Evidence map›Paper›PMID 26959886›Full record

ArticleOncotarget2016

Response of brain metastasis from lung cancer patients to an oral nutraceutical product containing silibinin.

Joaquim Bosch-Barrera, Elia Sais, Noemí Cañete, Jordi Marruecos, Elisabet Cuyàs, Angel Izquierdo, Rut Porta, Manel Haro, Joan Brunet, Salvador Pedraza and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 51 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Joaquim Bosch-BarreraDepartment of Medical Oncology, Catalan Institute of Oncology, Doctor Josep Trueta University Hospital, Girona, Spain.
Elia SaisDepartment of Medical Oncology, Catalan Institute of Oncology, Doctor Josep Trueta University Hospital, Girona, Spain.
Noemí CañeteGirona Biomedical Research Institute (IDIBGi), Girona, Spain.
Jordi MarruecosGirona Biomedical Research Institute (IDIBGi), Girona, Spain.
Elisabet CuyàsGirona Biomedical Research Institute (IDIBGi), Girona, Spain.
Angel IzquierdoDepartment of Medical Oncology, Catalan Institute of Oncology, Doctor Josep Trueta University Hospital, Girona, Spain.
Rut PortaDepartment of Medical Oncology, Catalan Institute of Oncology, Doctor Josep Trueta University Hospital, Girona, Spain.
Manel HaroGirona Biomedical Research Institute (IDIBGi), Girona, Spain.
Joan BrunetDepartment of Medical Oncology, Catalan Institute of Oncology, Doctor Josep Trueta University Hospital, Girona, Spain.
Salvador PedrazaGirona Biomedical Research Institute (IDIBGi), Girona, Spain.
Javier A MenendezGirona Biomedical Research Institute (IDIBGi), Girona, Spain.
Institut Català d'Oncologia · ESInstitut d'Investigació Biomèdica de Girona · ESHospital Universitari de Girona Doctor Josep Trueta · ESUniversity of Girona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite multimodal treatment approaches, the prognosis of brain metastases (BM) from non-small cell lung cancer (NSCLC) remains poor. Untreated patients with BM have a median survival of about 1 month, with almost all patients dying from neurological causes. We herein present the first report describing the response of BM from NSCLC patients to an oral nutraceutical product containing silibinin, a flavonoid extracted from the seeds of the milk thistle. We present evidence of how the use of the silibinin-based nutraceutical Legasil® resulted in significant clinical and radiological improvement of BM from NSCLC patients with poor performance status that progressed after whole brain radiotherapy and chemotherapy. The suppressive effects of silibinin on progressive BM, which involved a marked reduction of the peritumoral brain edema, occurred without affecting the primary lung tumor outgrowth in NSCLC patients. Because BM patients have an impaired survival prognosis and are in need for an immediate tumor control, the combination of brain radiotherapy with silibinin-based nutraceuticals might not only alleviate BM edema but also prove local control and time for either classical chemotherapeutics with immunostimulatory effects or new immunotherapeutic agents such as checkpoint blockers to reveal their full therapeutic potential in NSCLC BM patients. New studies aimed to illuminate the mechanistic aspects underlying the regulatory effects of silibinin on the cellular and molecular pathobiology of BM might expedite the entry of new formulations of silibinin into clinical testing for progressive BM from lung cancer patients.

Indexed as

Dietary SupplementsAdministration, OralAgedAntineoplastic Agents, PhytogenicBrain EdemaBrain NeoplasmsCarcinoma, Non-Small-Cell LungCompassionate Use TrialsFemaleHumansLung NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedSilybinSilymarinAntineoplastic Agents, PhytogenicSilybinSilymarinbrain metastasisLegasilnon-small cell lung cancersilibininSTAT3

Identifiers

PMID26959886
PMCPMC5077992
OpenAlexW2303400791

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.