Evidence map›Paper›PMID 32484754›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Stereotactic Ablative Radiotherapy for the Comprehensive Treatment of Oligometastatic Cancers: Long-Term Results of the SABR-COMET Phase II Randomized Trial.

David A Palma, Robert Olson, Stephen Harrow, Stewart Gaede, Alexander V Louie, Cornelis Haasbeek, Liam Mulroy, Michael Lock, George B Rodrigues, Brian P Yaremko and 14 more

8 registry-linked trialsOpen access · hybridAbstract 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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 686 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
686citing papers in PubMed, 7 pooled it
58.0field-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.

NCT05377047 narecruitingnot on this mapstarted 2022, after this paper: background citation

Treatment of Oligometastatic Breast Cancer - a Randomised Phase 3 Trial Comparing Stereotactic Ablative Radiotherapy and Systemic Treatment With Systemic Treatment Alone as 1st Line Treatment

TypeinterventionalSponsorVastra Gotaland RegionRan2022 to 2027Enrolled345ConditionsBreast Cancer Stage IV, Oligometastatic DiseaseArmsSABR
NCT05717660 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

APalutamide and stEReotactic Body Radiation Therapy for Low Burden Metastatic Hormone senSItive Prostate Cancer, a rANdomized Trial - PERSIAN

TypeinterventionalSponsorAzienda Ospedaliero-Universitaria CareggiRan2023 to 2025Enrolled180ConditionsOligometastatic Hormone Sensitive Prostate CancerArmsSBRT on all sites of metastatic disease+Apalutamide
NCT05808790 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Colorectal Pulmonary Metastases: Pulmonary Metastasectomy Versus Stereotactic Ablative Radiotherapy: a Phase III Multicenter Randomized Controlled Trial

TypeinterventionalSponsorAmsterdam UMC, location VUmcRan2024 to 2030Enrolled394ConditionsLung Metastases, Colorectal Cancer MetastaticArmsMinimally invasive pulmonary metastasectomy, Stereotactic ablative radiotherapy
NCT06021067 phase1 / phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Dead Mesenchymal Stem Cells for the Treatment of Radiation Lung Injury

TypeinterventionalSponsorSichuan UniversityRan2023 to 2024Enrolled15ConditionsRadiation Lung InjuryArmsDeath mesenchymal stem cell
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
NCT06489821 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

STereotactic Body Radiotherapy (SBRT) After oligoprogRession Metastatic Breast Cancer (STAR-B)

TypeinterventionalSponsorJuravinski Cancer CenterRan2024 to 2027Enrolled36ConditionsMetastatic Breast Cancer, OligoprogressionArmsStereotactic body 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

686 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,204 citations in OpenAlex.

  1. Pooled it
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  5. Pooled it
  6. Guideline
  7. Pooled it
  8. Trial
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  18. PSMA+ Extracellular Vesicles Are a Biomarker for SABR in Oligorecurrent Prostate Cancer: Analysis from the STOMP-like and ORIOLE Trial Cohorts.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  19. Trial
  20. Observational

626 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 10 institutions in 4 countries.

David A PalmaLondon Health Sciences Centre, London, Ontario, Canada.
Robert OlsonBC Cancer, Centre for the North, Prince George, British Columbia, Canada.
Stephen HarrowBeatson West of Scotland Cancer Centre, Glasgow, Scotland.
Stewart GaedeLondon Health Sciences Centre, London, Ontario, Canada.
Alexander V LouieSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Cornelis HaasbeekAmsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Liam MulroyNova Scotia Cancer Centre, Halifax, Nova Scotia, Canada.
Michael LockLondon Health Sciences Centre, London, Ontario, Canada.
George B RodriguesLondon Health Sciences Centre, London, Ontario, Canada.
Brian P YaremkoLondon Health Sciences Centre, London, Ontario, Canada.
Devin SchellenbergBC Cancer, Surrey Centre, Surrey, British Columbia, Canada.
Belal AhmadLondon Health Sciences Centre, London, Ontario, Canada.
Sashendra SenthiAlfred Health Radiation Oncology, Melbourne, Victoria, Australia.
Anand SwaminathJuravinski Cancer Centre, Hamilton, Ontario, Canada.
Neil KopekMcGill University Health Centre, Montreal, Quebec, Canada.
Mitchell LiuBC Cancer, Vancouver Centre, Vancouver, British Columbia, Canada.
Karen MooreBeatson West of Scotland Cancer Centre, Glasgow, Scotland.
Suzanne CurrieBeatson West of Scotland Cancer Centre, Glasgow, Scotland.
Roel SchlijperBC Cancer, Centre for the North, Prince George, British Columbia, Canada.
Glenn S BaumanLondon Health Sciences Centre, London, Ontario, Canada.
Joanna LabaLondon Health Sciences Centre, London, Ontario, Canada.
X Melody QuLondon Health Sciences Centre, London, Ontario, Canada.
Andrew WarnerLondon Health Sciences Centre, London, Ontario, Canada.
Suresh SenanAmsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
London Health Sciences Centre · CABeatson West of Scotland Cancer Centre · GBAmsterdam University Medical Centers · NLPositive Living North · CAAlfred Health · AUJuravinski Cancer Centre · CAMcGill University Health Centre · CANova Scotia Cancer Centre · CASunnybrook Health Science Centre · CASurrey Place Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe oligometastatic paradigm hypothesizes that patients with a limited number of metastases may achieve long-term disease control, or even cure, if all sites of disease can be ablated. However, long-term randomized data that test this paradigm are lacking.

methodsWe enrolled patients with a controlled primary malignancy and 1-5 metastatic lesions, with all metastases amenable to stereotactic ablative radiotherapy (SABR). We stratified by the number of metastases (1-3

resultsBetween 2012 and 2016, 99 patients were randomly assigned at 10 centers internationally. The most common primary tumor types were breast (n = 18), lung (n = 18), colorectal (n = 18), and prostate (n = 16). Median follow-up was 51 months. The 5-year OS rate was 17.7% in arm 1 (95% CI, 6% to 34%) versus 42.3% in arm 2 (95% CI, 28% to 56%; stratified log-rank

conclusionWith extended follow-up, the impact of SABR on OS was larger in magnitude than in the initial analysis and durable over time. There were no new safety signals, and SABR had no detrimental impact on QOL.

Indexed as

AgedDisease ProgressionFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm MetastasisNeoplasmsRadiosurgery

Identifiers

PMID32484754
PMCPMC7460150
OpenAlexW3032651552

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

and 2 more above

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.