Evidence map›Paper›PMID 33403007›Full record

ArticleTherapeutic advances in medical oncology2020

A phase II study of liposomal irinotecan with 5-fluorouracil, leucovorin and oxaliplatin in patients with resectable pancreatic cancer: the nITRO trial.

Francesca Simionato, Camilla Zecchetto, Valeria Merz, Alessandro Cavaliere, Simona Casalino, Marina Gaule, Mirko D'Onofrio, Giuseppe Malleo, Luca Landoni, Alessandro Esposito and 24 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03528785 (A Phase II Study of Liposomial IrinoTecan), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 24% 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.

NCT03528785 phase2unknown statusnot on this map

A Phase II Study of Liposomial IrinoTecan (Nal-IRI) With 5-Fluorouracil, Levofolinic Acid and Oxaliplatin in Patients With Resectable Pancreatic Cancer "nITRo Trial

TypeinterventionalSponsorCentro Ricerche Cliniche di VeronaRan2018 to 2022Enrolled67ConditionsPancreatic AdenocarcinomaArmsIrinotecan Liposomal Injection [Onivyde], oxaliplatin, 5-FU, Levofolinic Acid
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Dual-Hit Strategy for Therapeutic Targeting of Pancreatic Cancer in Patient-Derived Xenograft Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. World journal of gastrointestinal oncology · 2021
    Review
  9. 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

34 authors at 2 institutions in 1 country.

Francesca SimionatoDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, Verona, Italy.
Camilla ZecchettoDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, Verona, Italy.
Valeria MerzDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, Verona, Italy.
Alessandro CavaliereDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, Verona, Italy.
Simona CasalinoDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, Verona, Italy.
Marina GauleDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0001-6008-8495
Mirko D'OnofrioDepartment of Radiology, University and Hospital Trust of Verona, Verona, Italy.
Giuseppe MalleoDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Luca LandoniDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Alessandro EspositoDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Giovanni MarchegianiDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Luca CasettiDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Massimiliano TuveriDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Salvatore PaiellaDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Filippo ScopellitiDepartment of Surgery, Pancreatic Surgery Unit, Hospital P. Pederzoli, Peschiera del Garda, Italy.
Alessandro GiardinoDepartment of Surgery, Pancreatic Surgery Unit, Hospital P. Pederzoli, Peschiera del Garda, Italy.
Isabella FrigerioDepartment of Surgery, Pancreatic Surgery Unit, Hospital P. Pederzoli, Peschiera del Garda, Italy.
Paolo RegiDepartment of Surgery, Pancreatic Surgery Unit, Hospital P. Pederzoli, Peschiera del Garda, Italy.
Paola CapelliDepartment of Pathology, University and Hospital Trust of Verona, Verona, Italy.
Stefano GobboDepartment of Pathology, Hospital P. Pederzoli, Peschiera del Garda, Italy.
Armando GabbrielliEndoscopy Unit, University and Hospital Trust of Verona, Verona, Italy.
Laura BernardoniEndoscopy Unit, University and Hospital Trust of Verona, Verona, Italy.
Vita FedeleDigestive Molecular Clinical Oncology Research Unit, Department of Medicine, University of Verona, Verona, Italy.
Irene RossiCentro Ricerche Cliniche di Verona, University and Hospital Trust of Verona, Verona, Italy.
Cristiana PiazzolaCentro Ricerche Cliniche di Verona, University and Hospital Trust of Verona, Verona, Italy.
Serena GiacomazziCentro Ricerche Cliniche di Verona, University and Hospital Trust of Verona, Verona, Italy.
Martina PasquatoCentro Ricerche Cliniche di Verona, University and Hospital Trust of Verona, Verona, Italy.
Morena GianfortoneCentro Ricerche Cliniche di Verona, University and Hospital Trust of Verona, Verona, Italy.
Stefano MilleriCentro Ricerche Cliniche di Verona, University and Hospital Trust of Verona, Verona, Italy.
Michele MilellaMedical Oncology Unit, University and Hospital Trust of Verona, Verona, Italy.
Giovanni ButturiniDepartment of Surgery, Pancreatic Surgery Unit, Hospital P. Pederzoli, Peschiera del Garda, Italy.
Roberto SalviaDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Claudio BassiDepartment of Surgery, University and Hospital Trust of Verona, Verona, Italy.
Davide MelisiDigestive Molecular Clinical Oncology Unit, Section of Medical Oncology, Department of Medicine, University of Verona, AOUI Verona - Policlinico "G.B. Rossi", Piazzale L.A. Scuro, 10, Verona 37134, Italy.ORCID https://orcid.org/0000-0002-4031-7585
University of Verona · ITCasa di Cura Villa Garda · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp-front surgery followed by postoperative chemotherapy remains the standard paradigm for the treatment of patients with resectable pancreatic cancer. However, the risk for positive surgical margins, the poor recovery after surgery that often impairs postoperative treatment, and the common metastatic relapse limit the overall clinical outcomes achieved with this strategy. Polychemotherapeutic combinations are valid options for postoperative treatment in patients with good performance status. liposomal irinotecan (Nal-IRI) is a novel nanoliposome formulation of irinotecan that accumulates in tumor-associated macrophages improving the therapeutic index of irinotecan and has been approved for the treatment of patients with metastatic pancreatic cancer after progression under gemcitabine-based therapy. Thus, it remains of the outmost urgency to investigate introduction of the most novel agents, such as nal-IRI, in perioperative approaches aimed at increasing the long-term effectiveness of surgery.

methodsThe nITRO trial is a phase II, single-arm, open-label study to assess the safety and the activity of nal-IRI with fluorouracil/leucovorin (5-FU/LV) and oxaliplatin in the perioperative treatment of patients with resectable pancreatic cancer. The primary tumor must be resectable with no involvement of the major arteries and no involvement or <180° interface between tumor and vessel wall of the major veins. A total of 72 patients will be enrolled to receive a perioperative treatment of three cycles before and three cycles after surgical resection with nal-IRI 50 mg/m DISCUSSION: The nITRO trial will contribute to strengthen the clinical evidence supporting perioperative strategies in resectable pancreatic cancer patients. Moreover, this study represents a unique opportunity for translational analyses aimed to identify novel immune-related prognostic and predictive factors in this setting.

trial registrationClinicaltrial.gov: NCT03528785. Trial registration data: 1 January 2018Protocol number: CRC 2017_01EudraCT Number: 2017-000345-46.

Indexed as

nal-irinotecanperi-operative chemotherapyR0resectable pancreatic adenocarcinoma

Identifiers

PMID33403007
PMCPMC7745557
OpenAlexW3083511682

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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.