Evidence map›Paper›PMID 30028180›Full record

ArticleThe British journal of radiology2018

Dosimetric analysis of patients with gastro entero pancreatic neuroendocrine tumors (NETs) treated with PRCRT (peptide receptor chemo radionuclide therapy) using Lu-177 DOTATATE and capecitabine/temozolomide (CAP/TEM).

Parul Thakral, Ishita Sen, Vineet Pant, Santosh Kumar Gupta, Sugandha Dureja, Jyotsna Kumari, Sunil Kumar, Pallavi Un, Vindhya Malasani

Open access · greenAbstract readComparative Study
In one paragraph

Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Tumor-Targeted Interleukin 2 Boosts the Anticancer Activity of FAP-Directed Radioligand Therapeutics.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. The Outcome and Safety of Re-challenge Lutetium-177 PSMA (Nuclear medicine and molecular imaging · 2021
    Article
  10. Article
  11. Article
  12. Combination treatments to enhance peptide receptor radionuclide therapy of neuroendocrine tumours.European journal of nuclear medicine and molecular imaging · 2020
    Review
  13. Review
  14. Review
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

9 authors at 2 institutions in 1 country.

Parul Thakral1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Ishita Sen1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Vineet Pant1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Santosh Kumar Gupta2 Department of Physics, Guru Ghasidas University Bilaspur , Chattisgarh , India.
Sugandha Dureja1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Jyotsna Kumari1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Sunil Kumar1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Pallavi Un1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Vindhya Malasani1 Department of Nuclear Medicine, Fortis Memorial Research Institute , Gurgaon , India.
Fortis Memorial Research Institute · INGuru Ghasidas Vishwavidyalaya · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objective: Two radiosensitizing chemotherapeutic drugs, capecitabine (CAP) and temozolomide (TEM), are administered concurrently to enhance the therapeutic efficacy of peptide receptor radionuclide therapy (PRRT). This study aims to assess the biodistribution and normal-organ and tumor radiation dosimetry for Lu-177 DOTATATE administered concurrently with CAP/TEM.

methods: 20 patients with non-resectable histologically confirmed gastroenteropancreatic neuroendocrine tumors with normal kidney function, a normal haematological profile and somatostatin receptor expression of the tumor lesions, as scintigraphically assessed by a Ga-68 DOTANOC scan, were included in two groups-case group (n = 10) and control group (n = 10). Patients included in case group were those who were advised concomitant CAPTEM therapy by the treating medical oncologist. Patients were administered CAP orally at a dose of 600mg m

results: Physiological uptake of Lu-177 DOTATATE was seen in all patients in liver, spleen kidneys, and bone marrow. Radiation absorbed doses (mean ± standard deviation) were obtained as 0.29 ± 0.12 mGy/MBq for kidneys, 0.30 ± 0.18 mGy/MBq for liver, 0.63 ± 0.37 mGy/MBq for spleen, 0.019 ± 0.001 mGy/MBq for bone marrow and 3.85 ± 1.74 mGy/MBq for tumours in the case group and they were 0.31± 0.26, 0.24 ± 0.14, 0.64 ± 0.42, 0.017 ± 0.016, 5.6 ± 11.27 mGy/MBq in kidneys, liver, spleen, bone marrow and neuroendocrine tumour, respectively, in the control group. Mann-Whitney U test between the variables of two groups showed an insignificant difference (p > 0.05).

conclusions: The authors demonstrated no significant difference between the tumor and organ doses with Lu-177 DOTATATE in the patients treated with and without concomitant chemotherapy. ADVANCES IN KNOWLEDGE:: To our knowledge, this is the first dedicated study exhibiting dosimetric analysis in patients undergoing PRRT in combination with chemotherapy.

Indexed as

Administration, OralAgedAntineoplastic Combined Chemotherapy ProtocolsBone MarrowCapecitabineCase-Control StudiesChemoradiotherapyDacarbazineDrug Administration ScheduleFemaleHumansIntestinal NeoplasmsLiverMaleMiddle AgedNeuroendocrine TumorsCapecitabineDacarbazinelutetium Lu 177 dotatateOctreotideOrganometallic CompoundsRadiation-Sensitizing AgentsRadiopharmaceuticalsTemozolomide

Identifiers

PMID30028180
PMCPMC6475937
OpenAlexW2884310040

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.