREVENTIVE AGENTS-261035159-261035159N01CN035159 · CN · UNIVERSITY OF TEXAS M D ANDER · PI LIPPMAN, SCOTT M. · 2004 to 2006
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NCI NIH HHS N01-CN-035159
6 · The paper itself

Abstract

backgroundA previously carried out randomized phase IIb, placebo-controlled trial of 1 year of inhaled budesonide, which was nested in a lung cancer screening study, showed that non-solid and partially solid lung nodules detected by low-dose computed tomography (LDCT), and not immediately suspicious for lung cancer, tended to regress. Because some of these nodules may be slow-growing adenocarcinoma precursors, we evaluated long-term outcomes (after stopping the 1-year intervention) by annual LDCT. PATIENTS AND

methodsWe analyzed the evolution of target and non-target trial nodules detected by LDCT in the budesonide and placebo arms up to 5 years after randomization. The numbers and characteristics of lung cancers diagnosed during follow-up were also analyzed.

resultsThe mean maximum diameter of non-solid nodules reduced significantly (from 5.03 mm at baseline to 2.61 mm after 5 years) in the budesonide arm; there was no significant size change in the placebo arm. The mean diameter of partially solid lesions also decreased significantly, but only by 0.69 mm. The size of solid nodules did not change. Neither the number of new lesions nor the number of lung cancers differed in the two arms.

conclusionsInhaled budesonide given for 1 year significantly decreased the size of non-solid nodules detected by screening LDCT after 5 years. This is of potential importance since some of these nodules may progress slowly to adenocarcinoma. However, further studies are required to assess clinical implications. CLINICAL TRIAL NUMBER: NCT01540552.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAdministration, InhalationAntineoplastic AgentsBudesonideClinical Trials, Phase II as TopicEarly Detection of CancerHumansLung NeoplasmsMultidetector Computed TomographyMultiple Pulmonary NodulesPrecancerous ConditionsPredictive Value of TestsRandomized Controlled Trials as TopicRetrospective StudiesRisk FactorsAntineoplastic AgentsBudesonidebudesonidechemopreventionlow-dose computed tomographylung cancerscreening

Identifiers

PMID25672894
PMCPMC4405280
OpenAlexW2006723876

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.