Evidence map›Paper›PMID 30051369›Full record

ArticleAnnals of surgical oncology2018

Image-Guided Surgery in Patients with Pancreatic Cancer: First Results of a Clinical Trial Using SGM-101, a Novel Carcinoembryonic Antigen-Targeting, Near-Infrared Fluorescent Agent.

Charlotte E S Hoogstins, Leonora S F Boogerd, Babs G Sibinga Mulder, J Sven D Mieog, Rutger Jan Swijnenburg, Cornelis J H van de Velde, Arantza Farina Sarasqueta, Bert A Bonsing, Berenice Framery, André Pèlegrin and 4 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Annals of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 4 pooled it
13.8field-weighted citation impact, top 1% 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

85 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Intraoperative molecular imaging of colorectal lung metastases with SGM-101: a feasibility study.European journal of nuclear medicine and molecular imaging · 2024
    Trial
  6. Trial
  7. More Than a Glow: How Cyanine Dyes Shape Tracer Pharmacokinetics.Angewandte Chemie (International ed. in English) · 2026
    Review
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  17. Tissue-seeking dyes for in vivo applications.Smart molecules : open access · 2024
    Review
  18. Review
  19. Article
  20. Article

25 more citing papers are in PubMed but not listed here.

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

14 authors at 5 institutions in 2 countries.

Charlotte E S HoogstinsDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Leonora S F BoogerdDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Babs G Sibinga MulderDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
J Sven D MieogDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Rutger Jan SwijnenburgDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Cornelis J H van de VeldeDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Arantza Farina SarasquetaDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
Bert A BonsingDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Berenice FramerySurgimab, Montpellier, France.
André PèlegrinInstitut de Recherche en Cancérologie de Montpellier, Montpellier, France.
Marian GutowskiInstitut Régional du Cancer de Montpellier, Montpellier, France.
Françoise CaillerSurgimab, Montpellier, France.
Jacobus BurggraafCentre for Human Drug Research, Leiden, The Netherlands.
Alexander L VahrmeijerDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands. a.l.vahrmeijer@lumc.nl.
Leiden University Medical Center · NLCentre for Human Drug Research · NLSurgimab (France) · FRInstitut de Recherche en Cancérologie de Montpellier · FRInstitut Regional du Cancer de Montpellier

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNear-infrared (NIR) fluorescence is a promising novel imaging technique that can aid in intraoperative demarcation of pancreatic cancer (PDAC) and thus increase radical resection rates. This study investigated SGM-101, a novel, fluorescent-labeled anti-carcinoembryonic antigen (CEA) antibody. The phase 1 study aimed to assess the tolerability and feasibility of intraoperative fluorescence tumor imaging using SGM-101 in patients undergoing a surgical exploration for PDAC.

methodsAt least 48 h before undergoing surgery for PDAC, 12 patients were injected intravenously with 5, 7.5, or 10 mg of SGM-101. Tolerability assessments were performed at regular intervals after dosing. The surgical field was imaged using the Quest NIR imaging system. Concordance between fluorescence and tumor presence on histopathology was studied.

resultsIn this study, SGM-101 specifically accumulated in CEA-expressing primary tumors and peritoneal and liver metastases, allowing real-time intraoperative fluorescence imaging. The mean tumor-to-background ratio (TBR) was 1.6 for primary tumors and 1.7 for metastatic lesions. One false-positive lesion was detected (CEA-expressing intraductal papillary mucinous neoplasm). False-negativity was seen twice as a consequence of overlying blood or tissue that blocked the fluorescent signal.

conclusionThe use of a fluorescent-labeled anti-CEA antibody was safe and feasible for the intraoperative detection of both primary PDAC and metastases. These results warrant further research to determine the impact of this technique on clinical decision making and overall survival.

Indexed as

AgedAged, 80 and overAntibodies, MonoclonalCarcinoembryonic AntigenFemaleFluorescenceFluorescent DyesFollow-Up StudiesHumansLiver NeoplasmsLymphatic MetastasisMaleMaximum Tolerated DoseMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalAntibodies, MonoclonalCarcinoembryonic AntigenFluorescent Dyes

Identifiers

PMID30051369
PMCPMC6132431
OpenAlexW2883584659

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.