Evidence map›Paper›PMID 27770145›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Phase I/II trials of

Ana M Denis-Bacelar, Sarah J Chittenden, David P Dearnaley, Antigoni Divoli, Joe M O'Sullivan, V Ralph McCready, Bernadette Johnson, Yong Du, Glenn D Flux

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Reply to 'Single high dose versus repeated bone-targeted radionuclide therapy'.European journal of nuclear medicine and molecular imaging · 2018
    Article
  8. Single high dose versus repeated bone-targeted radionuclide therapy.European journal of nuclear medicine and molecular imaging · 2017
    Article
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Ana M Denis-BacelarJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden Hospital NHS Foundation Trust, London, UK. ana.denisbacelar@icr.ac.uk.
Sarah J ChittendenJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden Hospital NHS Foundation Trust, London, UK.
David P DearnaleyDivision of Radiotherapy and Imaging, The Institute of Cancer Research and The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Antigoni DivoliJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Joe M O'SullivanCentre for Cancer Research and Cell Biology, Queen's University Belfast, Belfast, UK.
V Ralph McCreadyDepartment of Nuclear Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.
Bernadette JohnsonDivision of Radiotherapy and Imaging, The Institute of Cancer Research and The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Yong DuDepartment of Nuclear Medicine and PET/CT, The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Glenn D FluxJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Institute of Cancer Research · GBRoyal Marsden Hospital · GBQueen's University Belfast · GBUniversity Hospitals Sussex NHS Foundation Trust · GB

Funding

Cancer Research UK 10588Cancer Research UK 12518Cancer Research UK 16464
6 · The paper itself

Abstract

purposeTo investigate the role of patient-specific dosimetry as a predictive marker of survival and as a potential tool for individualised molecular radiotherapy treatment planning of bone metastases from castration-resistant prostate cancer, and to assess whether higher administered levels of activity are associated with a survival benefit.

methodsClinical data from 57 patients who received 2.5-5.1 GBq of

resultsA statistically significantly longer OS was associated with administered activities above 3.5 GBq in the 57 patients (20.1 vs 7.1 months, hazard ratio: 0.39, 95 % CI: 0.10-0.58, P = 0.002). A total of 379 bone lesions were identified in 22 patients. The mean of the patient mean absorbed dose was 19 (±6) Gy and the mean of the whole-body absorbed dose was 0.33 (±0.11) Gy for the 22 patients. The patient mean absorbed dose (r = 0.65, P = 0.001) and the whole-body absorbed dose (r = 0.63, P = 0.002) showed a positive correlation with disease volume. Significant differences in OS were observed for the univariate group analyses according to disease volume as measured from SPECT imaging of

conclusionThis study demonstrated that higher administered activities led to prolonged survival and that for a fixed administered activity, the whole-body and patient mean absorbed doses correlated with the extent of disease, which, in turn, correlated with survival. This study shows the importance of patient stratification to establish absorbed dose-response correlations and indicates the potential to individualise treatment of bone metastases with radiopharmaceuticals according to patient-specific imaging and dosimetry.

Indexed as

Radiation DosageRadiotherapy Planning, Computer-AssistedBone NeoplasmsClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicEtidronic AcidHumansMaleOrganometallic CompoundsProstatic Neoplasms, Castration-ResistantRadiopharmaceuticalsRadiotherapy DosageSurvival AnalysisTomography, Emission-Computed, Single-PhotonEtidronic AcidOrganometallic CompoundsRadiopharmaceuticalsrhenium-186 HEDPBone metastasesDosimetryMolecular radiotherapyProstate cancerRadiopharmaceuticalSurvival

Identifiers

PMID27770145
PMCPMC5323472
OpenAlexW2533531130

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.