Evidence map›Paper›PMID 39477418›Full record

Trial reportIn vivo (Athens, Greece)

Oral 5-aminolevulinic Acid for Patients With Localized Prostate Cancer Undergoing Low-dose-rate Brachytherapy: AMBER Trial.

Makito Miyake, Nobumichi Tanaka, Kenta Ohnishi, Yasushi Nakai, Satoshi Anai, Kaoru Yamaki, Isao Asakawa, Nobutaka Nishimura, Tomomi Fujii, Fumiaki Isohashi and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Makito MiyakeDepartment of Urology, Nara Medical University, Kashihara, Japan; makitomiyake@yahoo.co.jp.
Nobumichi TanakaDepartment of Urology, Nara Medical University, Kashihara, Japan; sendo@naramed-u.ac.jp.
Kenta OhnishiDepartment of Urology, Nara Medical University, Kashihara, Japan.
Yasushi NakaiDepartment of Urology, Nara Medical University, Kashihara, Japan.
Satoshi AnaiDepartment of Urology, Nara Medical University, Kashihara, Japan.
Kaoru YamakiDepartment of Radiation Oncology, Nara Medical University, Kashihara, Japan.
Isao AsakawaDepartment of Radiation Oncology, Nara Medical University, Kashihara, Japan.
Nobutaka NishimuraDepartment of Urology, Nara Medical University, Kashihara, Japan.
Tomomi FujiiDivision of Fostering Required Medical Human Resources, Center for Infectious Disease Education and Research (CiDER), Osaka University, Osaka, Japan.
Fumiaki IsohashiDepartment of Radiation Oncology, Nara Medical University, Kashihara, Japan.
Kiyohide FujimotoDepartment of Urology, Nara Medical University, Kashihara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimRadiotherapy is one of the most frequently used options for prostate cancer (PCa). However, adverse effects related to irradiation of surrounding normal organs are significant clinical concerns. Specifically, genitourinary toxicity can dramatically reduce the quality of life. This clinical trial investigated the efficacy of oral 5-aminolevulinic acid phosphate combined with sodium ferrous citrate (ALA-SFC) in patients treated with low-dose-rate brachytherapy (LDR-BT) using an iodine-125 seed source. PATIENTS AND

methodsThe AMBER study was a prospective single-center trial involving patients with localized PCa who underwent LDR-BT without external-beam radiotherapy (jRCTs051190077). Fifty patients were included and instructed to take capsules of ALA-SFC twice a day (200 mg phosphate salt and 229.42 mg per day) for six months from the day of seed implantation (prescribed radiation dose of 160 Gy). Patient data were collected before implantation, during ALA-SFC treatment, and at 1, 3, 6, 9, and 12 months post-LDR-BT. The primary endpoint of this trial was urinary frequency at three months. Other patient-reported outcomes, investigator-reported adverse events, and oncological outcomes were secondary endpoints.

resultsOf 50 enrolled cases (45 in the per-protocol analysis, 49 in the safety analysis), urinary frequency and its increase from baseline did not differ from 141 historical controls at any time point, including at three months post-LDR-BT. Propensity score matched analysis confirmed no time-course differences in frequency, volume, or urinary symptom scores between groups. Biochemical failure-free and metastasis-free survival also remained similar.

conclusionOral supplementation of ALA-SFC to LDR-BT did not alleviate radiation-induced toxicity or improve oncological outcomes.

Indexed as

Aminolevulinic AcidBrachytherapyProstatic NeoplasmsRadiotherapy DosageAdministration, OralAgedAged, 80 and overHumansMaleMiddle AgedProspective StudiesQuality of LifeTreatment OutcomeAminolevulinic Acid5-aminolevulinic acidadverse eventlow-dose-rate brachytherapyProstate cancerRadioprotectionradiotherapyurinary frequency

Identifiers

PMID39477418
PMCPMC11535919

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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.