Evidence map›Paper›PMID 30513377›Full record

Trial reportInternational journal of radiation oncology, biology, physics2019

Long-term Follow-up on NRG Oncology RTOG 0915 (NCCTG N0927): A Randomized Phase 2 Study Comparing 2 Stereotactic Body Radiation Therapy Schedules for Medically Inoperable Patients With Stage I Peripheral Non-Small Cell Lung Cancer.

Gregory M Videtic, Rebecca Paulus, Anurag K Singh, Joe Y Chang, William Parker, Kenneth R Olivier, Robert D Timmerman, Ritsuko R Komaki, James J Urbanic, Kevin L Stephans and 10 more

Open access · greenAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 147 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 1 pooled it
20.2field-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

147 citing papers in PubMed, 1 synthesis or guideline pooled it, 285 citations in OpenAlex.

  1. Recommended procedures and responsibilities for radiosurgery (SRS) and extracranial stereotactic body radiotherapy (SBRT): report of the SEOR in collaboration with the SEFM.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Observational
  13. From protocol to practice: long-Term outcomes of single-Fraction stereotactic body radiotherapy for primary non-Small cell lung cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  14. Article
  15. Article
  16. A single-institution retrospective review of patients treated with single-fraction 28 Gy SBRT to lung tumors.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 3 countries.

Gregory M VideticCleveland Clinic Foundation, Cleveland, Ohio. Electronic address: videtig@ccf.org.
Rebecca PaulusNRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania.
Anurag K SinghRoswell Park Cancer Institute, Buffalo, New York.
Joe Y ChangMD Anderson Cancer Center, Houston, Texas.
William ParkerMcGill University, Montreal, Québec, Canada.
Kenneth R OlivierMayo Clinic, Rochester, Minnesota.
Robert D TimmermanUT Southwestern/Simmons Cancer Center-Dallas, Dallas, Texas.
Ritsuko R KomakiMD Anderson Cancer Center, Houston, Texas.
James J UrbanicUC San Diego Moores Cancer Center Accruals-Arizona Oncology Services Foundation, San Diego, California.
Kevin L StephansCleveland Clinic Foundation, Cleveland, Ohio.
Sue S YomUCSF Medical Center, San Francisco, California.
Clifford G RobinsonWashington University, St. Louis, Missouri.
Chandra P BelaniThe Pennsylvania State University Accruals-Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Puneeth IyengarUT Southwestern/Simmons Cancer Center-Dallas, Dallas, Texas.
Munther I AjlouniHenry Ford Hospital, Detroit, Michigan.
Darindra D GopaulGrand River Regional Cancer Centre Accruals-London Regional Cancer Centre.
Jorge B Gomez SuescunRoswell Park Cancer Institute, Buffalo, New York.
Ronald C McGarryUniversity of Kentucky/Markey Cancer Center Accruals-University of Maryland Medical Systems.
Hak ChoyUT Southwestern/Simmons Cancer Center-Dallas, Dallas, Texas.
Jeffrey D BradleyWashington University, St. Louis, Missouri.
The University of Texas Southwestern Medical Center · USCleveland Clinic · USRoswell Park Comprehensive Cancer Center · USThe University of Texas MD Anderson Cancer Center · USWashington University in St. Louis · USArizona Oncology · USHenry Ford Hospital · USMarkey Cancer Center · USMayo Clinic · USMcGill University · CANational Cancer Centre Japan · JPNRG Oncology · USThomas Jefferson University Hospital · USUniversity of California San Francisco Medical Center · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
IROC: Enhancing local enrolling site radiological data capture capabilities for NCTN trialsU24CA180803 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI Thomas J. FitzGerald, MICHAEL V KNOPP · 2014 to 2026
$116.2M
UT Southwestern NCI National Clinical Trials Network (NCTN) LAPS - Supplemental Funds YR4UG1CA233302 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI David Eric Gerber · 2019 to 2026
$6.4M
Network Lead Academic Participating Site Grant from the Roswell Park Cancer InstituteUG1CA233191 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI LELE, SHASHIKANT, LEVINE, ELLIS G · 2019 to 2025
$3.1M
Network Lead Academic Participating Site Grant from the Roswell Cancer Inst.U10CA180866 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI ERNSTOFF, MARC S, LELE, SHASHIKANT · 2014 to 2018
$2.9M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180866NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA180803NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233191NCI NIH HHS UG1 CA233302
6 · The paper itself

Abstract

purposeTo present long-term results of RTOG 0915/NCCTG N0927, a randomized lung stereotactic body radiation therapy trial of 34 Gy in 1 fraction versus 48 Gy in 4 fractions. METHODS AND MATERIALS: This was a phase 2 multicenter study of patients with medically inoperable non-small cell lung cancer with biopsy-proven peripheral T1 or T2 N0M0 tumors, with 1-year toxicity rates as the primary endpoint and selected failure and survival outcomes as secondary endpoints. The study opened in September 2009 and closed in March 2011. Final data were analyzed through May 17, 2018.

resultsEighty-four of 94 patients accrued were eligible for analysis: 39 in arm 1 and 45 in arm 2. Median follow-up time was 4.0 years for all patients and 6.0 years for those alive at analysis. Rates of grade 3 and higher toxicity were 2.6% in arm 1 and 11.1% in arm 2. Median survival times (in years) for 34 Gy and 48 Gy were 4.1 versus 4.6, respectively. Five-year outcomes (95% confidence interval) for 34 Gy and 48 Gy were a primary tumor failure rate of 10.6% (3.3%-23.1%) versus 6.8% (1.7%-16.9%); overall survival of 29.6% (16.2%-44.4%) versus 41.1% (26.6%-55.1%); and progression-free survival of 19.1% (8.5%-33.0%) versus 33.3% (20.2%-47.0%). Distant failure as the sole failure or a component of first failure occurred in 6 patients (37.5%) in the 34 Gy arm and in 7 (41.2%) in the 48 Gy arm.

conclusionsNo excess in late-appearing toxicity was seen in either arm. Primary tumor control rates at 5 years were similar by arm. A median survival time of 4 years for each arm suggests similar efficacy, pending any larger studies appropriately powered to detect survival differences.

Indexed as

AgedAged, 80 and overCarcinoma, Non-Small-Cell LungConfidence IntervalsDose Fractionation, RadiationFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedProgression-Free SurvivalRadiation InjuriesRadiosurgeryTime FactorsTreatment Failure

Identifiers

PMID30513377
PMCPMC6454873
OpenAlexW2756847895

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.