Evidence map›Paper›PMID 40399627›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2025

The relationship between yttrium-90 glass microspheres specific activity, particle density and treatment outcomes in HCC and mCRC.

Marnix G E H Lam, Etienne Garin, Kirk D Fowers, Armeen Mahvash, Siddharth A Padia, Riad Salem

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 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. Predictive value of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Post-hoc analysis of adverse events during the EPOCH trial: reconsidering dosimetry.European journal of nuclear medicine and molecular imaging · 2026
    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

6 authors.

Marnix G E H LamDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Huispostnummer E01.132, Postbus 85500, 3508 GA, Utrecht, The Netherlands. m.lam@umcutrecht.nl.
Etienne GarinNuclear Medicine Department, Eugene Marquis Center, Univ Rennes, INSERM, INRA, Centre de Lutte Contre Le Cancer Eugène Marquis, Institut NUMECAN (Nutrition Metabolisms and Cancer), 35000, Rennes, France.
Kirk D FowersBoston Scientific Corporation, Marlborough, MA, USA.
Armeen MahvashDepartment of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Siddharth A PadiaDepartment of Radiology, University of California-Los Angeles, Los Angeles, CA, USA.
Riad SalemDepartment of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate relationships between treatment week, relative to Ytrrium-90 (

methodsMultinational, multicenter study TARGET (retrospective; n = 209 HCC patients) was combined with EPOCH (phase III trial; n = 428 mCRC patients). Efficacy included overall response rate (ORR), overall survival (OS), progression-free survival (PFS), hepatic PFS, and tumour marker response rates. Safety included clinical and laboratory toxicity. Retrospective multicompartment dosimetry, tumour and normal tissue absorbed dose were available for TARGET; single compartment dosimetry was available for EPOCH.

resultsNo efficacy relationship was found relative to treatment week for TARGET or EPOCH. mRECIST ORR in TARGET for weeks 1 and 2 were 74/125 (59.2%) and 55/84 (65.5%), and by RECIST 1.1 in EPOCH were 54/142 (38.0%) and 15/43 (34.9%), respectively (p > 0.05). Median OS for TARGET weeks 1 and 2 were 21.4 and 20.3 months (p = 0.07), and in EPOCH were 14.9 and 16.4 months, respectively (p = 0.37). No difference in the TARGET primary endpoint of hyperbilirubinemia was noted for weeks 1 and 2, odds ratio 0.64, p = 0.59. TARGET ≥ grade 3 device-related adverse events (AEs) for weeks 1 (16.8%) and 2 (26.2%) were not significantly different (p = 0.11). EPOCH rates of ≥ grade 3 asthenia for weeks 1 (9.2%) and 2 (23.3%) were statistically different (p = 0.01).

conclusionsNo efficacy treatment benefit for week 2 versus week 1 was observed in TARGET or EPOCH, but week 2 treatment trended towards a higher rate and severity of specific AEs.

Indexed as

Carcinoma, HepatocellularColorectal NeoplasmsGlassLiver NeoplasmsMicrospheresYttrium RadioisotopesAdultAgedAged, 80 and overClinical Trials, Phase III as TopicFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicRetrospective StudiesYttrium-90Yttrium RadioisotopesDoseParticle densityRadioembolizationSpecific activityYttrium-90

Identifiers

PMID40399627
PMCPMC12589197

What OpenQuestion holds

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LicenceCC BY
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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.