Evidence map›Paper›PMID 35878713›Full record

ArticleInternational journal of radiation oncology, biology, physics2023

MR-Guided Radiation Therapy With Concurrent Gemcitabine/Nab-Paclitaxel Chemotherapy in Inoperable Pancreatic Cancer: A TITE-CRM Phase I Trial.

Hyun Kim, Jeffrey R Olsen, Olga L Green, Re-I Chin, William G Hawkins, Ryan C Fields, Chet Hammill, Majella B Doyle, William Chapman, Rama Suresh and 11 more

Open access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 5 institutions in 1 country.

Hyun KimWashington University School of Medicine, Department of Radiation Oncology, St. Louis, Missouri. Electronic address: kim.hyun@wustl.edu.
Jeffrey R OlsenUniversity of Colorado School of Medicine, Department of Radiation Oncology, Denver, Colorado.
Olga L GreenWashington University School of Medicine, Department of Radiation Oncology, St. Louis, Missouri.
Re-I ChinWashington University School of Medicine, Department of Radiation Oncology, St. Louis, Missouri.
William G HawkinsWashington University School of Medicine, Department of Surgery, Division of General Surgery, Section of Pancreatic, Hepatobiliary and Gastrointestinal Surgery, St. Louis, Missouri.
Ryan C FieldsWashington University School of Medicine, Department of Surgery, Division of General Surgery, Section of Pancreatic, Hepatobiliary and Gastrointestinal Surgery, St. Louis, Missouri.
Chet HammillWashington University School of Medicine, Department of Surgery, Division of General Surgery, Section of Pancreatic, Hepatobiliary and Gastrointestinal Surgery, St. Louis, Missouri.
Majella B DoyleWashington University School of Medicine, Department of Surgery, Division of General Surgery, Section of Pancreatic, Hepatobiliary and Gastrointestinal Surgery, St. Louis, Missouri.
William ChapmanWashington University School of Medicine, Department of Surgery, Division of General Surgery, Section of Pancreatic, Hepatobiliary and Gastrointestinal Surgery, St. Louis, Missouri.
Rama SureshWashington University School of Medicine, Department of Medicine, Division of Oncology, Section of Medical Oncology, St. Louis, Missouri.
Benjamin TanWashington University School of Medicine, Department of Medicine, Division of Oncology, Section of Medical Oncology, St. Louis, Missouri.
Katrina PedersenWashington University School of Medicine, Department of Medicine, Division of Oncology, Section of Medical Oncology, St. Louis, Missouri.
Brandi JansenWashington University School of Medicine, Department of Radiation Oncology, St. Louis, Missouri.
Todd A DeWeesMayo Clinic, Scottsdale, Division of Biomedical Statistics and Informatics, Scottsdale, Arizona.
Esther LuWashington University School of Medicine, Division of Public Health Sciences, Department of Surgery, St. Louis, Missouri.
Lauren E HenkeWashington University School of Medicine, Department of Radiation Oncology, St. Louis, Missouri.
Shahed BadiyanWashington University School of Medicine, Department of Radiation Oncology, St. Louis, Missouri.
Parag J ParikhHenry Ford Health System, Department of Radiation Oncology, Detroit, Michigan.
Michael C RoachHawai'i Pacific Health, Department of Radiation Oncology, Honolulu, Hawaii.
Andrea Wang-GillamWashington University School of Medicine, Department of Medicine, Division of Oncology, Section of Medical Oncology, St. Louis, Missouri.
Kian-Huat LimWashington University School of Medicine, Department of Medicine, Division of Oncology, Section of Medical Oncology, St. Louis, Missouri.
Washington University in St. Louis · USHenry Ford Health System · USMayo Clinic in Arizona · USPacific Health Research and Education Institute · USUniversity of Colorado Denver · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University SPORE in Pancreatic CancerP50CA272213 · NCI · WASHINGTON UNIVERSITY · PI David G DeNardo, WILLIAM G HAWKINS · 2023 to 2026
$10.7M
NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA272213
6 · The paper itself

Abstract

purposeAblative radiation therapy for borderline resectable or locally advanced pancreatic ductal adenocarcinoma (BR/LA-PDAC) may limit concurrent chemotherapy dosing and usually is only safely deliverable to tumors distant from gastrointestinal organs. Magnetic resonance guided radiation therapy may safely permit radiation and chemotherapy dose escalation. METHODS AND MATERIALS: We conducted a single-arm phase I study to determine the maximum tolerated dose of ablative hypofractionated radiation with full-dose gemcitabine/nab-paclitaxel in patients with BR/LA-PDAC. Patients were treated with gemcitabine/nab-paclitaxel (1000/125 mg/m

resultsThirty patients enrolled (March 2015-February 2019), with 26 evaluable patients (2 progressed before radiation, 1 was determined ineligible for radiation during planning, 1 withdrew consent). One DLT was observed. The DLT rate was 14.1% (3.3%-24.9%) with a maximum tolerated dose of gemcitabine/nab-paclitaxel (1000/100 mg/m

conclusionsFull-dose gemcitabine/nab-paclitaxel with ablative magnetic resonance guided radiation therapy dosing is safe in patients with BR/LA-PDAC, with promising LPFS and DMFS.

Indexed as

AdenocarcinomaPancreatic NeoplasmsAlbuminsAntineoplastic Combined Chemotherapy ProtocolsGemcitabineHumansPaclitaxel130-nm albumin-bound paclitaxelAlbuminsGemcitabinePaclitaxel

Identifiers

PMID35878713
PMCPMC12082964
OpenAlexW4286637499

What OpenQuestion holds

Textmetadata
LicenceTDM
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.