Evidence map›Paper›PMID 26253273›Full record

SynthesisEuropean journal of nuclear medicine and molecular imaging2015

The efficacy of (177)Lu-labelled peptide receptor radionuclide therapy in patients with neuroendocrine tumours: a meta-analysis.

Seong-Jang Kim, Kyoungjune Pak, Phillip J Koo, Jennifer J Kwak, Samuel Chang

Registry-linked trialAbstract readEvaluation StudyMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European journal of nuclear medicine and molecular imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03206060 (Lu-177-DOTATATE), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03206060 phase2recruitingnot on this mapstarted 2017, after this paper: background citation

Lu-177-DOTATATE (Lutathera) in Therapy of Inoperable Pheochromocytoma/ Paraganglioma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2017 to 2033Enrolled130ConditionsPheochromocytoma, Paraganglioma, Neuroendocrine Tumors, Neuroendocrine NeoplasmsArmsLu-177-DOTATATE, Ga-68-DOTATATE
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The efficacy ofJournal of cancer research and clinical oncology · 2020
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. A dual-tracer approach using [EJNMMI research · 2023
    Article
  11. Review
  12. Correlations between [Cancers · 2023
    Article
  13. Dosimetric Quantities in Neuroendocrine Tumors over Treatment Cycles withJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  14. KSNM60 in Nuclear Endocrinology: from the Beginning to the Future.Nuclear medicine and molecular imaging · 2022
    Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Peptide Receptor Radionuclide Therapy of Late-Stage Neuroendocrine Tumor Patients with Multiple Cycles ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    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

5 authors.

Seong-Jang KimDepartment of Nuclear Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea. growthkim@daum.net.
Kyoungjune PakDepartment of Nuclear Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea. ilikechopin@me.com.
Phillip J KooDepartment of Radiology, University of Colorado School of Medicine, 12401 E 17th Ave, L-954, Aurora, CO, 80045, USA.
Jennifer J KwakDepartment of Radiology, University of Colorado School of Medicine, 12401 E 17th Ave, L-954, Aurora, CO, 80045, USA.
Samuel ChangDepartment of Radiology, University of Colorado School of Medicine, 12401 E 17th Ave, L-954, Aurora, CO, 80045, USA. samuel.chang@ucdenver.edu.ORCID http://orcid.org/0000-0001-5983-1368

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was performed to evaluate the efficacy of (177)Lu-labelled peptide receptor radionuclide therapy (PRRT) in patients with inoperable or metastatic neuroendocrine tumours (NETs).

methodsSystematic searches of MEDLINE and EMBASE databases were performed using the keywords of "neuroendocrine", "(177)Lu" and "prognosis". All published studies of neuroendocrine tumours treated with (177)Lu-labelled radiopharmaceuticals and evaluated with either Response Evaluation Criteria in Solid Tumours (RECIST) 1.0 or Southwest Oncology Group (SWOG) criteria or both were included. If there was more than one published study from the same institution, only one report with the information most relevant to this study was included. Each response criteria group was analysed for disease response rates and disease control rates, defined as the percentages of patients with complete response (CR) + partial response (PR), and CR + PR + stable disease (SD), respectively, to a therapeutic intervention in clinical trials of anticancer agents. The pooled proportions are presented with both a fixed-effects model and random-effects model.

resultsSix studies with 473 patients (4 in RECIST criteria group with 356 patients, 3 in SWOG criteria group with 375 patients and 1 in both groups) were included. The RECIST criteria group demonstrated disease response rates ranging between 17.6 and 43.8% with a pooled effect of 29% [95% confidence interval (CI) 24-34%]. Disease control rates ranged from 71.8 to 100%. The random-effects model showed an average disease control rate of 81% (95% CI 71-91%). The SWOG criteria group demonstrated disease response rates ranging between 7.0 and 36.5% with a pooled effect of 23% (95% CI 11-38%). Disease control rates ranged from 73.9 to 89.1%. The random-effects model showed an average disease control rate of 82% (95% CI 71-91%).

conclusion(177)Lu-labelled PRRT is an effective treatment option for patients with inoperable or metastatic NETs.

Indexed as

HumansNeuroendocrine TumorsOctreotideOrganometallic CompoundsRadiopharmaceuticals177Lu-octreotide, DOTA(0)-Tyr(3)-lutetium Lu 177 dotatateOctreotideOrganometallic CompoundsRadiopharmaceuticalsLutetiumNeuroendocrine tumourPeptide receptor therapyRadionuclide therapy

Identifiers

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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.