Evidence map›Paper›PMID 27311310›Full record

Trial reportTechnology in cancer research & treatment2017

Can Stereotactic Body Radiation Therapy Be a Viable and Efficient Therapeutic Option for Unresectable Locally Advanced Pancreatic Adenocarcinoma? Results of a Phase 2 Study.

Tiziana Comito, L Cozzi, E Clerici, C Franzese, A Tozzi, C Iftode, P Navarria, G D'Agostino, L Rimassa, C Carnaghi and 10 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Technology in cancer research & treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 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.

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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  18. Stereotactic Body Radiation Therapy for Locally Advanced Pancreatic Cancer.Clinical and experimental gastroenterology · 2024
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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

20 authors.

Tiziana Comito1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
L Cozzi1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
E Clerici1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
C Franzese1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
A Tozzi1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
C Iftode1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
P Navarria1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
G D'Agostino1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
L Rimassa2 Oncology and Hematology, Istituto Clinico Humanitas, Milano, Italy.
C Carnaghi2 Oncology and Hematology, Istituto Clinico Humanitas, Milano, Italy.
N Personeni2 Oncology and Hematology, Istituto Clinico Humanitas, Milano, Italy.
M C Tronconi2 Oncology and Hematology, Istituto Clinico Humanitas, Milano, Italy.
F De Rose1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
D Franceschini1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
A M Ascolese1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
A Fogliata1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
S Tomatis1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.
A Santoro2 Oncology and Hematology, Istituto Clinico Humanitas, Milano, Italy.
A Zerbi3 Pancreatic Surgery, Istituto Clinico Humanitas, Milano, Italy.
M Scorsetti1 Radiotherapy, Istituto Clinico Humanitas, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy of stereotactic body radiotherapy in patients with unresectable locally advanced pancreatic cancer. MATERIALS AND

methodsAll patients received a prescription dose of 45 Gy in 6 fractions. Primary end point was freedom from local progression. Secondary end points were overall survival, progression-free survival, and toxicity. Actuarial survival analysis and univariate or multivariate analysis were investigated.

resultsForty-five patients were enrolled in a phase 2 trial. Median follow-up was 13.5 months. Freedom from local progression was 90% at 2 years. On univariate ( P < .03) and multivariate analyses ( P < .001), lesion size was statistically significant for freedom from local progression. Median progression-free survival and overall survival were 8 and 13 months, respectively. On multivariate analysis, tumor size ( P < .001) and freedom from local progression ( P < .002) were significantly correlated with overall survival. Thirty-two (71%) patients with locally advanced pancreatic cancer received chemotherapy before stereotactic body radiotherapy. Median overall survival from diagnosis was 19 months. Multivariate analysis showed that freedom from local progression ( P < .035), tumor diameter ( P < .002), and computed tomography before stereotactic body radiotherapy ( P < .001) were significantly correlated with overall survival from diagnosis.

conclusionStereotactic body radiotherapy is a safe and effective treatment for patients with locally advanced pancreatic cancer with no G3 toxicity or greater and could be a promising therapeutic option in multimodality treatment regimen.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overCombined Modality TherapyDeoxycytidineDisease-Free SurvivalDisease ProgressionDose Fractionation, RadiationFemaleHumansMiddle AgedNeoplasm Recurrence, LocalPancreatic NeoplasmsRadiosurgeryDeoxycytidinepancreas cancerphase II trialRapidArcSBRT

Identifiers

PMID27311310
PMCPMC5616043

What OpenQuestion holds

Textmetadata
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.