Evidence map›Paper›PMID 32495238›Full record

ArticleClinical & experimental metastasis2020

Stereobody radiotherapy for nodal recurrences in oligometastatic patients: a pooled analysis from two phase I clinical trials.

Francesco Deodato, Milena Ferro, Savino Cilla, Anna Ianiro, Milly Buwenge, Alessia Re, Giuseppina Sallustio, Vincenzo Valentini, Alessio G Morganti, Gabriella Macchia

Abstract readClinical Trial, Phase IMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical & experimental metastasis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 3 institutions in 1 country.

Francesco DeodatoRadiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Milena FerroRadiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Savino CillaMedical Physic Unit, Gemelli Molise Hospital, Campobasso, Italy.
Anna IaniroMedical Physic Unit, Gemelli Molise Hospital, Campobasso, Italy.
Milly BuwengeRadiation Oncology Center, Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy.
Alessia ReRadiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Giuseppina SallustioRadiology Unit, Gemelli Molise Hospital, Campobasso, Italy.
Vincenzo ValentiniDepartment of Radiology, Radiation Oncology and Hematology, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Alessio G Morganti *Radiation Oncology Center, Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy.
Gabriella Macchia *Radiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy. macchiagabriella@gmail.com.ORCID http://orcid.org/0000-0002-0529-201X
University of Molise · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stereotactic body radiotherapy (SBRT) has been shown to achieve high local control rates in limited metastatic burden of disease. Few papers reported on the efficacy of SBRT in nodal oligometastases. The primary aim of the present paper was to analyze the treatment outcome in this setting. Data from DESTROY-1 and SRS-DESTROY-2 phase I clinical trials were reviewed and analyzed. These trials were based on a 5 fractions and a single fraction regimens, respectively. End-points of this analysis were toxicity rates, overall response rate (ORR), and local control (LC). Patients treated between December 2003 and January 2018, with any metastatic site, and primary tumor type and histology were included. One hundred-eighty-one patients (M/F: 93/88; median age: 67, range 37-88) treated with SBRT on 253 nodal lesions were analyzed. Initially, the used technique was 3D-CRT (20.9%), while subsequently treatments were delivered by VMAT (79.1%). The total dose to the PTV ranged between 12 Gy/single fraction to 50 Gy/5 fractions. With a median follow-up of 21 months (2-124), no grade 3 acute or late toxicity was recorded. ORR based on functional imaging was 92.5% with a complete response rate of 76%. Two- and three-year actuarial LC were 81.6% and 76.0%, respectively. Our large pooled analysis confirms the efficacy and safety of SBRT/SRS in patients with nodal metastases and identifies clinical and treatment variables able to predict complete response and local control rate.

Indexed as

AdultAgedAged, 80 and overDose Fractionation, RadiationFemaleHumansLymphatic MetastasisMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasmsRadiosurgeryRadiotherapy DosageRetrospective StudiesTreatment OutcomeNodal metastasesNodal recurrenceOligometastatesSBRTSRS

Identifiers

PMID32495238
OpenAlexW3032854188

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.