Evidence map›Paper›PMID 31067138›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

Local Consolidative Therapy Vs. Maintenance Therapy or Observation for Patients With Oligometastatic Non-Small-Cell Lung Cancer: Long-Term Results of a Multi-Institutional, Phase II, Randomized Study.

Daniel R Gomez, Chad Tang, Jianjun Zhang, George R Blumenschein, Mike Hernandez, J Jack Lee, Rong Ye, David A Palma, Alexander V Louie, D Ross Camidge and 11 more

4 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 674 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
674citing papers in PubMed, 8 pooled it
121.9field-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.

NCT05998993 nanot yet recruitingnot on this mapstarted 2023, after this paper: background citation

Phase II Study to Evaluate the Efficacy and Safety of SBRT as an Adjunctive Intervention for Oligoresidual Disease in EGFR Mutant NSCLC With First-Line Osimertinib Treatment

TypeinterventionalSponsorCentro de Tratamiento e Investigación sobre Cáncer, Luis Carlos Sarmiento AnguloRan2023 to 2028Enrolled35ConditionsEGF-R Positive Non-Small Cell Lung Cancer, Non Small Cell Lung Cancer, EGFR Exon 19 Deletion, EGFR Exon 21 MutationArmsStereotactic Body Radiation Therapy SBRT
NCT06207292 naunknown statusnot on this map

STereotactic Ablative RadioTherapy in NEWly Synchronous and mEtachRonous (Oligo-persistence, Oligo-induced, Oligo-progression) Oncogene and Non Oncogene Addicted OLIGO-metastatic Non-small Cell Lung Cancer Patients

TypeinterventionalSponsorRadiotherapy Oncology Centre "Santa Maria" HospitalRan2016 to 2024Enrolled100ConditionsNSCLC, NSCLC Stage IV, Oligometastatic Disease, Non Small Cell Lung CancerArmsStereotactic Ablative Radiotherapy
NCT06842030 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility Trial of Darwin OncoTreat and OncoTarget Precision Medicine Testing to Improve Outcomes for Patients With Limited Metastatic Disease That Failed First-Line Systemic Therapy

TypeinterventionalSponsorGood Samaritan Hospital Medical Center, New YorkRan2025 to 2027Enrolled20ConditionsPersonalized Medicine, Oligometastatic Disease, FeasibilityArmsDarwin OncoTarget and OncoTreat
NCT07413523 narecruitingnot on this mapstarted 2026, after this paper: background citation

Randomized Trial of stAndard of Care With or Without Metastases-directed Stereotactic Body Radiation Therapy in Patients Affected by Oligometastatic uRothelial carcinomA: ASTRA Trial

TypeinterventionalSponsorIstituto Clinico HumanitasRan2026 to 2030Enrolled44ConditionsBladder Cancer, Urothelial Carcinoma (UC), OligometastasisArmsSBRT
3 · Its place in the literature

Who cites it

674 citing papers in PubMed, 8 syntheses or guidelines pooled it, 1,236 citations in OpenAlex.

  1. Stereotactic body radiation therapy (SBRT) with MRI-Linac in oligometastatic gynaecological cancer patients: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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614 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 3 institutions in 2 countries.

Daniel R Gomez1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Chad Tang1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Jianjun Zhang1 The University of Texas MD Anderson Cancer Center, Houston, TX.
George R Blumenschein1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Mike Hernandez1 The University of Texas MD Anderson Cancer Center, Houston, TX.
J Jack Lee1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Rong Ye1 The University of Texas MD Anderson Cancer Center, Houston, TX.
David A Palma2 London Health Sciences Center, London, Ontario, Canada.
Alexander V Louie2 London Health Sciences Center, London, Ontario, Canada.
D Ross Camidge3 University of Colorado School of Medicine, Aurora, CO.
Robert C Doebele3 University of Colorado School of Medicine, Aurora, CO.
Ferdinandos Skoulidis1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Laurie E Gaspar3 University of Colorado School of Medicine, Aurora, CO.
James W Welsh1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Don L Gibbons1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Jose A Karam1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Brian D Kavanagh3 University of Colorado School of Medicine, Aurora, CO.
Anne S Tsao1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Boris Sepesi1 The University of Texas MD Anderson Cancer Center, Houston, TX.
Stephen G Swisher1 The University of Texas MD Anderson Cancer Center, Houston, TX.
John V Heymach1 The University of Texas MD Anderson Cancer Center, Houston, TX.
The University of Texas MD Anderson Cancer Center · USUniversity of Colorado Denver · USLondon Health Sciences Centre · CA

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

purposeOur previously published findings reported that local consolidative therapy (LCT) with radiotherapy or surgery improved progression-free survival (PFS) and delayed new disease in patients with oligometastatic non-small-cell lung cancer (NSCLC) that did not progress after front-line systemic therapy. Herein, we present the longer-term overall survival (OS) results accompanied by additional secondary end points. PATIENTS AND

methodsThis multicenter, randomized, phase II trial enrolled patients with stage IV NSCLC, three or fewer metastases, and no progression at 3 or more months after front-line systemic therapy. Patients were randomly assigned (1:1) to maintenance therapy or observation (MT/O) or to LCT to all active disease sites. The primary end point was PFS; secondary end points were OS, toxicity, and the appearance of new lesions. All analyses were two sided, and

resultsThe Data Safety and Monitoring Board recommended early trial closure after 49 patients were randomly assigned because of a significant PFS benefit in the LCT arm. With an updated median follow-up time of 38.8 months (range, 28.3 to 61.4 months), the PFS benefit was durable (median, 14.2 months [95% CI, 7.4 to 23.1 months] with LCT

conclusionIn patients with oligometastatic NSCLC that did not progress after front-line systemic therapy, LCT prolonged PFS and OS relative to MT/O.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungConsolidation ChemotherapyFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm Metastasis

Identifiers

PMID31067138
PMCPMC6599408
OpenAlexW2944301866

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.