Evidence map›Paper›PMID 34650808›Full record

ArticleMolecular and clinical oncology2021

New enzyme-targeting radiosensitizer (KORTUC II) treatment for locally advanced or recurrent breast cancer.

Taiju Shimbo, Mio Nakata, Hiroto Yoshioka, Chikara Sato, Akihiro Hori, Kosei Kimura, Mitsuhiko Iwamoto, Ken Yoshida, Yasuo Uesugi, Hironori Akiyama and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Targeting the organelle for radiosensitization in cancer radiotherapy.Asian journal of pharmaceutical sciences · 2024
    Review
  5. Article
  6. 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

11 authors at 4 institutions in 1 country.

Taiju ShimboDepartment of Radiation Oncology, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Mio NakataDepartment of Radiation Oncology, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Hiroto YoshiokaDepartment of Radiation Oncology, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Chikara SatoDepartment of Radiation Oncology, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Akihiro HoriDepartment of Radiation Oncology, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Kosei KimuraDepartment of Breast and Endocrine Surgery, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Mitsuhiko IwamotoDepartment of Breast and Endocrine Surgery, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Ken YoshidaDepartment of Radiology, Kansai Medical University Medical Center, Moriguti, Osaka 573-1191, Japan.
Yasuo UesugiDepartment of Rehabilitation, Kansai University of Welfare Sciences, Kashiwara, Osaka 583-0026, Japan.
Hironori AkiyamaDepartment of Dental Radiology, Osaka Dental University, Hirakata, Osaka 573-1121, Japan.
Keiji NiheiDepartment of Radiation Oncology, Osaka Medical College, Takatuki, Osaka 569-8686, Japan.
Osaka Medical and Pharmaceutical University · JPKansai Medical University · JPKansai University of Welfare Sciences · JPOsaka Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kochi oxydol radiation therapy for unresectable carcinomas II (KORTUC II) is currently the most widely used radiosensitizer in Japan. This sensitizer is a solution consisting of 0.83% sodium hyaluronate and 0.5% hydrogen peroxide. The mixture is injected intratumorally just before radiation therapy (RT) several times. KORTUC II has the effect of neutralizing antioxidant enzymes, while increasing the oxygen tension into the tumor tissue, and achieves marked local effects without notable adverse events. The present report describes cases in which KORTUC II was used to treat patients with locally advanced breast cancer (LABC) or recurrent breast cancer (LRBC). The present study included 30 patients with LABC (n=9) or LRBC (n=21) aimed at local control of tumors, who were followed up for ≥3 months after treatment. The irradiation dose and extent fields were determined by the attending physicians considering various patient factors, such as a performance status, prognosis and presence or absence of adjuvant therapy. The median irradiation dose was 60.4 Gy3.5 (43.6-76.1 Gy3.5) based on the calculation of equivalents of 2 Gy fractions, and the median total number of sensitizer injections was 5 (2-7) times. The median maximum tumor shrinkage was 97.0% and 15 patients (50%) were assessed to have achieved a clinical complete response. The proportion with loco-regional control at 1, 2 and 3 years was 100, 94.7 and 75.4%, respectively, and progression free survival after RT at 1 and 2 years was 59.0 and 24.1%, respectively. KORTUC II exhibited high rates of local tumor control for LABC and LRBC. KORTUC II is expected to be an inexpensive and promising RT method because it is safe and has an excellent radio-sensitizing effect.

Indexed as

hydrogen peroxideKochi oxydol radiation therapy for unresectable carcinomaslocally advanced breast cancerlocally recurrent breast cancerradiosensitizersodium hyaluronate

Identifiers

PMID34650808
PMCPMC8506568
OpenAlexW3159152145

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.