Evidence map›Paper›PMID 30630502›Full record

ArticleRadiation oncology (London, England)2019

Palliative radiotherapy to dominant symptomatic lesion in patients with hormone refractory prostate cancer (PRADO).

Jesper Carl, Dirk Rades, Claudia Doemer, Cornelia Setter, Jürgen Dunst, Niels Henrik Holländer

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Radiation oncology (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03658434 (Palliative Radiotherapy to Dominant Symptomatic Lesion in Patients With Hormone Refractory Prostate Cancer), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03658434 naunknown statusnot on this map

Palliative Radiotherapy to Dominant Symptomatic Lesion in Patients With Hormone Refractory Prostate Cancer

TypeinterventionalSponsorZealand University HospitalRan2018 to 2020Enrolled34ConditionsHormone-refractory Prostate CancerArmsPalliative radiotherapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
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

6 authors.

Jesper CarlDepartment of Oncology and Palliative Units, Zealand University Hospital, Naestved, Denmark.
Dirk RadesDepartment of Radiation Oncology, University of Lübeck, Lübeck, Germany. rades.dirk@gmx.net.
Claudia DoemerDepartment of Radiation Oncology, University of Lübeck, Lübeck, Germany.
Cornelia SetterDepartment of Radiation Oncology, Christian-Albrechts University Kiel, Kiel, Germany.
Jürgen DunstDepartment of Radiation Oncology, Christian-Albrechts University Kiel, Kiel, Germany.
Niels Henrik HolländerDepartment of Oncology and Palliative Units, Zealand University Hospital, Naestved, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was conducted to investigate a new short-course radiotherapy regimen for patients with metastatic hormone refractory prostate cancer (HRPC) presenting with a dominant debilitating symptom. METHODS /

designThis is an international, multi-center single arm prospective feasibility study that aims to include 34 patients with HRPC and a dominant debilitating symptom. The dominant symptomatic lesion will receive 4 × 5 Gy of high-precision radiotherapy, and the most aggressive part of the lesion 4 × 7 Gy using a simultaneous integrated boost technique. Based on advanced magnetic resonance imaging (MRI), an apparent diffusion coefficient (ADC) map will be calculated for the lesion using diffusion weighted imaging sequences. The dominant symptomatic lesion (GTV1) is drawn manually using the information from T2w-MRI and computed tomography scans. The most aggressive part of the dominant lesion (GTV2) is defined by using the ADC map. An auxiliary volume is created including only voxels in the GTV1 that presents with ADC values below 1200 × 10 DISCUSSION: If this new radiotherapy regimen proves to be feasible, a prospective randomized phase II/III dose escalation study will be designed in order to improve the outcomes of palliative radiotherapy of symptomatic metastatic HRPC. STUDY STATUS: The study is ongoing and will be recruiting patients soon.

trial registrationclinicaltrials.gov NCT03658434 . Initially registered on 30th of July, 2018.

Indexed as

BrachytherapyPalliative CareResearch DesignFeasibility StudiesFollow-Up StudiesHumansInternational AgenciesMaleProspective StudiesProstatic Neoplasms, Castration-ResistantRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedDominant symptomatic lesionFeasibilityHigh-precision radiotherapyHypo-fractionationMetastatic diseaseProstate cancer

Identifiers

PMID30630502
PMCPMC6327575

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Registered trials

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.