Evidence map›Paper›PMID 41440940›Full record

ArticleJournal of personalized medicine2025

Radiotherapy with 5 × 5 Gy for Personalized Treatment of Malignant Epidural Compression of the Myelon: Long-Term Results of the PRE-MODE Trial.

Dirk Rades, Darejan Lomidze, Carlos Ferrer-Albiach, Antonio J Conde-Moreno, Barbara Segedin, Blaz Groselj, Raquel Ciervide Jurio, Jon Cacicedo

Registry-linked trialAbstract read
In one paragraph

Article in Journal of personalized medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03070431 (High-precision Radiotherapy of Motor Deficits Due to Metastatic Spinal Cord Compression), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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.

NCT03070431 nacompletednot on this map

High-precision Radiotherapy of Motor Deficits Due to Metastatic Spinal Cord Compression

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2017 to 2019Enrolled44ConditionsSpinal Cord Compression Due to Metastasis to SpineArmsHigh-precision RT 5x5 Gy in 1 week
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Dirk RadesDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Lübeck Campus, 23538 Lübeck, Germany.ORCID 0009-0008-2046-4968
Darejan LomidzeRadiation Oncology Department, Tbilisi State Medical University, 0177 Tbilisi, Georgia.
Carlos Ferrer-AlbiachDepartment of Radiation Oncology, Consorcio Hospital Provincial de Castellon, 12002 Castellon, Spain.ORCID 0000-0001-9122-7646
Antonio J Conde-MorenoDepartment of Radiation Oncology, Consorcio Hospital Provincial de Castellon, 12002 Castellon, Spain.ORCID 0000-0003-1024-0924
Barbara SegedinDepartment of Radiotherapy, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0003-0309-6282
Blaz GroseljDepartment of Radiotherapy, Institute of Oncology Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0003-4799-2978
Raquel Ciervide JurioDepartment of Radiation Oncology, University Hospital HM Sanchinarro, 28050 Madrid, Spain.ORCID 0000-0003-0130-878X
Jon CacicedoRadiation Oncology Department, Hospital Universitario Cruces, 48903 Barakaldo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesDespite increasing use of upfront decompressive surgery for malignant epidural compression of the myelon (MESCC), a substantial number of affected patients still receive radiotherapy (RT) alone. Many of these patients would benefit from a personalized treatment approach including the most appropriate dose-fractionation regimen. The PRE-MODE trial (NCT03070431) compared precision RT with 5 × 5 Gy (prospective cohort,

methodsFor this additional study, supplementary data were retrospectively captured, resulting in prolongation of follow-up until 24 months.

results5 × 5 Gy resulted in LPFS of 80.9% at each investigated time point (12, 18, and 24 months) without reported radiation myelopathy. Moreover, 5 × 5 Gy showed a trend towards improved LPFS after 12 (

conclusionSince 5 × 5 Gy resulted in excellent long-term LPFS and showed a trend towards better outcomes up to 24 months following RT, it appears preferable to 5 × 4 Gy and will contribute to the personalized treatment of patients with MESCC who are assigned to RT alone without upfront neurosurgical intervention.

Indexed as

clinical triallocal progression-free survivallong-term-resultsmalignant epidural compression of the myelonradiotherapy

Identifiers

PMID41440940
PMCPMC12733496

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