Evidence map›Paper›PMID 27396811›Full record

Observational studyRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2016

Dose-volume effect relationships for late rectal morbidity in patients treated with chemoradiation and MRI-guided adaptive brachytherapy for locally advanced cervical cancer: Results from the prospective multicenter EMBRACE study.

Renaud Mazeron, Lars U Fokdal, Kathrin Kirchheiner, Petra Georg, Noha Jastaniyah, Barbara Šegedin, Umesh Mahantshetty, Peter Hoskin, Ina Jürgenliemk-Schulz, Christian Kirisits and 6 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07164534 (A Phase III Trial to Assess the Effectiveness of NRF2 Activator), which is not on this map. Cited by 113 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing 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.

NCT07164534 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase III Trial to Assess the Effectiveness of NRF2 Activator (Oral Sodium-copper- Chlophyllin ) in Locally Advanced Cervical Cancer to Reduce Late Radiotherapy Toxicity. (CHOC-LATE Trial)

TypeinterventionalSponsorTata Memorial HospitalRan2026 to 2030Enrolled316ConditionsUterine Cervical NeoplasmArmsSodium-copper-chlorophyllin, a semi-synthetic derivative of chlorophyll, is made up of a mixture of sodium copper salts.
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Impact of intracavitary brachytherapy technique (2D versus 3D) on outcomes of cervical cancer: a systematic review and meta-analysis.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Pooled it
  3. Prediction of mucositis risk secondary to cancer therapy: a systematic review of current evidence and call to action.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
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  5. Impact of Saccharomyces boulardii on acute gastrointestinal toxicities in patients undergoing pelvic radiotherapy for gynecologic cancers: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Renaud MazeronDepartment of Radiotherapy, Gustave Roussy, University of Paris-Saclay, Villejuif, France. Electronic address: Renaud.mazeron@gustaveroussy.fr.
Lars U FokdalDepartment of Oncology, Aarhus University Hospital, Denmark.
Kathrin KirchheinerDepartment of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna/General Hospital of Vienna, Austria.
Petra GeorgDepartment of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna/General Hospital of Vienna, Austria.
Noha JastaniyahDepartment of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna/General Hospital of Vienna, Austria.
Barbara ŠegedinDepartment of Radiotherapy, Institute of Oncology, Ljubljana, Slovenia.
Umesh MahantshettyDepartment of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
Peter HoskinDepartment of Radiotherapy, Mount Vernon Cancer Centre, United Kingdom.
Ina Jürgenliemk-SchulzDepartment of Radiotherapy, University Medical Center Utrecht, The Netherlands.
Christian KirisitsDepartment of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna/General Hospital of Vienna, Austria.
Jacob C LindegaardDepartment of Oncology, Aarhus University Hospital, Denmark.
Wolfgang DörrDepartment of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna/General Hospital of Vienna, Austria.
Christine Haie-MederDepartment of Radiotherapy, Gustave Roussy, University of Paris-Saclay, Villejuif, France.
Kari TanderupDepartment of Oncology, Aarhus University Hospital, Denmark.
Richard PötterDepartment of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna/General Hospital of Vienna, Austria.
EMBRACE collaborative group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo establish dose volume-effect relationships predicting late rectal morbidity in cervix cancer patients treated with concomitant chemoradiation and MRI-guided adaptive brachytherapy (IBABT) within the prospective EMBRACE study. MATERIAL AND

methodAll patients were treated with curative intent according to institutional protocols with chemoradiation and IGABT. Reporting followed the GEC-ESTRO recommendations ( [Formula: see text] , [Formula: see text] ), applying bioeffect modeling (linear quadratic model) with equieffective doses (EQD2

results960 patients were included. The median follow-up was 25.4months. Twenty point one percent of the patients had grade 1 events, 6.0% grade 2, 1.6% grade 3 and 0.1%, grade 4. The mean D

conclusionsSignificant correlations were established between late rectal morbidity, overall and single endpoints, and dose-volume ( [Formula: see text] , [Formula: see text] ) and dose-point (D

Indexed as

BrachytherapyChemoradiotherapyFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMiddle AgedProspective StudiesRadiology, InterventionalRadiotherapy DosageRectal DiseasesRectumUterine Cervical NeoplasmsFistulaLocally advanced cervical cancerMRI-guided adaptive brachytherapyNormal tissue complication probabilityProctitisRectal bleedingRectal morbidity

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.