Evidence map›Paper›PMID 26392198›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2016

Long-term results of PRRT in advanced bronchopulmonary carcinoid.

Annapaola Mariniello, Lisa Bodei, Carmine Tinelli, Silvia Melania Baio, Laura Gilardi, Marzia Colandrea, Stefano Papi, Giuseppe Valmadre, Nicola Fazio, Domenico Galetta and 2 more

Abstract read
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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
–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.

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

55 citing papers in PubMed.

  1. Trial
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  3. Article
  4. Article
  5. Expanding the therapeutic horizon ofNagoya journal of medical science · 2025
    Review
  6. Review
  7. Very good effect of rescue treatment withReports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Article
  8. Review
  9. First preclinical evaluation of [EJNMMI radiopharmacy and chemistry · 2023
    Article
  10. Review
  11. LutatheraPharmaceutics · 2023
    Review
  12. Efficacy and Safety of [Biomedicines · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Efficacy and Safety ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  20. 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.

Annapaola MarinielloDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy. annap_mar@hotmail.it.
Lisa BodeiDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy.
Carmine TinelliEpidemiology and Biometric Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.
Silvia Melania BaioDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy.
Laura GilardiDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy.
Marzia ColandreaDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy.
Stefano PapiDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy.
Giuseppe ValmadrePresidio Ospedaliero E. Morelli AOVV, Sondalo, Italy.
Nicola FazioUnit of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, European Institute of Oncology, Milan, Italy.
Domenico GalettaThoracic Surgery Division, European Institute of Oncology, Milan, Italy.
Giovanni PaganelliNuclear Medicine and Radiometabolic Units, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Chiara Maria GranaDivision of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePeptide receptor radionuclide therapy (PRRT) for the treatment of neuroendocrine tumours (NET) has been explored for almost two decades, but there are still few trials that have exclusively investigated well-differentiated and moderately differentiated NET arising from the respiratory tree. Thus, the aim of this study was to explore the outcome in patients affected by bronchopulmonary carcinoid (BPC) following PRRT.

methodsWe retrospectively analysed 114 patients with advanced stage BPC consecutively treated with PRRT at the European Institute of Oncology, Milan, from 1997 to 2012 and followed until October 2014. The objective responses, overall survival (OS) and progression-free survival (PFS) were rated, and three different PRRT protocols ((90)Y-DOTATOC vs. (177)Lu-DOTATATE vs. (90)Y-DOTATOC + (177)Lu-DOTATATE) were compared with regard to their efficacy and tolerability.

resultsThe median OS (evaluated in 94 of the 114 patients) was 58.8 months. The median PFS was 28.0 months. The (177)Lu-DOTATATE protocol resulted in the highest 5-year OS (61.4%). Morphological responses (partial responses + minor responses) were obtained in 26.5% of the cohort and were associated with longer OS and PFS. The (90)Y-DOTATOC + (177)Lu-DOTATATE protocol provided the highest response rate (38.1%). Adverse events were mild in the majority of patients. However, haematological toxicity negatively affected survival. No severe (grade 3/4) serum creatinine increase was observed. Patients treated with (90)Y-DOTATOC alone more frequently showed a mild/moderate decrease in renal function. In patients treated with chemotherapy before PRRT had a shorter OS and PFS, and a higher risk of developing nephrotoxicity.

conclusionIn a large cohort of patients with advanced BPC treated in a "real-world" scenario and followed up for a median of 45.1 months (range 2-191 months), PRRT proved to be promising in prolonging survival and delaying disease progression. Despite the potential selection biases, considering the risk-benefit ratio, (177)Lu-DOTATATE monotherapy seems the best option for PRRT. Our results indicate that the use of PRRT in earlier stages of the disease could provide a more favorable outcome.

Indexed as

AgedCarcinoid TumorCarcinoma, NeuroendocrineCohort StudiesCreatinineData CollectionDisease-Free SurvivalDisease ProgressionEuropeFemaleFollow-Up StudiesHumansLutetiumMaleMiddle AgedNeoplasm Recurrence, LocalCreatinineEdotreotideLutetiumlutetium Lu 177 dotatateOctreotideOrganometallic CompoundsRadioisotopesRadiopharmaceuticalsReceptors, PeptideBronchopulmonary carcinoidNeuroendocrine tumoursPeptide receptor radionuclide therapy

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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.