Evidence map›Paper›PMID 30976845›Full record

ArticleCancer chemotherapy and pharmacology2019

Modeling long-term tumor growth and kill after combinations of radiation and radiosensitizing agents.

Tim Cardilin, Joachim Almquist, Mats Jirstrand, Astrid Zimmermann, Floriane Lignet, Samer El Bawab, Johan Gabrielsson

Abstract readComparative Study
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Tim CardilinFraunhofer-Chalmers Centre, Chalmers Science Park, Gothenburg, Sweden. tim.cardilin@fcc.chalmers.se.
Joachim AlmquistFraunhofer-Chalmers Centre, Chalmers Science Park, Gothenburg, Sweden.
Mats JirstrandFraunhofer-Chalmers Centre, Chalmers Science Park, Gothenburg, Sweden.
Astrid ZimmermannTranslation Innovation Platform Oncology, Merck Healthcare KGaA, Darmstadt, Germany.
Floriane LignetTranslational Medicine, Quantitative Pharmacology, Merck Healthcare KGaA, Darmstadt, Germany.
Samer El BawabTranslational Medicine, Quantitative Pharmacology, Merck Healthcare KGaA, Darmstadt, Germany.
Johan GabrielssonDepartment of Biomedical Sciences and Veterinary Public Health, Swedish University of Agricultural Sciences, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiation therapy, whether given alone or in combination with chemical agents, is one of the cornerstones of oncology. We develop a quantitative model that describes tumor growth during and after treatment with radiation and radiosensitizing agents. The model also describes long-term treatment effects including tumor regrowth and eradication.

methodsWe challenge the model with data from a xenograft study using a clinically relevant administration schedule and use a mixed-effects approach for model-fitting. We use the calibrated model to predict exposure combinations that result in tumor eradication using Tumor Static Exposure (TSE).

resultsThe model is able to adequately describe data from all treatment groups, with the parameter estimates taking biologically reasonable values. Using TSE, we predict the total radiation dose necessary for tumor eradication to be 110 Gy, which is reduced to 80 or 30 Gy with co-administration of 25 or 100 mg kg

conclusionsThe new model is capable of describing different tumor dynamics including tumor eradication and tumor regrowth with different rates, and can be calibrated using data from standard xenograft experiments. TSE and related concepts can be used to predict tumor shrinkage and eradication, and have the potential to guide new experiments and support translations from animals to humans.

Indexed as

Models, BiologicalAnimalsDose-Response Relationship, DrugFemaleHumansMiceMice, NudeNeoplasmsRadiation-Sensitizing AgentsRadiotherapy DosageSpecies SpecificityTreatment OutcomeXenograft Model Antitumor AssaysRadiation-Sensitizing AgentsCombination therapyInterspecies scalingOncologyPK/PDRadiation therapyTranslational scienceTurnover model

Identifiers

PMID30976845
PMCPMC6499765

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.