Evidence map›Paper›PMID 30114190›Full record

Trial reportPloS one2018

Early metabolic 18F-FDG PET/CT response of locally advanced squamous-cell carcinoma of head and neck to induction chemotherapy: A prospective pilot study.

Ulisses Ribaldo Nicolau, Victor Hugo Fonseca de Jesus, Eduardo Nóbrega Pereira Lima, Marclesson Santos Alves, Thiago Bueno de Oliveira, Louise De Brot Andrade, Virgilio Souza Silva, Paula Cacciatore Bes, Tadeu Ferreira de Paiva, Vinicius Fernando Calsavara and 7 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

17 authors at 1 institution in 1 country.

Ulisses Ribaldo NicolauMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0000-0003-2777-9096
Victor Hugo Fonseca de JesusMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Eduardo Nóbrega Pereira LimaImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Marclesson Santos AlvesMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Thiago Bueno de OliveiraMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Louise De Brot AndradePathology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Virgilio Souza SilvaMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Paula Cacciatore BesMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Tadeu Ferreira de PaivaMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Vinicius Fernando CalsavaraBiostatistics Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Andrea Paiva Gadelha GuimarãesMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Loureno CezanaMedical Oncology Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Paula Nicole Vieira Pinto BarbosaImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Gislaine Cristina Lopes Machado PortoImaging Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Antônio Cássio Assis PellizzonRadiotherapy Department, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Genival Barbosa de CarvalhoHead and Neck Surgery Department, A.C. Camargo Cancer Center, São Paulo, Brazil.
Luiz Paulo KowalskiHead and Neck Surgery Department, A.C. Camargo Cancer Center, São Paulo, Brazil.
AC Camargo Hospital · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to assess the clinical value of 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) after the first cycle of induction chemotherapy (IC) in locally advanced squamous cell carcinoma of the head and neck (LASCCHN). METHODS AND

findingsA prospective, single-arm, single center study was performed, with patients enrolled between February 2010 and July 2013.Patients (n = 49) with stage III/IVA-B LASCCHN who underwent IC with taxanes, cisplatin, and fluorouracil were recruited. Staging procedures included loco-regional and chest imaging, endoscopic examination, and PET/CT scan. On day 14 of the first cycle, a second PET/CT scan was performed. Patients with no early increase in regional lymph node maximum 18F-FDG standard uptake value (SUV), detected using 18F-FDG PET/CT after first IC had better progression-free survival (hazard ratio (HR) = 0.18, 95%, confidence interval (CI) 0.056-0.585; p = 0.004) and overall survival (HR = 0.14, 95% CI 0.040-0.498; p = 0.002), and were considered responders. In this subgroup, patients who achieved a reduction of ≥ 45% maximum primary tumor SUV experienced improved progression-free (HR = 0.23, 95% CI 0.062-0.854; p = 0.028) and overall (HR = 0.11, 95% CI 0.013-0.96; p = 0.046) survival.

conclusionsThese results suggest a potential role for early response evaluation with PET/CT examination in patients with LASCCHN undergoing IC. Increased regional lymph node maximum SUV and insufficient decrease in primary tumor uptake predict poorer outcomes.

Indexed as

AdultAgedFemaleFluorodeoxyglucose F18Head and Neck NeoplasmsHumansInduction ChemotherapyKaplan-Meier EstimateMaleMiddle AgedPapillomaviridaePilot ProjectsPositron Emission Tomography Computed TomographyProgression-Free SurvivalProspective StudiesRadiopharmaceuticalsFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID30114190
PMCPMC6095513
OpenAlexW2886061806

What OpenQuestion holds

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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.