Evidence map›Paper›PMID 41173140›Full record

ArticlePractical radiation oncology

Salvage Stereotactic Body Radiation Therapy for Locally Recurrent Prostate Cancer: Quality-of-Life Outcomes From a Prospective Clinical Trial.

Krishnan R Patel, Erica Schott, Erich P Huang, Theresa Cooley-Zgela, Holly Ning, Jason Cheng, Baris Turkbey, Deborah E Citrin

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Practical radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03253744 (Phase I Trial of Image Guided Focally Dose Escalated Prostate SBRT for Locally Recurrent Prostate Cancer After Prior Radiotherapy), which is not on this 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.

NCT03253744 phase1completednot on this map

Phase I Trial of Image Guided Focally Dose Escalated Prostate SBRT for Locally Recurrent Prostate Cancer After Prior Radiotherapy

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2018 to 2025Enrolled17ConditionsProstate Cancer, Prostatic NeoplasmArms18F-DCFPyL, Tumor Irradiation, Prostate + tumor irradiation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

8 authors.

Krishnan R PatelRadiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Erica SchottRadiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Erich P HuangBiometric Research Program, National Cancer Institute, National Institutes of Health, Rockville, Maryland.
Theresa Cooley-ZgelaRadiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Holly NingRadiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Jason ChengRadiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Baris TurkbeyMolecular Imaging Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Deborah E CitrinRadiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland. Electronic address: citrind@mail.nih.gov.

Funding

Targeting mechanisms of radiation resistanceZIABC011552 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI CITRIN, DEBORAH · 2014 to 2025
$12.2M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA BC011552
6 · The paper itself

Abstract

purposeSalvage stereotactic body radiation therapy (SBRT) for intraprostatic recurrence of prostate cancer is under study in early-phase clinical trials. Presently, the impact of this treatment on toxicity and health-related quality of life (HRQOL) is poorly defined. To our knowledge, we present the first report in the literature of HRQOL and psychometric outcomes from a mature, prospective clinical trial. METHODS AND MATERIALS: NCT03253744 was a phase 1 trial of focal salvage SBRT to doses of 40.0 to 42.5 Gy with target volume delineation guided by

resultsSeventeen participants underwent salvage SBRT and were observed for a median of 24 months (min-max: 18-24 months). Toxicity assessment was completed in all participants, and the HRQOL response rate was 91%. Genitourinary (GU) toxicity was more common than gastrointestinal toxicity with a 24-month cumulative incidence of G2+ AEs of 76.5% (95% CI, 44.6%-90.0%) versus 29.4% (95% CI, 4.1%-48.1%) and G3+ AEs of 11.8% (95% CI, 0.0%-25.8%) versus 5.9% (0.0%-16.4%). GU toxicity peaked at 12 to 15 months and was associated most strongly with urethral reirradiation dose. PROMs were concordant with AEs, with significant differences from baseline noted in the American Urologic Association symptom index, EPIC GU irritation, and EPIC GU incontinence scores at 3 to 6 months, 6 to 9 months, and 9 to 18 months, respectively. No significant differences were noted in gastrointestinal PROMs or PROMIS measures.

conclusionsSalvage SBRT has a favorable treatment-related toxicity and HRQOL profile. Primarily, GU toxicities were observed corresponding to decrements in PROMs.

Indexed as

Neoplasm Recurrence, LocalProstatic NeoplasmsQuality of LifeRadiosurgerySalvage TherapyAgedAged, 80 and overHumansMaleMiddle AgedPatient Reported Outcome MeasuresProspective Studies

Identifiers

PMID41173140
PMCPMC12766626

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Registered trials

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.