Evidence map›Paper›PMID 42738283›Full record

ArticleCancers2026

Post-VABB Cavity-Targeted Avidin-Pretargeted [

Maddalena Sansovini, Paola Sanna, Paola Possanzini, Emanuela Scarpi, Irene Marini, Silvia Nicolini, Ilaria Grassi, Paola Caroli, Michele Amadori, Annalisa Curcio and 14 more

Abstract read
In one paragraph

Article in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

24 authors.

Maddalena SansoviniIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0002-7699-262X
Paola SannaAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.
Paola PossanziniAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.ORCID 0000-0001-8415-1137
Emanuela ScarpiIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0001-7230-9267
Irene MariniIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.
Silvia NicoliniIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0002-3960-7737
Ilaria GrassiIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0002-9566-7670
Paola CaroliIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.
Michele AmadoriAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.
Annalisa CurcioAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.
Giulia SimonciniAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.
Lucia FabbriIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.
Oriana NanniIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.
Manuela MontiIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0002-3587-1768
Lilla VizzaIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0009-0002-7734-3426
Anna MiserocchiIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0003-1087-9146
Valentina Di IorioIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0002-5380-6185
Cristina CuniIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.
Maria Luisa BelliIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0003-1983-3291
Matteo CostantiniAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.ORCID 0000-0003-1146-6570
Fabio FalciniAzienda Unità Sanitaria Locale della Romagna, 47122 Forlì, Italy.
Giovanni PaganelliIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.
Federica MatteucciIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0001-7455-6253
Anna SarnelliIRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47121 Meldola, Italy.ORCID 0000-0001-5986-3845

Funding

Istituto Oncologico RomagnoloMinistry of Health The article processing charge was funded by Ricerca Corrente of the
6 · The paper itself

Abstract

BACKGROUND/

objectivesVacuum-assisted breast biopsy (VABB) is widely used for the diagnosis of nonpalpable breast cancer but is not considered definitive treatment because microscopic residual disease may persist within or around the biopsy cavity. The ARTHE phase I trial evaluated a cavity-targeted radionuclide strategy based on same-session sequential intralesional administration of avidin followed by [

methodsEighteen women with nonpalpable breast cancer measuring ≤15 mm and a skin-to-cavity distance ≥ 13 mm were treated in three sequential activity-escalation cohorts. The primary objective was to assess acute local and systemic safety, including dose-limiting toxicity. The protocol-specified co-primary objective was to evaluate preliminary antitumor activity, assessed as breast-only pathologic complete response (pCR) at surgery. Given the phase I single-arm design, pCR was analyzed descriptively. The protocol-specified secondary objective was patient-specific dosimetry. Additional exploratory assessments included post-injection biodistribution and integration with subsequent breast-conserving surgery.

resultsNo dose-limiting toxicities, grade ≥ 3 adverse events, clinically relevant hematologic toxicity, treatment discontinuations, hospitalizations, or treatment-related surgical delays were observed. Local toxicity was limited to grade 1 injection-site pain and/or erythema. Post-injection imaging consistently demonstrated focal intralesional localization without clinically relevant extra-lesional uptake. All patients underwent breast-conserving surgery 4-7 weeks after treatment. No residual tumor cellularity (RTC), from either invasive or in situ carcinoma, was identified in the breast surgical specimen in 5/18 patients (27.8%). However, because diagnostic VABB may have removed part or all of the malignant lesion, the absence of residual carcinoma at surgery cannot be attributed specifically to the radionuclide treatment.

conclusionsThe intralesional avidin-mediated local trapping strategy using [

Indexed as

avidin-mediated local trappingbreast cancerDOTA-biotinintralesional therapytargeted radionuclide therapyvacuum-assisted breast biopsyyttrium-90

Identifiers

PMID42738283
PMCPMC13564483

What OpenQuestion holds

Textmetadata
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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.