Evidence map›Paper›PMID 26194363›Full record

ArticleTargeted oncology2016

HPMA Copolymer-Conjugated Pirarubicin in Multimodal Treatment of a Patient with Stage IV Prostate Cancer and Extensive Lung and Bone Metastases.

Haruhiko Dozono, Shintaro Yanazume, Hideaki Nakamura, Tomáš Etrych, Petr Chytil, Karel Ulbrich, Jun Fang, Takeshi Arimura, Tsutomu Douchi, Hiroaki Kobayashi and 2 more

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In one paragraph

Article in Targeted oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.4field-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.

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

29 citing papers in PubMed, 86 citations in OpenAlex.

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  20. Polymer nanomedicines.Advanced drug delivery reviews · 2020
    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

12 authors at 5 institutions in 2 countries.

Haruhiko DozonoDozono Medical House, Kagoshima, Japan.
Shintaro YanazumeDepartment of Obstetrics and Gynecology, National Hospital Organization Kagoshima Medical Center, 8-1 Shiroyama, Kagoshima, 892-0853, Japan. s-yana@kagomc2.hosp.go.jp.
Hideaki NakamuraInstitute of Drug Delivery Science, Sojo University, Ikeda 4-22-1, Nishi-ku, Kumamoto, 860-0082, Japan.
Tomáš EtrychInstitute of Macromolecular Chemistry, Academy of Sciences, Prague, Czech Republic.
Petr ChytilInstitute of Macromolecular Chemistry, Academy of Sciences, Prague, Czech Republic.
Karel UlbrichInstitute of Macromolecular Chemistry, Academy of Sciences, Prague, Czech Republic.
Jun FangInstitute of Drug Delivery Science, Sojo University, Ikeda 4-22-1, Nishi-ku, Kumamoto, 860-0082, Japan.
Takeshi ArimuraMedipolis Proton Therapy and Research Center, Kagoshima, Japan.
Tsutomu DouchiDepartment of Obstetrics and Gynecology, Kagoshima University School of Medicine, Kagoshima, Japan.
Hiroaki KobayashiDepartment of Obstetrics and Gynecology, Kagoshima University School of Medicine, Kagoshima, Japan.
Michiaki IkomaIkoma Urology Clinic, Kagoshima, Japan.
Hiroshi MaedaInstitute of Drug Delivery Science, Sojo University, Ikeda 4-22-1, Nishi-ku, Kumamoto, 860-0082, Japan. hirmaeda@ph.sojo-u.ac.jp.
Czech Academy of Sciences, Institute of Macromolecular Chemistry · CZSojo University · JPKagoshima University · JPHanazono Hospital · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nanomedicine allows achievement of tumor-selective drug delivery because of the enhanced permeability and retention (EPR) effect of solid tumors. We report here the first clinical application of a new agent-HPMA copolymer-conjugated pirarubicin (P-THP)-with a molecular size of about 8 nm, or 38.5 kDa. A patient had advanced prostate cancer with multiple metastases in the lung, pelvis, femur, and perhaps the sacrum. In April 2013, this 60-year-old patient started treatment with leuprorelin and estradiol, which continued until July 2014, but the patient became refractory to this treatment. So the patient underwent proton beam radiotherapy targeted to the primary prostate cancer, and P-THP was administered for numerous metastatic tumor nodules concomitantly with radiotherapy. This combination therapy had remarkable results, with complete remission of multiple metastases in the lung and bone. The prostate-specific antigen (PSA) value was decreased from about 1000 ng/mL on April 30, 2013, to about 100 ng/mL on June 24, 2013, with hormone therapy, but rose again to 964.2 ng/mL and then to 1472 ng/mL in July 2013, during leuprorelin administration. P-THP treatment administered concomitantly with proton beam irradiation was started in August 2013. The PSA value was decreased to 102 ng/mL on August 26, 2013, and then to 0.971 ng/mL on October 8, 2013, and 0.277 ng/mL on January 15, 2015. The P-THP doses ranged from 30 to 75 mg of free THP equivalent/patient every 2-3 weeks without signs of serious toxicity, such as cardiovascular side effects or a reduction in quality of life. No evidence of relapse was found more than 20 months after P-THP administration. This case demonstrates the value of hydrazone-bonded polymeric drugs in multimodal therapy.

Indexed as

Drug Delivery SystemsAntineoplastic AgentsBone NeoplasmsCombined Modality TherapyDoxorubicinHumansLung NeoplasmsMaleMethacrylatesMiddle AgedNeoplasm StagingPrognosisProstatic NeoplasmsAntineoplastic AgentsDoxorubicinhydroxypropyl methacrylateMethacrylatespirarubicin

Identifiers

PMID26194363
OpenAlexW1008067630

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.