Evidence map›Paper›PMID 28581403›Full record

Trial reportInternational journal of radiation oncology, biology, physics2017

Plasma Levels of IL-8 and TGF-β1 Predict Radiation-Induced Lung Toxicity in Non-Small Cell Lung Cancer: A Validation Study.

Shulian Wang, Jeff Campbell, Matthew H Stenmark, Jing Zhao, Paul Stanton, Martha M Matuszak, Randall K Ten Haken, Feng-Ming Spring Kong

Abstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.9field-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

39 citing papers in PubMed, 54 citations in OpenAlex.

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  18. A situational awareness Bayesian network approach for accurate and credible personalized adaptive radiotherapy outcomes prediction in lung cancer patients.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2021
    Article
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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

8 authors at 4 institutions in 2 countries.

Shulian WangDepartment of Radiation Oncology, Georgia Regents University Cancer Center and Medical College of Georgia, Augusta, Georgia; Department of Radiation Oncology, Cancer Hospital and Cancer Institution, Chinese Academy of Medical Sciences, Beijing, China.
Jeff CampbellDepartment of Radiation Oncology, Georgia Regents University Cancer Center and Medical College of Georgia, Augusta, Georgia.
Matthew H StenmarkDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Jing ZhaoDepartment of Radiation Oncology, Georgia Regents University Cancer Center and Medical College of Georgia, Augusta, Georgia.
Paul StantonDepartment of Radiation Oncology, Georgia Regents University Cancer Center and Medical College of Georgia, Augusta, Georgia.
Martha M MatuszakDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Randall K Ten HakenDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Feng-Ming Spring KongDepartment of Radiation Oncology, Georgia Regents University Cancer Center and Medical College of Georgia, Augusta, Georgia; Department of Radiation Oncology, Indiana University, Indianapolis, Indiana. Electronic address: fskong@iupui.edu.
University of Michigan–Ann Arbor · USAugusta University · USGeorgia Regents Medical Center · USIndiana University – Purdue University Indianapolis · US

Funding

TREATMENT VERIFICATION AND TREATMENT PLAN REFINEMENTP01CA059827 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KESSLER, MARC LEWIS, LAWRENCE, THEODORE S · 1993 to 2018
$37.9M
FUNCTIONAL IMAGE AND MOLECULAR MARKER TO INDIVIDUALIZE ADAPTIVE RADIATION DOSE ESR01CA142840 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KONG, FENG-MING P. · 2010 to 2015
$2.0M
NCI NIH HHS P01 CA059827NCI NIH HHS R01 CA142840
6 · The paper itself

Abstract

PURPOSE AND

objectivesWe previously reported that the combination of mean lung dose (MLD) and inflammatory cytokines interleukin-8 (IL-8) and transforming growth factor-β1 (TGF-β1) may provide a more accurate model for radiation-induced lung toxicity (RILT) prediction in 58 patients with non-small cell lung cancer (NSCLC). This study is to validate the previous findings with new patients and to explore new models with more cytokines. METHODS AND MATERIALS: One hundred forty-two patients with stage I-III NSCLC treated with definitive radiation therapy (RT) from prospective studies were included. Sixty-five new patients were used to validate previous findings, and all 142 patients were used to explore new models. Thirty inflammatory cytokines were measured in plasma samples before RT and 2 weeks and 4 weeks during RT (pre, 2w, 4w). Grade ≥2 RILT was defined as grade 2, and higher radiation pneumonitis or symptomatic pulmonary fibrosis was the primary endpoint. Logistic regression was performed to evaluate the risk factors of RILT. The area under the curve (AUC) for the receiver operating characteristic curves was used for model assessment.

resultsSixteen of 65 patients (24.6%) experienced RILT2. Lower pre IL-8 and higher TGF-β1 2w/pre ratio were associated with higher risk of RILT2. The AUC increased to 0.73 by combining MLD, pre IL-8, and TGF-β1 2w/pre ratio compared with 0.61 by MLD alone to predict RILT. In all 142 patients, 29 patients (20.4%) experienced grade ≥2 RILT. Among the 30 cytokines measured, only IL-8 and TGF-β1 were significantly associated with the risk of RILT2. MLD, pre IL-8 level, and TGF-β1 2w/pre ratio were included in the final predictive model. The AUC increased to 0.76 by combining MLD, pre IL-8, and TGF-β1 2w/pre ratio compared with 0.62 by MLD alone.

conclusionsWe validated that a combination of mean lung dose, pre IL-8 level, and TGF-β1 2w/pre ratio provided a more accurate model to predict the risk of RILT2 compared with MLD alone.

Indexed as

AgedArea Under CurveBiomarkers, TumorCarcinoma, Non-Small-Cell LungCytokinesFemaleHumansInterleukin-8Logistic ModelsLung NeoplasmsMaleMiddle AgedPulmonary FibrosisRadiation PneumonitisRadiotherapy, ConformalTransforming Growth Factor beta1Biomarkers, TumorCXCL8 protein, humanCytokinesInterleukin-8Transforming Growth Factor beta1

Identifiers

PMID28581403
PMCPMC5465602
OpenAlexW2601956340

What OpenQuestion holds

Textmetadata
LicenceTDM
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.