Evidence map›Paper›PMID 33495981›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2021

Stereotactic ablative radiotherapy in castration-resistant prostate cancer patients with oligoprogression during androgen receptor-targeted therapy.

G Ingrosso, B Detti, A Fodor, S Caini, S Borghesi, L Triggiani, F Trippa, D Russo, A Bruni, G Francolini and 9 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Stereotactic radiotherapy for oligometastases in the lymph nodes.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  9. Article
  10. Article
  11. Stereotactic radiotherapy to oligoprogressive lesions detected withEuropean journal of nuclear medicine and molecular imaging · 2021
    Article
  12. 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

19 authors at 10 institutions in 1 country.

G IngrossoRadiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia, Perugia, Italy. ingrosso.gianluca@gmail.com.ORCID http://orcid.org/0000-0003-4380-6947
B DettiDepartment of Radiation Oncology, A.O.U Careggi, University of Florence, Florence, Italy.
A FodorDepartment of Radiation Oncology, San Raffaele Scientific Institute, Milan, Italy.
S CainiCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Networking, Florence, Italy.
S BorghesiUnit of Radiation Oncology, S. Donato Hospital, Arezzo, Italy.
L TriggianiDepartment of Radiation Oncology, University and Spedali Civili Hospital, Brescia, Italy.
F TrippaDepartment of Radiation Oncology, 'S. Maria' Hospital, Terni, Italy.
D RussoRadiotherapy Unit, Ospedale "Vito Fazzi", Lecce, Italy.
A BruniRadiotherapy Unit, University Hospital of Modena, Modena, Italy.
G FrancoliniDepartment of Radiation Oncology, A.O.U Careggi, University of Florence, Florence, Italy.
A LanciaDepartment of Radiation Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
L MarinelliDepartment of Medicine and Surgery and Translational Medicine, "Sapienza" University of Rome, Radiotherapy Oncology Operative Unit, St Andrea Hospital, Rome, Italy.
N Di MuzioDepartment of Radiation Oncology, San Raffaele Scientific Institute, Milan, Italy.
L LiviDepartment of Radiation Oncology, A.O.U Careggi, University of Florence, Florence, Italy.
S M MagriniDepartment of Radiation Oncology, University and Spedali Civili Hospital, Brescia, Italy.
E MaranzanoDepartment of Radiation Oncology, 'S. Maria' Hospital, Terni, Italy.
D MusioRadiotherapy Unit, Ospedale "Vito Fazzi", Lecce, Italy.
C AristeiRadiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia, Perugia, Italy.
M ValerianiDepartment of Medicine and Surgery and Translational Medicine, "Sapienza" University of Rome, Radiotherapy Oncology Operative Unit, St Andrea Hospital, Rome, Italy.
University of Florence · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITOspedale Vito Fazzi · ITSan Raffaele University of Rome · ITSanta Maria Nuova Hospital · ITSapienza University of Rome · ITUniversity of Perugia · ITOspedale San Donato · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report outcomes of stereotactic body radiotherapy (SBRT) in metastatic castration-resistant prostate cancer (mCRPC) patients with oligoprogression (≤ 5 metastases) during first-line treatment with androgen receptor-targeted therapy (ARTT). PATIENTS AND

methodsRetrospective multi-institutional analysis of mCRPC patients treated with SBRT to oligoprogressive lesions during ARTT. End-points were time to next-line systemic treatment (NEST), radiological progression-free survival (r-PFS) and overall survival (OS). Toxicity was registered according to Common Terminology Criteria for Adverse Events (CTCAE) v4.0. Survival analysis was performed using the Kaplan-Meier method, univariate and multivariate analysis (MVA) were performed.

resultsData from 34 patients were analyzed. Median NEST-free survival, r-PFS, and OS were 16.97, 13.47, and 38.3 months, respectively. At MVA, factors associated with worse NEST-free survival and r-PFS were polymetastatic burden at diagnosis of metastatic hormone-sensitive disease (hazard ratio [HR] 3.66, p = 0.009; HR 3.03, p = 0.034), PSA ≤ 7 ng/ml at mCRPC diagnosis (HR 0.23, p = 0.017; HR 0.19, p = 0.006) and PSADT ≤ 3 months at mCRPC diagnosis (HR 3.39, p = 0.026; HR 2.79, p = 0.037). Polymetastatic state at mHSPC diagnosis was associated with a decreased OS (HR 4.68, p = 0.029). No patient developed acute or late grade ≥ 2 toxicity.

conclusionOur results suggest that SBRT in oligoprogressive mCPRC is safe, effective and seems to prolong the efficacy of the ongoing systemic treatment positively affecting disease progression. Prospective trials are needed.

Indexed as

AgedAnalysis of VarianceAndrogen Receptor AntagonistsCombined Modality TherapyDisease ProgressionHumansKaplan-Meier EstimateMaleMiddle AgedMolecular Targeted TherapyProgression-Free SurvivalProstatic Neoplasms, Castration-ResistantRadiosurgeryRadiotherapy DosageRetrospective StudiesTreatment OutcomeAndrogen Receptor AntagonistsAndrogen receptor-targeted therapyMetastatic castration-resistant prostate cancerNEST-free survivalOligoprogressionStereotactic body radiotherapy

Identifiers

PMID33495981
OpenAlexW3124853404

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.