Evidence map›Paper›PMID 31395036›Full record

ArticleBMC cancer2019

Salvage PRRT with

S Rudisile, A Gosewisch, V Wenter, M Unterrainer, G Böning, F J Gildehaus, W P Fendler, C J Auernhammer, C Spitzweg, P Bartenstein and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04954820 (A Prospective Randomized Phase II Study Assess the Schema of Retreatment With Lutathera®), which is not on this map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
8.0field-weighted citation impact, top 2% 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.

NCT04954820 phase2recruitingnot on this mapstarted 2021, after this paper: background citation

A Prospective Randomized Phase II Study Assess the Schema of Retreatment With Lutathera® ([177LU]LU-DOTA-TATE) in Patients With New Progression of Intestinal Well-differenciated Neuroendocrine Tumor

TypeinterventionalSponsorInstitut du Cancer de Montpellier - Val d'AurelleRan2021 to 2033Enrolled146ConditionsNeuroendocrine Tumors, Intestinal Well Differentiated Endocrine Tumor, Progressive DiseaseArmsLutathera
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 81 citations in OpenAlex.

  1. Trial
  2. Krenning score enhances integrated biomarker models for survival prediction in PRRT-treated GEP-NET: a retrospective cohort study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Estimation of split renal function on PET using the SSTR-targeting radioligands [European journal of nuclear medicine and molecular imaging · 2026
    Article
  7. Dosimetry inJournal of clinical medicine · 2026
    Review
  8. Review
  9. Article
  10. Safety and efficacy of re-treatment with [European journal of nuclear medicine and molecular imaging · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. LutatheraPharmaceutics · 2023
    Review
  16. Pharmaceutics · 2023
    Review
  17. Review
  18. Article
  19. Article
  20. 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

12 authors at 1 institution in 1 country.

S RudisileDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
A GosewischDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
V WenterDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
M UnterrainerDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
G BöningDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
F J GildehausDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
W P FendlerDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
C J AuernhammerDepartment of Internal Medicine 4, University Hospital, LMU Munich, Munich, Germany.
C SpitzwegDepartment of Internal Medicine 4, University Hospital, LMU Munich, Munich, Germany.
P BartensteinDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
A TodicaDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
H IlhanDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany. harun.ilhan@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-0409-1942
LMU Klinikum · DE

Funding

Kuhbier-Langewiesche Foundation not applicable
6 · The paper itself

Abstract

backgroundNETTER-1 trial demonstrated high efficacy and low toxicity of four cycles of Peptide Receptor Radionuclide Therapy (PRRT) in patients with metastasized NET. The present study evaluates the outcome of further PRRT cycles in the so called salvage setting in patients after initial response to four therapy cycles and later progression.

methodsThirty five patients (pat.) (25 male, 10 female, 63 ± 9 years) with progressive, metastasized NET (23 small intestinal, 5 lung, 4 CUP, 1 rectal, 1 gastric and 1 paraganglioma) were included. All patients previously received 4 PRRT cycles with

resultsThe median PFS after initial PRRT was 33 months (95% CI: 30-36). The mean cumulative dose for including salvage PRRT was 44 GBq (range 33.5-47). One pat. (2.9%) showed grade 3 hematotoxicity. Kidney dosimetry revealed a mean cumulative kidney dose after a median of 6 PRRT cycles of 23.8 Gy. No grade 3 / 4 nephrotoxicity or relevant decrease in renal function was observed. Follow-up imaging was available in 32 patients after salvage therapy. Best response according to RECIST 1.1. was PR in one patient (3.1%), SD in 26 patients (81.3%) and PD in 5 patients (15.6%). PFS after salvage therapy was 6 months (95% CI: 0-16; 8 patients censored). Mean OS after initial PRRT was 105 months (95% CI: 92-119) and 51 months (95% CI: 41-61) after start of salvage therapy. Median OS was not reached within a follow-up of 71 months after initial PRRT and 25 months after start of salvage PRRT, respectively.

conclusionsSalvage therapy with

Indexed as

AgedAged, 80 and overCombined Modality TherapyCoordination ComplexesFemaleHumansKaplan-Meier EstimateMagnetic Resonance ImagingMaleMiddle AgedMolecular Targeted TherapyNeuroendocrine TumorsOctreotidePositron Emission Tomography Computed TomographyRadiation DosageRadiometry177Lu-DOTA-octreotateCoordination ComplexesOctreotideRadiopharmaceuticalsReceptors, PeptideDosimetryNETPRRTSalvage therapySPECTSurvival

Identifiers

PMID31395036
PMCPMC6686531
OpenAlexW2968069725

What OpenQuestion holds

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LicenceCC BY
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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.