Evidence map›Paper›PMID 26910903›Full record

Trial reportPloS one2016

Hyperthermic Laser Ablation of Recurrent Glioblastoma Leads to Temporary Disruption of the Peritumoral Blood Brain Barrier.

Eric C Leuthardt, Chong Duan, Michael J Kim, Jian L Campian, Albert H Kim, Michelle M Miller-Thomas, Joshua S Shimony, David D Tran

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 119 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 3 pooled it
9.9field-weighted citation impact, top 1% 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.

NCT01851733 phase1completednot on this map

A Pilot Study of Using MRI-Guided Laser Heat Ablation to Induce Disruption of the Peritumoral Blood Brain Barrier to Enhance Delivery and Efficacy of Doxorubicin in the Treatment of Recurrent Glioblastoma Multiforme

TypeinterventionalSponsorWashington University School of MedicineRan2013 to 2018Enrolled37ConditionsGlioblastomaArmsMRI-guided Laser Heat Ablation (MLA), Doxorubicin, Blood draw - dendritic cells, Dynamic Susceptibility Contrast Magnetic Resonance Imaging
NCT05318612 phase3active not recruitingnot on this mapstarted 2022, after this paper: background citation

(Cost)Effectiveness of MR-guided LITT Therapy in Patients With Primary Irresectable Glioblastoma: a Prospective Multicenter Randomized Controlled Trial (EMITT)

TypeinterventionalSponsorRadboud University Medical CenterRan2022 to 2027Enrolled238ConditionsPrimary GlioblastomaArmsLaser Interstitial Thermal Therapy (LITT), Biopsy
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 3 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
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  5. Iduronate-2-sulfatase fused with anti-hTfR antibody, pabinafusp alfa, for MPS-II: A phase 2 trial in Brazil.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Trial
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  7. Laser Interstitial Thermal Therapy for Brain Tumors: A Prospective Multicenter Analysis of Patients From the LAANTERN Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
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  18. Adapting Laser Interstitial Thermal Therapy for the Treatment of Naturally Occurring Intracranial Tumors in Dogs.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
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  20. Review

59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Eric C LeuthardtBrain Laser Center, Department of Neurological Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
Chong DuanDepartment of Chemistry, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
Michael J KimNeuro-Oncology Program, Division of Oncology, Department of Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
Jian L CampianBrain Laser Center, Department of Neurological Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
Albert H KimBrain Laser Center, Department of Neurological Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
Michelle M Miller-ThomasDivision of Neuroradiology, Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
Joshua S ShimonyDivision of Neuroradiology, Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, 63110, United States of America.
David D TranDivision of Neuro-Oncology, Lillian S. Wells Department of Neurological Surgery, McKnight Brain Institute, The University of Florida College of Medicine, Gainesville, Florida, 32610, United States of America.
Washington University in St. Louis · USNeurological Surgery · USMaterial Sciences (United States) · USUniversity of Florida · US

Funding

ROLE OF TWIST1 IN EMT MAINTENANCE AND TUMOR DORMANCYK08CA160824 · NCI · WASHINGTON UNIVERSITY · PI TRAN, DAVID D · 2013 to 2017
$760k
NCI NIH HHS 1K08CA160824NCI NIH HHS K08 CA160824
6 · The paper itself

Abstract

backgroundPoor central nervous system penetration of cytotoxic drugs due to the blood brain barrier (BBB) is a major limiting factor in the treatment of brain tumors. Most recurrent glioblastomas (GBM) occur within the peritumoral region. In this study, we describe a hyperthemic method to induce temporary disruption of the peritumoral BBB that can potentially be used to enhance drug delivery.

methodsTwenty patients with probable recurrent GBM were enrolled in this study. Fourteen patients were evaluable. MRI-guided laser interstitial thermal therapy was applied to achieve both tumor cytoreduction and disruption of the peritumoral BBB. To determine the degree and timing of peritumoral BBB disruption, dynamic contrast-enhancement brain MRI was used to calculate the vascular transfer constant (Ktrans) in the peritumoral region as direct measures of BBB permeability before and after laser ablation. Serum levels of brain-specific enolase, also known as neuron-specific enolase, were also measured and used as an independent quantification of BBB disruption.

resultsIn all 14 evaluable patients, Ktrans levels peaked immediately post laser ablation, followed by a gradual decline over the following 4 weeks. Serum BSE concentrations increased shortly after laser ablation and peaked in 1-3 weeks before decreasing to baseline by 6 weeks.

conclusionsThe data from our pilot research support that disruption of the peritumoral BBB was induced by hyperthemia with the peak of high permeability occurring within 1-2 weeks after laser ablation and resolving by 4-6 weeks. This provides a therapeutic window of opportunity during which delivery of BBB-impermeant therapeutic agents may be enhanced.

trial registrationClinicalTrials.gov NCT01851733.

Indexed as

Hyperthermia, InducedAgedAged, 80 and overBlood-Brain BarrierBrain NeoplasmsContrast MediaGlioblastomaHumansLaser TherapyMagnetic Resonance ImagingMiddle AgedPhosphopyruvate HydrataseSurgery, Computer-AssistedContrast MediaPhosphopyruvate Hydratase

Identifiers

PMID26910903
PMCPMC4766093
OpenAlexW2284330471

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.