Evidence map›Paper›PMID 32320473›Full record

ArticleThe British journal of dermatology2021

High somatostatin receptor expression and efficacy of somatostatin analogues in patients with metastatic Merkel cell carcinoma.

T Akaike, J Qazi, A Anderson, F S Behnia, M M Shinohara, G Akaike, D S Hippe, H Thomas, S R Takagishi, K Lachance and 8 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

26 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
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  8. Article
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  13. The Evolving Treatment Landscape of Merkel Cell Carcinoma.Current treatment options in oncology · 2023
    Review
  14. Now you see me: lights on Merkel Cell Carcinoma.European journal of hybrid imaging · 2023
    Article
  15. Review
  16. Article
  17. Article
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  19. Review
  20. Growth Hormone and the Human Hair Follicle.International journal of molecular sciences · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

T AkaikeDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0003-4525-6408
J QaziDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0001-9471-3041
A AndersonDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0001-6973-9629
F S BehniaDepartment of Radiology, University of Washington, Seattle, WA, USA.
M M ShinoharaDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
G AkaikeDepartment of Radiology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-6849-4591
D S HippeDepartment of Radiology, University of Washington, Seattle, WA, USA.ORCID 0000-0003-2427-4404
H ThomasDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
S R TakagishiDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0001-7842-7889
K LachanceDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
S Y ParkDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
E S TarabadkarDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
J G IyerDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
A BlomDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.
U ParvathaneniDepartment of Radiation Oncology, University of Washington, Seattle, WA, USA.
H VesselleDepartment of Radiology, University of Washington, Seattle, WA, USA.
P NghiemDivision of Dermatology, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0003-2784-963X
S BhatiaFred Hutchinson Cancer Research Center, Seattle, WA, USA.ORCID 0000-0002-3816-2238
University of Washington · USUniversity of Washington Medical Center · US

Funding

Understand & overcome resistance to PD-1P01CA225517 · NCI · UNIVERSITY OF WASHINGTON · PI Cecilia C Yeung · 2019 to 2026
$22.7M
Pathogenetic and prognostic studies for improved therapy of Merkel cell carcinomaK24CA139052 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2009 to 2018
$1.8M
Humoral and cellular immunity in polyomavirus-linked Merkel cell carcinomaR01CA162522 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2011 to 2015
$1.6M
NCI NIH HHS K24 CA139052NCI NIH HHS P01 CA225517NCI NIH HHS R01 CA162522the MCC patient gift fund at University of Washington
6 · The paper itself

Abstract

backgroundMerkel cell carcinoma (MCC) is an aggressive, high-grade, cutaneous neuroendocrine tumour (NET). Agents blocking programmed death 1/programmed death ligand 1 have efficacy in metastatic MCC (mMCC), but half of patients do not derive durable benefit. Somatostatin analogues (SSAs) are commonly used to treat low- and moderate-grade NETs that express somatostatin receptors (SSTRs).

objectivesTo assess SSTR expression and the efficacy of SSAs in mMCC, a high-grade NET. Methods In this retrospective study of 40 patients with mMCC, SSTR expression was assessed radiologically by somatostatin receptor scintigraphy (SRS; n = 39) and/or immunohistochemically when feasible (n = 9). Nineteen patients (18 had SRS uptake in MCC tumours) were treated with SSA. Disease control was defined as progression-free survival (PFS) of ≥ 120 days after initiation of SSA.

resultsThirty-three of 39 patients (85%) had some degree (low 52%, moderate 23%, high 10%) of SRS uptake. Of 19 patients treated with SSA, seven had a response-evaluable target lesion; three of these seven patients (43%) experienced disease control, with a median PFS of 237 days (range 152-358). Twelve of 19 patients did not have a response-evaluable lesion due to antecedent radiation; five of these 12 (42%) experienced disease control (median PFS of 429 days, range 143-1757). The degree of SSTR expression (determined by SRS and/or immunohistochemistry) did not correlate significantly with the efficacy endpoints.

conclusionsIn contrast to other high-grade NETs, mMCC tumours appear frequently to express SSTRs. SSAs can lead to clinically meaningful disease control with minimal side-effects. Targeting of SSTRs using SSA or other novel approaches should be explored further for mMCC.

Indexed as

Carcinoma, Merkel CellSkin NeoplasmsHumansReceptors, SomatostatinRetrospective StudiesSomatostatinReceptors, SomatostatinSomatostatin

Identifiers

PMID32320473
PMCPMC7891857
OpenAlexW3017309227

What OpenQuestion holds

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LicenceTDM
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Registered trials

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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.