Evidence map›Paper›PMID 34419564›Full record

Trial reportInternational journal of radiation oncology, biology, physics2022

Positron Emission Tomography-Guided Bone Marrow-Sparing Radiation Therapy for Locoregionally Advanced Cervix Cancer: Final Results From the INTERTECC Phase II/III Trial.

Casey W Williamson, Igor Sirák, Ronghui Xu, Lorraine Portelance, Lichun Wei, Rafal Tarnawski, Umesh Mahantshetty, Elena S Heide, Catheryn M Yashar, Michael T McHale and 9 more

Open access · greenAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.8field-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.

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

25 citing papers in PubMed, 46 citations in OpenAlex.

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  19. Improvement in radiation techniques for locally advanced cervical cancer during the last two decades.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Review
  20. 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 9 institutions in 5 countries.

Casey W WilliamsonDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California.
Igor SirákDepartment of Oncology and Radiotherapy, University Hospital, Hradec Kralove, Czech Republic.
Ronghui XuUniversity of California San Diego, La Jolla, California.
Lorraine PortelanceUniversity of Miami, Miami, Florida.
Lichun WeiXijing Hospital, Xian, China.
Rafal TarnawskiMarie Sklodowska Cancer Center and Institute of Oncology, Gliwice, Poland.
Umesh MahantshettyTata Memorial Centre, Parel, Mumbai, India.
Elena S HeideUniversity of California Irvine, Irvine, California.
Catheryn M YasharDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California.
Michael T McHaleUniversity of California San Diego, La Jolla, California.
Walter BoschDepartment of Radiation Oncology, Washington University in St. Louis, St. Louis, Missouri.
Jessica LowensteinUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
Cheryl C SaenzUniversity of California San Diego, La Jolla, California.
Steve PlaxeUniversity of California San Diego, La Jolla, California.
Ramez EskanderUniversity of California San Diego, La Jolla, California.
John EinckDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California.
Arno J MundtDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California.
Jyoti MayadevDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California; La Jolla Center for Precision Radiation Medicine, La Jolla, California.
Loren K MellDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California; La Jolla Center for Precision Radiation Medicine, La Jolla, California. Electronic address: lmell@ucsd.edu.
University of California San Diego · USTata Memorial Hospital · INThe Maria Sklodowska-Curie National Research Institute of Oncology · PLThe University of Texas MD Anderson Cancer Center · USUniversity Hospital Hradec Králové · CZUniversity of California, Irvine · USUniversity of Miami · USWashington University in St. Louis · USXijing Hospital · CN

Funding

Effectiveness of IG-IMRT for Locally Advanced Cervix Cancer on NRG Trial CVM-1421R01CA197059 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MELL, LOREN K. · 2015 to 2017
$725k
Image-guided bone marrow-sparing IMRT for cervical cancerR21CA162718 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MELL, LOREN K. · 2011 to 2012
$637k
NCI NIH HHS R01 CA197059NCI NIH HHS R21 CA162718
6 · The paper itself

Abstract

purposeTo test effects of positron emission tomography (PET)-based bone marrow-sparing (BMS) image-guided intensity modulated radiation therapy (IG-IMRT) on efficacy and toxicity for patients with locoregionally advanced cervical cancer. METHODS AND MATERIALS: In an international phase II/III trial, patients with stage IB-IVA cervical carcinoma were treated with either PET-based BMS-IG-IMRT (PET-BMS-IMRT group) or standard image-guided IMRT (IMRT group), with concurrent cisplatin (40 mg/m

resultsIn total, 101 patients were enrolled on the phase II/III trial, including 29 enrolled in phase III (PET-BMS-IMRT group: 16; IMRT group: 13) before early closure. Median follow-up was 33 months for phase III patients and 39 months for all patients. PFS and OS at 5 years for all patients were 73.6% (95% confidence interval [CI], 64.9%-84.3%) and 84% (95% CI, 76%-92.9%]), respectively. There were no differences in number of cisplatin cycles, OS, PFS, or patterns of failure between groups for the combined cohort. The incidence of acute grade ≥ 3 neutropenia was significantly lower in the PET-BMS-IMRT group compared with IMRT for randomized patients (19% vs 54%, χ

conclusionsPET-BMS-IMRT significantly reduced acute grade ≥3 neutropenia, but not treatment-related lymphopenia, compared with standard IMRT. We found no evidence that PET-BMS-IMRT affected chemotherapy delivery or long-term outcomes, and weak evidence of an association between pretreatment ALC and OS.

Indexed as

Radiotherapy, Intensity-ModulatedUterine Cervical NeoplasmsBone MarrowCisplatinFemaleHumansPositron-Emission TomographyRadiotherapy, Image-GuidedTreatment OutcomeCisplatin

Identifiers

PMID34419564
PMCPMC8688221
OpenAlexW3194314299

What OpenQuestion holds

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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.