Evidence map›Paper›PMID 32157433›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2020

A phase IIa trial of molecular radiotherapy with 177-lutetium DOTATATE in children with primary refractory or relapsed high-risk neuroblastoma.

Jennifer E Gains, Veronica Moroz, Matthew D Aldridge, Simon Wan, Keith Wheatley, Jennifer Laidler, Connie Peet, Jamshed B Bomanji, Mark N Gaze

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.4field-weighted citation impact, top 8% 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

33 citing papers in PubMed, 49 citations in OpenAlex.

  1. Fraction-dependent dose dynamics and clinical safety in high-risk neuroblastoma treated with [European journal of nuclear medicine and molecular imaging · 2026
    Trial
  2. Safety and dosimetry of [European journal of nuclear medicine and molecular imaging · 2025
    Trial
  3. Review
  4. [JMIR research protocols · 2026
    Article
  5. Article
  6. Review
  7. [European journal of nuclear medicine and molecular imaging · 2026
    Observational
  8. [European journal of nuclear medicine and molecular imaging · 2025
    Article
  9. Expanding the therapeutic horizon ofNagoya journal of medical science · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. GD2-targeted theranostics of neuroblastoma with [European journal of nuclear medicine and molecular imaging · 2025
    Article
  15. Theranostics for Neuroblastoma: Making Molecular Radiotherapy Work Better.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  16. Review
  17. Observational
  18. Role ofFrontiers in medicine · 2025
    Article
  19. Article
  20. Comparison ofHeliyon · 2024
    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

9 authors at 2 institutions in 1 country.

Jennifer E GainsDepartment of Oncology, University College London Hospitals NHS Foundation Trust, 250 Euston Road, London, NW1 2PG, UK.
Veronica MorozCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomic Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Matthew D AldridgeDepartment of Oncology, University College London Hospitals NHS Foundation Trust, 250 Euston Road, London, NW1 2PG, UK.
Simon WanDepartment of Nuclear Medicine, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Keith WheatleyCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomic Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Jennifer LaidlerCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomic Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Connie PeetDepartment of Oncology, University College London Hospitals NHS Foundation Trust, 250 Euston Road, London, NW1 2PG, UK.
Jamshed B BomanjiDepartment of Nuclear Medicine, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Mark N GazeDepartment of Oncology, University College London Hospitals NHS Foundation Trust, 250 Euston Road, London, NW1 2PG, UK. mgaze@nhs.net.ORCID 0000-0002-8344-7902
University College London Hospitals NHS Foundation Trust · GBCancer Research UK Clinical Trials Unit · GB

Funding

Cancer Research UK 14091Cancer Research UK 28028
6 · The paper itself

Abstract

purposeThe objective of this phase IIa, open-label, single-centre, single-arm, two-stage clinical trial was to evaluate the safety and activity of 177-lutetium DOTATATE (LuDO) molecular radiotherapy in neuroblastoma.

methodsChildren with relapsed or refractory metastatic high-risk neuroblastoma were treated with up to four courses of LuDO. The administered activity was 75 to 100 MBq kg

resultsThe trial recruited 21 patients; eight received the planned four courses. There was dose-limiting haematologic toxicity in one case, but no other significant haematologic or renal toxicities. None of 14 evaluable patients had an objective response at 1 month after completion of treatment (Wilson 90% CI 0.0, 0.16; and 95% CI is 0.0, 0.22). The trial did not therefore proceed to the second stage. The median PFS was 2.96 months (95% CI 1.71, 7.66), and the median OS was 13.0 months (95% CI 2.99, 21.52).

conclusionIn the absence of any objective responses, the use of LuDO as a single agent at the dose schedule used in this study is not recommended for the treatment of neuroblastoma. There are several reasons why this treatment schedule may not have resulted in objective responses, and as other studies do show benefit, the treatment should not be regarded as being of no value. Further trials designed to overcome this schedule's limitations are required.

trial registrationISRCTN98918118; URL: https://www.isrctn.com/search?q=98918118.

Indexed as

LutetiumNeuroblastomaAntineoplastic Combined Chemotherapy ProtocolsChildGallium RadioisotopesHumansRadiopharmaceuticalsGallium RadioisotopesLutetiumRadiopharmaceuticalsLutetium DOTATATEMolecular radiotherapyNeuroblastomaToxicity

Identifiers

PMID32157433
OpenAlexW3011732986

What OpenQuestion holds

Textmetadata
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.