Evidence map›Paper›PMID 23594434›Full record

ReviewOncotarget2013

A conceptually new treatment approach for relapsed glioblastoma: coordinated undermining of survival paths with nine repurposed drugs (CUSP9) by the International Initiative for Accelerated Improvement of Glioblastoma Care.

Richard E Kast, John A Boockvar, Ansgar Brüning, Francesco Cappello, Wen-Wei Chang, Boris Cvek, Q Ping Dou, Alfonso Duenas-Gonzalez, Thomas Efferth, Daniele Focosi and 18 more

Abstract readReview
In one paragraph

Review in Oncotarget, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers.

0numbers the graph read from it
0cells of the map it votes in
104citing 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

104 citing papers in PubMed.

  1. Trial
  2. Review
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  5. FDA-approved disulfiram as a novel treatment for aggressive leukemia.Journal of molecular medicine (Berlin, Germany) · 2024
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44 more citing papers are in PubMed but not listed here.

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

28 authors.

Richard E KastIIAIGC Headquarters, Dean of Studies, Burlington, VT, USA. richarderickast@gmail.com
John A Boockvar
Ansgar Brüning
Francesco Cappello
Wen-Wei Chang
Boris Cvek
Q Ping Dou
Alfonso Duenas-Gonzalez
Thomas Efferth
Daniele Focosi
Seyed H Ghaffari
Georg Karpel-Massler
Kirsi Ketola
Alireza Khoshnevisan
Daniel Keizman
Nicolas Magné
Christine Marosi
Kerrie McDonald
Miguel Muñoz
Nathan Sassoon
Mohammad H Pourgholami
Iacopo Sardi
Avishay Sella
Kalkunte S Srivenugopal
Marco Tuccori
Weiguang Wang
Christian R Wirtz
Marc-Eric Halatsch

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To improve prognosis in recurrent glioblastoma we developed a treatment protocol based on a combination of drugs not traditionally thought of as cytotoxic chemotherapy agents but that have a robust history of being well-tolerated and are already marketed and used for other non-cancer indications. Focus was on adding drugs which met these criteria: a) were pharmacologically well characterized, b) had low likelihood of adding to patient side effect burden, c) had evidence for interfering with a recognized, well-characterized growth promoting element of glioblastoma, and d) were coordinated, as an ensemble had reasonable likelihood of concerted activity against key biological features of glioblastoma growth. We found nine drugs meeting these criteria and propose adding them to continuous low dose temozolomide, a currently accepted treatment for relapsed glioblastoma, in patients with recurrent disease after primary treatment with the Stupp Protocol. The nine adjuvant drug regimen, Coordinated Undermining of Survival Paths, CUSP9, then are aprepitant, artesunate, auranofin, captopril, copper gluconate, disulfiram, ketoconazole, nelfinavir, sertraline, to be added to continuous low dose temozolomide. We discuss each drug in turn and the specific rationale for use- how each drug is expected to retard glioblastoma growth and undermine glioblastoma's compensatory mechanisms engaged during temozolomide treatment. The risks of pharmacological interactions and why we believe this drug mix will increase both quality of life and overall survival are reviewed.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAprepitantArtemisininsAuranofinBrain NeoplasmsCaptoprilDacarbazineDisulfiramGlioblastomaGluconatesHumansKetoconazoleMorpholinesNelfinavirNeoplasm Recurrence, LocalSertralineAprepitantArtemisininsartesunic acidAuranofinCaptoprilDacarbazineDisulfiramGluconatesKetoconazoleMorpholinesNelfinavirSertralineSuccinatesTemozolomide

Identifiers

PMID23594434
PMCPMC3720600

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.