Evidence map›Paper›PMID 26718878›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2016

A Phase I Study of Light Dose for Photodynamic Therapy Using 2-[1-Hexyloxyethyl]-2 Devinyl Pyropheophorbide-a for the Treatment of Non-Small Cell Carcinoma In Situ or Non-Small Cell Microinvasive Bronchogenic Carcinoma: A Dose Ranging Study.

Samjot Singh Dhillon, Todd L Demmy, Sai Yendamuri, Gregory Loewen, Chukwumere Nwogu, Michele Cooper, Barbara W Henderson

Abstract readClinical Trial, Phase I
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 44 citations in OpenAlex.

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  9. Impact of mono- and di-β-galactose moieties inEuropean journal of medicinal chemistry reports · 2022
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  19. Chemophototherapy: An Emerging Treatment Option for Solid Tumors.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2017
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Samjot Singh DhillonDepartment of Medicine-Pulmonary Medicine/Thoracic Oncology, Roswell Park Cancer Institute, Buffalo, NY. Electronic address: samjot.dhillon@roswellpark.org.
Todd L DemmySections of Thoracic Oncology and Thoracic Surgery, Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ.
Sai YendamuriDepartment of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, NY.
Gregory LoewenWashington State University, Spokane, WA.
Chukwumere NwoguDepartment of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, NY.
Michele CooperDepartment of Photodynamic Therapy, Roswell Park Cancer Institute, Buffalo, NY.
Barbara W HendersonDepartment of Photodynamic Therapy, Roswell Park Cancer Institute, Buffalo, NY.
Roswell Park Comprehensive Cancer Center · USJohnson University · USWashington State University Spokane · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Dean G. Tang · 1985 to 2026
$116.6M
StatisticsP01CA055791 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI PANDEY, RAVINDRA K. · 1992 to 2019
$36.0M
NCI NIH HHS P01 CA055791NCI NIH HHS P30 CA016056PHS HHS P0155791
6 · The paper itself

Abstract

introductionWe report a phase I trial of photodynamic therapy (PDT) of carcinoma in situ (CIS) and microinvasive cancer (MIC) of the central airways with the photosensitizer (PS) 2-[1-hexyloxyethyl]-2-devinyl pyropheophorbide-a (HPPH). HPPH has the advantage of minimal general phototoxicity over the commonly used photosensitizer porfimer sodium (Photofrin; Pinnacle Biologics, Chicago, IL).

methodsThe objectives of this study were (1) to determine the maximally tolerated light dose at a fixed photosensitizer dose and (2) to gain initial insight into the effectiveness of this treatment approach. Seventeen patients with 21 CIS/MIC lesions were treated with HPPH with light dose escalation starting from 75 J/cm2 and increasing to 85, 95,125, and 150 J/cm2 respectively. Follow-up bronchoscopy for response assessment was performed at 1 and 6 months, respectively.

resultsThe rate of pathological complete response (CR) was 82.4% (14 of 17 evaluable lesions; 14 patients) at 1 month and 72.7% (8/11 evaluable lesions; 8 patients) at 6 months. Only four patients developed mild skin erythema. One of the three patients in the 150 J/cm2 light dose group experienced a serious adverse event. This patient had respiratory distress caused by mucus plugging, which precipitated cardiac ischemia. Two additional patients treated subsequently at this light dose had no adverse events. The sixth patient in this dose group was not recruited and the study was terminated because of delays in HPPH supply. However, given the observed serious adverse event, it is recommended that the light dose does not exceed 125 J/cm2.

conclusionsPDT with HPPH can be safely used for the treatment of CIS/MIC of the airways, with potential effectiveness comparable to that reported for porfimer sodium in earlier studies.

Indexed as

PhotochemotherapyAgedAged, 80 and overCarcinoma, BronchogenicCarcinoma in SituCarcinoma, Non-Small-Cell LungChlorophyllDose-Response Relationship, DrugFemaleHumansLung NeoplasmsMaleMiddle AgedPhotosensitizing Agents2-(1-hexyloxyethyl)-2-devinyl pyropheophorbide-aChlorophyllPhotosensitizing AgentsBronchoscopyCarcinoma in situLung cancerPhotodynamic therapy

Identifiers

PMID26718878
PMCPMC4729686
OpenAlexW2206020846

What OpenQuestion holds

Textmetadata
LicenceTDM
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.