Evidence map›Paper›PMID 33647286›Full record

ArticleGastrointestinal endoscopy2021

EUS-guided verteporfin photodynamic therapy for pancreatic cancer.

Yuri Hanada, Stephen P Pereira, Brian Pogue, Edward V Maytin, Tayyaba Hasan, Bryan Linn, Tiffany Mangels-Dick, Kenneth K Wang

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Gastrointestinal endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03033225 (Phase II Study of EUS-Guided Verteporfin PDT in Solid Pancreatic Tumors), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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.

NCT03033225 phase2completednot on this map

Phase II Study of EUS-Guided Verteporfin PDT in Solid Pancreatic Tumors (VERTPAC-02)

TypeinterventionalSponsorMayo ClinicRan2017 to 2023Enrolled13ConditionsAdvanced Pancreatic Carcinoma, Locally Advanced Pancreatic Carcinoma, Metastatic Pancreatic Carcinoma, Pancreatic NeoplasmArmsEndoscopic Ultrasound, Fluorescence Imaging, Photodynamic Therapy, Quality-of-Life Assessment, Questionnaire Administration
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Dose threshold values for endovascular photodynamic therapy (PDT) in normal pig pancreas and human pancreatic cancer.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Photodynamic Therapy: Past, Current, and Future.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. Review
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

8 authors at 6 institutions in 2 countries.

Yuri HanadaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Stephen P PereiraInstitute for Liver and Digestive Health, University College London, London, UK.
Brian PogueDepartment of Engineering Sciences, Dartmouth College, Hanover, New Hampshire, USA.
Edward V MaytinDepartment of Dermatology, Cleveland Clinic, Cleveland, Ohio, USA.
Tayyaba HasanWellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Bryan LinnDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Tiffany Mangels-DickDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Kenneth K WangDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
WinnMed · USCleveland Clinic · USDartmouth College · USMassachusetts General Hospital · USMayo Clinic · USUniversity College London · GB

Funding

Small Molecule Enhancers of Photodynamic Therapy for Skin CancerP01CA084203 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Bryan Quilty Spring · 2001 to 2026
$27.9M
Department of Health PB-PG-0712-28114Medical Research Council G0801588NCI NIH HHS P01 CA084203
6 · The paper itself

Abstract

BACKGROUND AND

aimsLocally advanced pancreatic cancer (LAPC) often causes obstruction. Verteporfin photodynamic therapy (PDT) can feasibly "debulk" the tumor more safely than noncurative surgery and has multiple advantages over older PDT agents. We aimed to assess the feasibility of EUS-guided verteporfin PDT in ablating nonresectable LAPC.

methodsAdults with LAPC with adequate biliary drainage were prospectively enrolled. Exclusion criteria were significant metastatic disease burden, disease involving >50% duodenal or major artery circumference, and recent treatment with curative intent. CT was obtained between days -28 to 0. On day 0, verteporfin .4 mg/kg was infused 60 to 90 minutes before EUS, during which a diffuser was positioned in the tumor and delivered light at 50 J/cm for 333 seconds. CT was obtained on day 2, with adverse event monitoring occurring on days 1, 2, and 14. The primary outcome was presence of necrosis.

resultsOf 8 patients (62.5% men, mean age 65 ± 7.9 years) included in the study, 5 were staged at T3, 2 at T2, and 1 at T1. Most (n = 4) had primary lesions in the pancreatic head. Mean pretrial tumor diameter was 33.3 ± 13.4 mm. On day 2 CT, 5 lesions demonstrated a zone of necrosis measuring a mean diameter of 15.7 ± 5.5 mm; 3 cases did not develop necrosis. No adverse events were noted during the procedure or postprocedure observation period (days 1-3), and no changes in patient-reported outcomes were noted.

conclusionsIn this pilot study, EUS-guided verteporfin PDT is feasible and shows promise as a minimally invasive ablative therapy for LAPC in select patients. Tumor necrosis is visible within 48 hours after treatment. Patient enrollment and data collection are ongoing. (Clinical trial registration number: NCT03033225.).

Indexed as

Pancreatic NeoplasmsPhotochemotherapyPorphyrinsAgedFemaleHumansMaleMiddle AgedPhotosensitizing AgentsPilot ProjectsVerteporfinPhotosensitizing AgentsPorphyrinsVerteporfin

Identifiers

PMID33647286
PMCPMC10434704
OpenAlexW3133649419

What OpenQuestion holds

Textmetadata
LicenceTDM
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.