Evidence map›Paper›PMID 26944262›Full record

Trial reportBMC cancer2016

A randomised phase II trial of Stereotactic Ablative Fractionated radiotherapy versus Radiosurgery for Oligometastatic Neoplasia to the lung (TROG 13.01 SAFRON II).

Shankar Siva, Tomas Kron, Mathias Bressel, Marion Haas, Tao Mai, Shalini Vinod, Giuseppe Sasso, Wenchang Wong, Hien Le, Thomas Eade and 6 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Stereotactic radiotherapy for lung oligometastases.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  7. Developments in radiation techniques for thoracic malignancies.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Independent review of 4DCT scans used for SABR treatment planning.Journal of applied clinical medical physics · 2020
    Article
  13. Radiotherapy in Lung Cancer: Current and Future Role.Sisli Etfal Hastanesi tip bulteni · 2019
    Review
  14. Article
  15. Radiosensitivity of Lung Metastases by Primary Histology and Implications for Stereotactic Body Radiation Therapy Using the Genomically Adjusted Radiation Dose.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2018
    Article
  16. Review
  17. Review
  18. 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

16 authors at 11 institutions in 4 countries.

Shankar SivaPeter MacCallum Cancer Centre, 2 St Andrews Place, East Melbourne, 3002, Australia. shankar.siva@petermac.org.
Tomas KronPeter MacCallum Cancer Centre, 2 St Andrews Place, East Melbourne, 3002, Australia. tomas.kron@petermac.org.
Mathias BresselPeter MacCallum Cancer Centre, 2 St Andrews Place, East Melbourne, 3002, Australia. mathias.bressel@petermac.org.
Marion HaasCentre for Health Economics Research and Evaluation, University of Technology Sydney, PO Box 123, Broadway Sydney, 2007, Australia. marion.haas@chere.uts.edu.au.
Tao MaiPrincess Alexandra Hospital, Ipswich Rd, Woolloongabba, Qld, 4102, Australia. Tao.Mai@health.qld.gov.au.
Shalini VinodCancer Therapy Centre, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia. shalini.vinod@sswahs.nsw.gov.au.
Giuseppe SassoRadiation Oncology Department, Auckland City Hospital, Auckland, New Zealand. GSasso@adhb.govt.nz.
Wenchang WongDepartment of Radiation Oncology, Prince of Wales Hospital, Barker St, Randwick, NSW, 2031, Australia. wenchang.wong@sesiahs.health.nsw.gov.au.
Hien LeDepartment of Radiation Oncology, Royal Adelaide Hospital, North Terrace, Adelaide, SA, 5000, Australia. hien.le@sa.gov.au.
Thomas EadeDepartment of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, St Leonards, 2065, NSW, Australia. Thomas.eade@health.nsw.gov.au.
Nicholas HardcastleDepartment of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, St Leonards, 2065, NSW, Australia. nicholas.hardcastle@health.nsw.gov.au.
Brent ChessonPeter MacCallum Cancer Centre, 2 St Andrews Place, East Melbourne, 3002, Australia. brent.chesson@petermac.org.
Daniel PhamPeter MacCallum Cancer Centre, 2 St Andrews Place, East Melbourne, 3002, Australia. danieljpham@gmail.com.
Morten HøyerDepartment of Oncology, Aarhus University Hospital, Aarhus, 8000, Denmark. hoyer@aarhus.rm.dk.
Rebecca MontgomeryTrans Tasman Radiation Oncology Group (TROG), PO Box 88, Waratah, 2298, Australia. rebecca.montgomery@trog.com.au.
David BallPeter MacCallum Cancer Centre, 2 St Andrews Place, East Melbourne, 3002, Australia. david.ball@petermac.org.
Peter MacCallum Cancer Centre · AUThe University of Melbourne · AURoyal North Shore Hospital · AUAarhus University Hospital · DKAuckland City Hospital · NZLiverpool Hospital · AUNew South Wales Department of Health · AUPrincess Alexandra Hospital · AURoyal Adelaide Hospital · AUTrans Tasman Radiation Oncology Group · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStereotactic ablative body radiotherapy (SABR) is emerging as a non-invasive method for precision irradiation of lung tumours. However, the ideal dose/fractionation schedule is not yet known. The primary purpose of this study is to assess safety and efficacy profile of single and multi-fraction SABR in the context of pulmonary oligometastases. METHODS/

designThe TROG 13.01/ALTG 13.001 clinical trial is a multicentre unblinded randomised phase II study. Eligible patients have up to three metastases to the lung from any non-haematological malignancy, each < 5 cm in size, non-central targets, and have all primary and extrathoracic disease controlled with local therapies. Patients are randomised 1:1 to a single fraction of 28Gy versus 48Gy in four fractions of SABR. The primary objective is to assess the safety of each treatment arm, with secondary objectives including assessment of quality of life, local efficacy, resource use and costs, overall and disease free survival and time to distant failure. Outcomes will be stratified by number of metastases and origin of the primary disease (colorectal versus non-colorectal primary). Planned substudies include an assessment of the impact of online e-Learning platforms for lung SABR and assessment of the effect of SABR fractionation on the immune responses. A total of 84 patients are required to complete the study. DISCUSSION: Fractionation schedules have not yet been investigated in a randomised fashion in the setting of oligometastatic disease. Assuming the likelihood of similar clinical efficacy in both arms, the present study design allows for exploration of the hypothesis that cost implications of managing potentially increased toxicities from single fraction SABR will be outweighed by costs associated with delivering multiple-fraction SABR. TRIALS REGISTRATION: ACTRN12613001157763 , registered 17th October 2013.

Indexed as

Dose Fractionation, RadiationRadiosurgeryHealth Care CostsHealth ResourcesHumansLung NeoplasmsQuality of LifeRadiotherapyTomography, X-Ray ComputedTumor Burden

Identifiers

PMID26944262
PMCPMC4778366
OpenAlexW2292808994

What OpenQuestion holds

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LicenceCC BY
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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.