Evidence map›Paper›PMID 26354773›Full record

ArticleJournal of neuro-oncology2015

Primary and secondary gliosarcomas: clinical, molecular and survival characteristics.

David Cachia, Carlos Kamiya-Matsuoka, Jacob J Mandel, Adriana Olar, Matthew D Cykowski, Terri S Armstrong, Gregory N Fuller, Mark R Gilbert, John F De Groot

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03641326 (Phase II Clinical Trial of Sunitinib in Sarcomas of the Central Nervous System), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing 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.

NCT03641326 phase2terminatednot on this mapstarted 2019, after this paper: background citation

Phase II Clinical Trial of Sunitinib in Sarcomas of the Central Nervous System

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2019 to 2021Enrolled5ConditionsGliosarcoma, Central Nervous System SarcomaArmsSunitinib, wGT3x-BT
3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Article
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  6. Review
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  10. Review
  11. Metastatic secondary gliosarcoma: patient series.Journal of neurosurgery. Case lessons · 2023
    Article
  12. Prognostic Factors of Gliosarcoma in the Real World: A Retrospective Cohort Study.Computational and mathematical methods in medicine · 2023
    Article
  13. Chasing a rarity: a retrospective single-center evaluation of prognostic factors in primary gliosarcoma.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Article
  14. Article
  15. Article
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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.

David CachiaDepartment of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St, Charleston, SC, 29425, USA. cachia@musc.edu.
Carlos Kamiya-MatsuokaDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Jacob J MandelDepartment of Neurology, Baylor College of Medicine, 6550 Fannin St, Houston, TX, 77030, USA.
Adriana OlarDepartment of Pathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Matthew D CykowskiDepartment of Pathology and Genomic Medicine, Houston Methodist Hospital, 6565 Fannin Street, Houston, TX, 77030, USA.
Terri S ArmstrongDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Gregory N FullerDepartment of Pathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Mark R GilbertNeuro-Oncology Branch, Center for Cancer Research, National Cancer Institute, Building 82, Bethesda, MD, 20892, USA.
John F De GrootDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Rare Central Nervous System Cancers InitiativeZIABC011643 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILBERT, MARK · 2015 to 2024
$4.2M
Multidisciplinary Subspecialty Pathology Research Fellowship ProgramT32CA163185 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CZERNIAK, BOGDAN A, KEYOMARSI, KHANDAN · 2011 to 2015
$1.7M
Intramural NIH HHS ZIA BC011643NCI NIH HHS 5T32CA163185NCI NIH HHS P30 CA016672NCI NIH HHS T32 CA163185
6 · The paper itself

Abstract

Gliosarcoma is classified by the World Health Organization as a variant of glioblastoma. These tumors exhibit biphasic histologic and immunophenotypic features, reflecting both glial and mesenchymal differentiation. Gliosarcomas can be further classified into primary (de novo) tumors, and secondary gliosarcomas, which are diagnosed at recurrence after a diagnosis of glioblastoma. Using a retrospective review, patients seen at MD Anderson Cancer Center between 2004 and 2014 with a pathology-confirmed diagnosis of gliosarcoma were identified. 34 patients with a diagnosis of gliosarcoma seen at the time of initial diagnosis or at recurrence were identified (24 primary gliosarcomas (PGS), 10 secondary gliosarcomas (SGS)). Molecular analysis performed on fourteen patients revealed a high incidence of TP53 mutations and, rarely, EGFR and IDH mutations. Median overall survival (OS) for all patients was 17.5 months from the diagnosis of gliosarcoma, with a progression free survival (PFS) of 6.4 months. Comparing PGS with SGS, the median OS was 24.7 and 8.95 months, respectively (from the time of sarcomatous transformation in the case of SGS). The median OS in SGS patients from the initial diagnosis of GB was 25 months, with a PFS of 10.7 months. Molecular analysis revealed a higher than expected rate of TP53 mutations in GS patients and, typical of primary glioblastoma, IDH mutations were uncommon. Though our data shows improved outcomes for both PGS and SGS when compared to the literature, this is most likely a reflection of selection bias of patients treated on clinical trials at a quaternary center.

Indexed as

AdultAgedBrain NeoplasmsErbB ReceptorsFemaleGlial Fibrillary Acidic ProteinGliosarcomaHumansIsocitrate DehydrogenaseKi-67 AntigenLongitudinal StudiesMaleMiddle AgedMutationNeoplasm ProteinsRetrospective StudiesEGFR protein, humanErbB ReceptorsGlial Fibrillary Acidic ProteinIDH1 protein, humanIsocitrate DehydrogenaseKi-67 AntigenNeoplasm ProteinsS100 ProteinsTP53 protein, humanTumor Suppressor Protein p53GliosarcomaIDH mutationPrimary gliosarcomaSecondary gliosarcomaTP53 mutation

Identifiers

PMID26354773
PMCPMC8323586

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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.