Evidence map›Paper›PMID 32974773›Full record

ArticleCardiovascular and interventional radiology2021

The CIREL Cohort: A Prospective Controlled Registry Studying the Real-Life Use of Irinotecan-Loaded Chemoembolisation in Colorectal Cancer Liver Metastases: Interim Analysis.

Philippe L Pereira, Roberto Iezzi, Riccardo Manfredi, Francesca Carchesio, Zoltan Bánsághi, Elias Brountzos, Stavros Spiliopoulos, Javier J Echevarria-Uraga, Belarmino Gonçalves, Riccardo Inchingolo and 13 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Cardiovascular and interventional radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03086096 (CIRSE Registry for LifePearl Microspheres), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 10% 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.

NCT03086096 completednot on this map

CIRSE Registry for LifePearl Microspheres

Typeobservational_patient_registrySponsorCardiovascular and Interventional Radiological Society of EuropeRan2018 to 2022Enrolled152ConditionsColorectal Carcinoma, Neoplasm MetastasisArmsLifePearl Microspheres loaded with Irinotecan
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

23 authors at 19 institutions in 10 countries.

Philippe L PereiraZentrum für Radiologie, Minimal-Invasive Therapien und Nuklearmedizin, SLK-Kliniken Heilbronn GmbH, Am Gesundbrunnen 20-26, 74078, Heilbronn, Germany.
Roberto IezziDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radiologia Diagnostica ed Interventistica Generale, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Riccardo ManfrediDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radiologia Diagnostica ed Interventistica Generale, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Francesca CarchesioDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radiologia Diagnostica ed Interventistica Generale, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Zoltan BánsághiMedical Imaging Center, Semmelweis University, Korányi Sándor u. 2, Budapest, 1082, Hungary.
Elias BrountzosInterventional Radiology Unit, 2nd Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Attikon University General Hospital, Rimini 1, Chaidari, 124 62, Athens, Greece.
Stavros SpiliopoulosInterventional Radiology Unit, 2nd Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Attikon University General Hospital, Rimini 1, Chaidari, 124 62, Athens, Greece.
Javier J Echevarria-UragaDepartment of Radiology, Osakidetza Basque Health Service, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, 48960, Galdakao, Spain.
Belarmino GonçalvesDepartment of Interventional Radiology, Portuguese Oncology Institute, Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal.
Riccardo InchingoloDivision of Interventional Radiology, Department of Radiology, Madonna delle Grazie Hospital, Via Montescaglioso, 75100, Matera, Italy.
Michele NardellaDivision of Interventional Radiology, Department of Radiology, Madonna delle Grazie Hospital, Via Montescaglioso, 75100, Matera, Italy.
Olivier PellerinAssistance Publique Hôpitaux de Paris, Service de Radiologie Interventionnelle Vasculaire et Oncologique, Hôpital Européen Georges Pompidou, Université Paris Descartes, Sorbonne Paris-Cité, 20 Rue Leblanc, 75015, Paris, France.
Maria SousaDepartment of Interventional Radiology, Portuguese Oncology Institute, Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal.
Dirk ArnoldAsklepios Tumorzentrum Hamburg, AK Altona, Paul Ehrlich Str. 1, 22763, Hamburg, Germany.
Thierry de BaèreService de Radiologie Interventionelle, Institut Gustave Roussy, 114 Rue Edouard Vaillant, 94800, Villejuif, France.
Fernando GomezServicio de Radiodiagnóstico, Hospital Clínic de Barcelona, Calle Villarroel, 170, 08036, Barcelona, Spain.
Thomas HelmbergerInstitut für Radiologie, München Klinik Bogenhausen Neuroradiologie und minimal-invasive Therapie, Englschalkinger Str. 77, 81925, Munich, Germany.
Geert MaleuxRadiologie, UZ Leuven, Herestraat 49, 3000, Louvain, Belgium.
Hans PrenenOncology Department, UZ Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium.
Bruno SangroLiver Unit, Clinica Universidad de Navarra-IDISNA and CIBEREHD, Av. de Pío XII 36, 31008, Pamplona, Spain.
Bleranda ZekaClinical Research Department, Cardiovascular and Interventional Radiological Society of Europe, Neutorgasse 9, 1010, Vienna, Austria.
Nathalie KaufmannClinical Research Department, Cardiovascular and Interventional Radiological Society of Europe, Neutorgasse 9, 1010, Vienna, Austria. kaufmann@cirse.org.
Julien TaiebAssistance Publique Hôpitaux de Paris, Service d'hepatogastroentérologie et d'oncologie digestive, Hôpital Européen Georges Pompidou, Université Paris Descartes, Sorbonne Paris-Cité, 20 Rue Leblanc, 75015, Paris, France.
Agostino Gemelli University Polyclinic · ITCardiovascular and Interventional Radiological Society of Europe · ATInstituto Português de Oncologia Francisco Gentil · PTOspedale Madonna Delle Grazie · ITAntwerp University Hospital · BEAsklepios Klinik Altona · DECentro de Investigación Biomédica en Red · ESHôpital Européen Georges-Pompidou · FRHospital Clínic de Barcelona · ESHospital de Galdakao · ESInstitut Gustave Roussy · FRIstituti di Ricovero e Cura a Carattere Scientifico · ITKU Leuven · BEMünchen Klinik Bogenhausen · DENational and Kapodistrian University of Athens · GRSemmelweis University · HUSLK-Kliniken Heilbronn · DEUniversité Paris Cité · FRUniversity General Hospital Attikon · GR

