Evidence map›Paper›PMID 18623206›Full record

Trial reportPediatric blood & cancer2008

Dose intensive melphalan and cyclophosphamide with autologous hematopoietic stem cells for recurrent medulloblastoma or germinoma.

Richard P Kadota, Donald H Mahoney, John Doyle, Reggie Duerst, Henry Friedman, Emi Holmes, Larry Kun, Tianni Zhou, Ian F Pollack

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Pediatric blood & cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00002594 (Dose-Intensive Melphalan and Cyclophosphamide With Autologous Bone Marrow Rescue for Recurrent Medulloblastoma and Germ Cell Tumors), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
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.

NCT00002594 phase2completednot on this map

Dose-Intensive Melphalan and Cyclophosphamide With Autologous Bone Marrow Rescue for Recurrent Medulloblastoma and Germ Cell Tumors

TypeinterventionalSponsorChildren's Oncology GroupRan1994 to 2007Enrolled31ConditionsBrain Tumor, Central Nervous System TumorArmsSargramostim, cyclophosphamide, melphalan, autologous bone marrow transplantation, bone marrow ablation with stem cell support
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Targeting mTOR as a Therapeutic Approach in Medulloblastoma.International journal of molecular sciences · 2018
    Review
  10. Medulloblastoma.Journal of child neurology · 2016
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. 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

9 authors at 9 institutions in 2 countries.

Richard P KadotaRady Children's Hospital, San Diego, California, USA. rkadota@chsd.org
Donald H Mahoney
John Doyle
Reggie Duerst
Henry Friedman
Emi Holmes
Larry Kun
Tianni Zhou
Ian F Pollack
Arcadia · USBaylor College of Medicine · USChildren's Oncology Group · USDuke University · USHospital for Sick Children · CANorthwestern University · USRady Children's Hospital-San Diego · USSt. Jude Children's Research Hospital · USUniversity of Pittsburgh · US

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ANDERSON, JAMES R · 2003 to 2013
$67.5M
NCI NIH HHS CA98543NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543
6 · The paper itself

Abstract

purposeTo determine the response, toxicity, and survival for children with progressive or recurrent medulloblastoma and germinoma using a single myeloablative course of chemotherapy supported by autologous hematopoietic stem cells. PATIENTS AND

methodsSubjects were in second remission or had minimal residual disease at the time of study entry. The conditioning regimen consisted of cyclophosphamide 6,000 mg/m(2) plus melphalan 180 mg/m(2).

resultsTwenty-nine evaluable pediatric patients were accrued. The most frequent major toxicities were myelosuppression, infections, and stomatitis, but no toxic deaths were recorded. Best responses were: CR = 6, CCR = 13, PR = 6, SD = 2, and PD = 2. There were 6 medulloblastoma and 3 germinoma survivors with a median follow-up of 7.5 years (range = 2.8-10). Two germinoma survivors received radiotherapy after autografting for presumptive progressive disease.

conclusionMyeloablative chemotherapy consisting of cyclophosphamide and melphalan was tolerable in the relapsed brain tumor setting with 19/29 cases achieving CR or CCR status and 9/29 becoming long-term survivors.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsChildChild, PreschoolCyclophosphamideGerminomaHematopoietic Stem Cell TransplantationHumansKaplan-Meier EstimateMedulloblastomaMelphalanNeoplasm Recurrence, LocalTransplantation, AutologousCyclophosphamideMelphalan

Identifiers

PMID18623206
PMCPMC2900925
OpenAlexW1981968532

What OpenQuestion holds

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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.