Evidence map›Paper›PMID 30003996›Full record

Trial reportInternational journal of radiation oncology, biology, physics2018

Long-Term Outcomes of a Phase 2 Trial of Chemotherapy With Consolidative Radiation Therapy for Oligometastatic Non-Small Cell Lung Cancer.

W Jeffrey Petty, James J Urbanic, Tamjeed Ahmed, Ryan Hughes, Beverly Levine, Kyle Rusthoven, Michael Papagikos, Jimmy R Ruiz, Brian E Lally, Michael Chan and 3 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

47 citing papers in PubMed.

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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

13 authors.

W Jeffrey PettyDepartment of Medicine, Section on Hematology and Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Comprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
James J UrbanicComprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Department of Radiation Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Moores Cancer Center, University of California, San Diego, La Jolla, California. Electronic address: jurbanic@ucsd.edu.
Tamjeed AhmedDepartment of Medicine, Section on Hematology and Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Ryan HughesDepartment of Radiation Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Beverly LevineComprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Department of Biostatistical Sciences, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Kyle RusthovenEastern Radiation Oncology, Morehead City, North Carolina.
Michael PapagikosCoastal Carolina Radiation Oncology, Wilmington, North Carolina.
Jimmy R RuizDepartment of Medicine, Section on Hematology and Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Comprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Brian E LallyComprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Department of Radiation Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Michael ChanComprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Department of Radiation Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Hollins ClarkDepartment of Radiology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
Ralph B D'AgostinoComprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Department of Biostatistical Sciences, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
A William BlackstockComprehensive Cancer Center of Wake Forest University, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina; Department of Radiation Oncology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, North Carolina.

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
NCI NIH HHS P30 CA012197
6 · The paper itself

Abstract

purposeRecent data indicate consolidative radiation therapy improves progression-free survival (PFS) for patients with oligometastatic non-small cell lung cancer (NSCLC). Data on long-term outcomes are limited. METHODS AND MATERIALS: This prospective, multicenter, single-arm, phase 2 trial was initiated in 2010 and enrolled patients with oligometastatic NSCLC. Oligometastatic disease was defined as a maximum of 5 metastatic lesions for all disease sites, including no more than 3 active extracranial metastatic lesions. Limited mediastinal lymph node involvement was allowed. Patients achieving a partial response or stable disease after 3 to 6 cycles of platinum-based chemotherapy were treated with CRT to the primary and metastatic sites of disease, followed by observation alone. The primary endpoint was PFS, with secondary endpoints of local control, overall survival (OS), and safety.

resultsTwenty-nine patients were enrolled between October 2010 and October 2015, and 27 were eligible for consolidative radiation therapy. The study was closed early because of slow accrual but met its primary endpoint for success, which was PFS >6 months (P < .0001). The median PFS (95% confidence interval) was 11.2 months (7.6-15.9 months), and the median OS was 28.4 months (14.5-45.8 months). Survival outcomes were not significantly different for patients with brain metastases (P = .87 for PFS; P = .12 for OS) or lymph node involvement (P = .74 for PFS; P = .86 for OS).

conclusionsFor patients with oligometastatic NSCLC, chemotherapy followed by consolidative radiation therapy without maintenance chemotherapy was associated with encouraging long-term outcomes.

Indexed as

ChemoradiotherapyAgedAged, 80 and overAntineoplastic AgentsBiopsyBrain NeoplasmsCarcinoma, Non-Small-Cell LungDisease-Free SurvivalFemaleFollow-Up StudiesHumansKaplan-Meier EstimateLung NeoplasmsLymphatic MetastasisMaintenance ChemotherapyMaleAntineoplastic Agents

Identifiers

PMID30003996
PMCPMC6743975

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.