Evidence map›Paper›PMID 30003292›Full record

Trial reportStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2019

Phase II study of accelerated Linac-based SBRT in five consecutive fractions for localized prostate cancer.

Filippo Alongi, Rosario Mazzola, Alba Fiorentino, Stefanie Corradini, Dario Aiello, Vanessa Figlia, Fabiana Gregucci, Riccardo Ballario, Stefano Cavalleri, Ruggero Ruggieri

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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

27 citing papers in PubMed.

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  19. Linac-based SBRT as a feasible salvage option for local recurrences in previously irradiated prostate cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  20. Article
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

10 authors.

Filippo AlongiRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Rosario MazzolaRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy. rosariomazzola@hotmail.it.ORCID http://orcid.org/0000-0002-2838-7337
Alba FiorentinoRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Stefanie CorradiniRadiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Dario AielloRadiation Oncology School, University of Palermo, Palermo, Italy.
Vanessa FigliaRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Fabiana GregucciRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Riccardo BallarioUrology, Sacro Cuore Don Calabria Cancer Care Center, Negrar-Verona, Italy.
Stefano CavalleriUrology, Sacro Cuore Don Calabria Cancer Care Center, Negrar-Verona, Italy.
Ruggero RuggieriRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe goal was to evaluate feasibility, side effects and biochemical no evidence of disease (bNED) after stereotactic body radiation therapy (SBRT) delivered on 5 consecutive days for localized prostate cancer (PC).

methodsThe study was approved by the ethical committee and started in March 2014. Inclusion criteria were age ≤85 years, WHO performance status ≤2, histologically proven adenocarcinoma, low-intermediate risk, no previous surgery (except transurethral resection of the prostate), and a pre-SBRT International Prostatic Symptoms Score of 0-7. The radiotherapy regimen consisted of 35 Gy for low-risk and 37.5 Gy for intermediate-risk PC in 5 consecutive fractions.

resultsAt the time of the analysis, 52 patients were recruited to the study (median age 73 years, range 55-83 years; median follow-up 34 months, range 12-49 months; 34 patients low-risk and 18 intermediate risk). The median initial prostate-specific antigen (PSA) was 5.9 ng/ml (range 1.8-15.7). Acute genitourinary (GU) toxicity was G0 (grade 0) 36/52 (69%), G1 11/52 (21%), G2 5/52 (10%), while acute rectal (GI) toxicity was G0 43/52 (83%), G1 8/52 (15%), G2 1/52 (2%). No acute toxicity ≥G3 was recorded. At the time of analysis late GU and GI toxicities were as follows: GU-G0 43/52 (83%), GU-G1 7/52 (13%), GU-G2 2/52 (4%); GI-G0 48/52 (92%), GI-G1 2/52 (4%), GI-G2 2/52 (4%). No late toxicities ≥G3 were recorded. bNED was 98%. One patient with intermediate PC had distant progression.

conclusionsAccelerated SBRT for low-intermediate PC is feasible and well tolerated with comparable oncological outcome as described for other series with the same RT technique but treatment delivery on every other day. Longer follow-up is needed to the assess late toxicity profile and long-term clinical outcome.

Indexed as

Dose Fractionation, RadiationAdenocarcinomaAgedAged, 80 and overBiomarkers, TumorFeasibility StudiesFollow-Up StudiesHumansMaleMiddle AgedProstate-Specific AntigenProstatic NeoplasmsRadiation InjuriesRadiosurgeryRectumBiomarkers, TumorProstate-Specific AntigenHypofractionationProstate cancerRadiotherapySBRTToxicity

Identifiers

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.