Funding

Terumo Europe NV unrestriced educational grant
6 · The paper itself

Abstract

purposeTransarterial chemoembolisation (TACE) using irinotecan-eluting beads is an additional treatment option for colorectal cancer liver metastases (CRLM) patients that are not eligible for curative treatment approaches. This interim analysis focuses on feasibility of the planned statistical analysis regarding data distribution and completeness, treatment intention, safety and health-related quality of life (HRQOL) of the first 50 patients prospectively enrolled in the CIrse REgistry for LifePearl™ microspheres (CIREL), an observational multicentre study conducted across Europe.

methodsIn total, 50 patients ≥ 18 years diagnosed with CRLM and decided to be treated with irinotecan-eluting LifePearl™ microspheres TACE (LP-irinotecan TACE) by a multidisciplinary tumour board. There were no further inclusion or exclusion criteria. The primary endpoint is the categorisation of treatment intention, and secondary endpoints presented in this interim analysis are safety, treatment considerations and HRQOL.

resultsLP-irinotecan TACE was conducted in 42% of patients as salvage therapy, 20% as an intensification treatment, 16% as a first-line treatment, 14% a consolidation treatment and 8% combination treatment with ablation with curative intent. Grade 3 and 4 adverse events were reported by 4% of patients during procedure and by 10% within 30 days. While 38% reported a worse, 62% reported a stable or better global health score, and 54% of patients with worse global health score were treated as salvage therapy patients.

conclusionThis interim analysis confirms in a prospective analysis the feasibility of the study, with an acceptable toxicity profile. More patients reported a stable or improved HRQOL than deterioration. Deterioration of HRQOL was seen especially in salvage therapy patients.

trial registrationNCT03086096.

Indexed as

Quality of LifeRegistriesAgedChemoembolization, TherapeuticColorectal NeoplasmsFemaleHumansIrinotecanLiver NeoplasmsMaleMicrospheresNeoplasm MetastasisProspective StudiesTopoisomerase I InhibitorsIrinotecanTopoisomerase I InhibitorsChemoembolisationDrug-eluting microspheresInterim analysisIrinotecanTACE

Identifiers

PMID32974773
PMCPMC7728640
OpenAlexW3088910559

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.