Evidence map›Paper›PMID 34646963›Full record

ArticleAdvances in radiation oncology

Stereotactic Ablative Radiation Therapy for Oligoprogressive Renal Cell Carcinoma.

Jonathan E Schoenhals, Osama Mohamad, Alana Christie, Yuanyuan Zhang, Daniel Li, Nirmish Singla, Isaac Bowman, Waddah Arafat, Hans Hammers, Kevin Courtney and 9 more

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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  12. SABR for oligometastatic renal cell carcinoma.Clinical and translational radiation oncology · 2024
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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 2 institutions in 1 country.

Jonathan E SchoenhalsKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Osama MohamadDepartment of Radiation Oncology, University of California San Francisco, San Francisco, California.
Alana ChristieKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Yuanyuan ZhangDepartment of Radiation Oncology, Simmons Comprehensive Cancer Center, Dallas, Texas.
Daniel LiKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Nirmish SinglaKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Isaac BowmanKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Waddah ArafatKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Hans HammersKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Kevin CourtneyKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Suzanne ColeKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Aditya BagrodiaKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Vitaly MargulisKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Neil DesaiDepartment of Radiation Oncology, Simmons Comprehensive Cancer Center, Dallas, Texas.
Aurelie GarantKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Hak ChoyDepartment of Radiation Oncology, Simmons Comprehensive Cancer Center, Dallas, Texas.
Robert TimmermanKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
James BrugarolasKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Raquibul HannanKidney Cancer Program, Simmons Comprehensive Cancer Center, Dallas, Texas.
Harold C. Simmons Comprehensive Cancer CenterUniversity of California, San Francisco · US

Funding

University of Texas Southwestern Medical Center SPORE in Kidney CancerP50CA196516 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI James Brugarolas · 2016 to 2026
$24.7M
NCI NIH HHS P50 CA196516
6 · The paper itself

Abstract

purposeOligoprogression, defined as limited sites of progression on systemic therapy, in patients with metastatic renal cell carcinoma (mRCC) is not uncommon, possibly because of inter- and intratumoral heterogeneity. We evaluated the effect of stereotactic ablative radiation therapy (SAbR) for longitudinal control of oligoprogressive mRCC. METHODS AND MATERIALS: Patients with extracranial mRCC were included in this retrospective analysis if they progressed in ≤3 sites on systemic therapy while demonstrating response/stability at other sites and received SAbR to all progressing sites without switching systemic therapy. Our primary endpoint was modified progression-free survival (mPFS), which we calculated from the start of SAbR to the start of a subsequent systemic therapy, death, or loss to follow-up.

resultsWe identified 36 patients with a median follow-up of 20.4 months (interquartile range, 10.9-29.4). Forty-three sites were treated with SAbR with a median dose of 36 Gy (range, 18-50) in 3 fractions (range, 1-5). Median time to SAbR from the start of systemic therapy was 11.4 months (interquartile range, 6.1-17.1). Median mPFS was 9.2 months (95% confidence interval [CI], 5.9-13.2). Patients receiving SAbR while on immunotherapy exhibited a longer median mPFS (>28.4 months, log-rank

conclusionsSAbR has the potential to extend the the duration of current systemic therapy for selected patients with mRCC, preserving subsequent therapies for later administration possibly enabling longer treatment duration.

Identifiers

PMID34646963
PMCPMC8498727
OpenAlexW3165613002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.