Evidence map›Paper›PMID 38111609›Full record

ArticleClinical and translational radiation oncology2024

Prospective results for 5-year survival and toxicity of moderately hypofractionated radiotherapy with simultaneous integrated boost (SIB) in (very) high-risk prostate cancer.

Ingrid Masson, Laurène Larriviere, Marc-André Mahé, David Azria, Pascal Pommier, Nathalie Mesgouez-Nebout, Philippe Giraud, Didier Peiffert, Bruno Chauvet, Philippe Dudouet and 6 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

16 authors at 12 institutions in 1 country.

Ingrid MassonDepartment of Radiation Oncology, Institut de Cancérologie de l'Ouest René Gauducheau, Saint-Herblain, France.
Laurène LarriviereDepartment of Radiation Oncology, Institut de Cancérologie de l'Ouest René Gauducheau, Saint-Herblain, France.
Marc-André MahéDepartment of Radiation Oncology, Institut de Cancérologie de l'Ouest René Gauducheau, Saint-Herblain, France.
David AzriaFédération Universitaire d'Oncologie Radiothérapie FOROM, ICM, Institut régional du Cancer Montpellier, Université de Montpellier, IRCM, Montpellier, France.
Pascal PommierDepartment of Radiation Oncology, Léon Bérard Center, Lyon, France.
Nathalie Mesgouez-NeboutDepartment of Radiation Oncology, Institut de Cancérologie de l'Ouest Paul Papin, Angers, France.
Philippe GiraudDepartment of Radiation Oncology, Georges Pompidou European Hospital, Paris, France.
Didier PeiffertDepartment of Radiation Oncology, Lorraine Cancer Institute, Vandœuvre-lès-Nancy, France.
Bruno ChauvetDepartment of Radiation Oncology, Sainte Catherine Institute, Avignon, France.
Philippe DudouetDepartment of Radiation Oncology, Pont de chaume Clinic, Montauban, France.
Naji SalemDepartment of Radiation Oncology, Paoli-Calmettes Institute, Marseille, France.
Georges NoëlDepartment of Radiation Oncology, ICANS (Cancerology Institute of Strasbourg-Europe), Strasbourg, France.
Jonathan KhalifaDepartment of Radiation Oncology, IUCT Oncopole, Toulouse, France.
Igor LatorzeffDepartment of Radiation Oncology, Pasteur Clinic, Toulouse, France.
Catherine Guérin-CharbonnelClinical Trial Sponsor Unit/Biometry, Institut de Cancérologie de l'Ouest René Gauducheau, Saint-Herblain, France.
Stéphane SupiotDepartment of Radiation Oncology, Institut de Cancérologie de l'Ouest René Gauducheau, Saint-Herblain, France.
Institut de Cancérologie de l'Ouest · FRAssistance Publique – Hôpitaux de Paris · FRCentre Léon Bérard · FRCentre National de la Recherche Scientifique · FRClinique du Pont Saint-Vaast · FRClinique Pasteur · FRInstitut de Cancérologie de Lorraine · FRInstitut de Cancérologie Strasbourg · FRInstitut Pprime · FRInstitut Sainte Catherine · FRInstitut universitaire du cancer de Toulouse Oncopole · FRUniversité de Montpellier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: High-risk (HR) prostate cancer patients usually receive high-dose radiotherapy (RT) using a two-phase sequential technique, but data on a simultaneous integrated boost (SIB) technique are lacking. We prospectively evaluated the long-term results of urinary (GU) and digestive (GI) toxicity and survival data for high-dose RT using a SIB technique in HR and very high-risk (VHR) prostate cancer. Methods: Patients were treated using an SIB technique in 34 fractions, at a dose of 54.4 Gy to the pelvis and seminal vesicles and 74.8 Gy to the prostate, combined with 36 months of androgen-depriving therapy in a prospective multicenter study. Acute and late GU and GI toxicity data were collected. Overall survival (OS), biochemical-relapse-free survival (bRFS), loco-regional-relapse-free survival (LRRFS), metastasis-free-survival (MFS) and disease-free-survival (DFS) were assessed. Results: We recruited 114 patients. After a median follow-up of 62 months, very few patients experienced acute (M0-M3) (G3-4 GU = 3.7 %; G3-4 GI = 0.9 %) or late (M6-M60) severe toxicity (G3-4 GU = 5.6 %; G3-4 GI = 2.8 %). The occurrence of acute G2 + GU or GI toxicity was significantly related to the consequential late G2 + toxicity (p < 0.01 for both GU and GI). Medians of OS, bRFS, LRRFS, MFS and DFS were not reached. At 60 months, OS, bRFS, LRRFS, MFS and DFS were 88.2 % [82.1; 94.7], 86.0 % [79.4 %;93.2 %], 95.8 % [91.8 %;99.9 %], 87.2 % [80.9 %;94.0 %] and 84.1 % [77.2 %;91.6 %] respectively. Conclusion: SIB RT at a dose of 54.4 Gy to the pelvis and 74.8 Gy to the prostate is feasible, leading to satisfying tumor control and reasonable toxicity in HR and VHR prostate cancer.

Identifiers

PMID38111609
PMCPMC10726239
OpenAlexW4388773270

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LicenceCC BY-NC-ND
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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.