Evidence map›Paper›PMID 40137978›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2025

Safety and efficacy of re-treatment with [

Raghava Kashyap, Ramin Alipour, Emma Boehm, Kerry Jewell, Aravind S RaviKumar, Anthony Cardin, Javad Saghebi, Michael S Hofman, Michael T Fahey, Michael Michael and 3 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2025. 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
–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

3 citing papers in PubMed.

  1. Dual‑targeted radioligand therapy with [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Review
  3. 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

13 authors.

Raghava KashyapDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia. kashyapkr@gmail.com.ORCID 0000-0002-1007-974X
Ramin AlipourDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Emma BoehmDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Kerry JewellDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Aravind S RaviKumarDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Anthony CardinDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Javad SaghebiDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Michael S HofmanDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Michael T FaheySir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
Michael MichaelSir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
Tim AkhurstDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Rodney J HicksMelbourne Theranostic Innovation Centre, Melbourne, Australia.
Grace KongDepartment of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatients with gastro-entero-pancreatic neuroendocrine tumours (GEP NET) who retain somatostatin receptor (SSTR) expression after initial response to [ MATERIALS AND

methodsA retrospective analysis, approved by institutional ethics board, was performed in patients with GEP NET who received R-PRRT for either symptomatically or radiologically progressive disease. Safety was assessed by renal and haematological parameters at 3 months post R-PRRT (CTCAE v5.0). Molecular imaging response was evaluated on [

resultsA total of 63 patients had R1-PRRT (1-3 cycles). The majority (70%) had Grade 2 NET and small intestinal primary (51%). A second re-treatment course (R2-PRRT) was given in 20 patients and a third course (R3-PRRT) in 6 patients. Glomerular filtration rate (GFR) was stable following R1-PRRT. Following R2-PRRT, worsening GFR from CTCAE G2 to G3 was seen in 10% (2/20) of patients, but none after R3-PRRT. Grade 3 thrombocytopenia occurred in 2 patients after R1-PRRT and in 1 patient after R3-PRRT. Grade 4 thrombocytopenia was observed in 1 patient post R1-PRRT. Following R1-PRRT, RECIST 1.1 responses CR, PR, SD was 0%, 10%, 76%, respectively. Disease control rate on GaTate PET/CT was 52/58 (89%) post R1-PRRT. Median progression free survival (PFS) following R1-PRRT was 1.6 years (95% CI:1.2-2.3).

conclusionR-PRRT is feasible, tolerable and efficacious in achieving disease control in patients with progressive GEP NET.

Indexed as

Intestinal NeoplasmsNeuroendocrine TumorsOctreotideOrganometallic CompoundsPancreatic NeoplasmsSafetyStomach NeoplasmsAdultAgedCoordination ComplexesDisease ProgressionFemaleHumansMaleMiddle AgedRadiopharmaceuticals177Lu-DOTA-octreotateCoordination ComplexesOctreotideOrganometallic CompoundsRadiopharmaceuticalsDOTATATERe-TreatmentGastroenteropancreatic (GEP)Neuroendocrine neoplasms (NENs)PRRTLutetium-177

Identifiers

PMID40137978
PMCPMC12316713

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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.