Evidence map›Paper›PMID 27147083›Full record

Trial reportJournal of neuro-oncology2016

Intraventricular etoposide safety and toxicity profile in children and young adults with refractory or recurrent malignant brain tumors.

Kristian W Pajtler, Stephan Tippelt, Nele Siegler, Stefanie Reichling, Martina Zimmermann, Ruth Mikasch, Udo Bode, Astrid Gnekow, Torsten Pietsch, Martin Benesch and 2 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 24% 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.

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

13 citing papers in PubMed, 18 citations in OpenAlex.

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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

12 authors at 6 institutions in 2 countries.

Kristian W PajtlerDivision of Pediatric Neurooncology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 580, 69120, Heidelberg, Germany. k.pajtler@dkfz-heidelberg.de.
Stephan TippeltDepartment of Pediatric Oncology and Hematology, Pediatrics III, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Nele SieglerDepartment of Pediatric Oncology and Hematology, Pediatrics III, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Stefanie ReichlingDepartment of Pediatric Hematology and Oncology, University of Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Martina ZimmermannDepartment of Pediatric Hematology and Oncology, University of Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Ruth MikaschDepartment of Pediatric Oncology and Hematology, Pediatrics III, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Udo BodeDepartment of Pediatric Hematology and Oncology, University of Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Astrid GnekowHospital for Children and Adolescents, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.
Torsten PietschInstitute of Neuropathology, University of Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Martin BeneschDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Auenbruggerplatz 38, 8036, Graz, Austria.
Stefan RutkowskiDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Gudrun FleischhackDepartment of Pediatric Oncology and Hematology, Pediatrics III, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Essen University Hospital · DEUniversity of Bonn · DEGerman Cancer Research Center · DEMedical University of Graz · ATUniversity Hospital Augsburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic administration of etoposide is effective in treating metastatic, recurrent or refractory brain tumors, but penetration into the cerebrospinal fluid is extremely poor. This study was designed to determine the safety and toxicity profile of intraventricular etoposide administration and was affiliated with the prospective, multicenter, nonblinded, nonrandomized, multi-armed HIT-REZ-97 trial. The study enrolled 68 patients, aged 1.1-34.6 (median age 11 years). Adverse events that could possibly be related to intraventricular etoposide therapy were documented and analyzed. Intraventricular etoposide was simultaneously administered with either oral or intravenous chemotherapy in 426 courses according to three major schedules varying in dosing (0.25-1 mg), frequency of administration (bolus injection, every 12 or 24 h), course duration (5-10 days) and length of interval between courses (2-5 weeks). Potential treatment-related adverse effects included transient headache, seizures, infection of the reservoir, nausea and neuropsychological symptoms. Hematological side effects were not observed. One patient, with history of multiple prior therapies, who received long-term intraventricular and oral etoposide treatment developed acute myeloid leukemia as a secondary malignancy. Overall intraventricular etoposide is well tolerated. The results of this study have warranted a phase II trial to determine the effectiveness of this regimen in disease stages with very limited therapeutic options.

Indexed as

AdolescentAdultAntineoplastic Agents, PhytogenicBrain NeoplasmsCerebral VentriclesChildChild, PreschoolDrug Therapy, CombinationEtoposideFemaleFollow-Up StudiesHumansInfantMaleTreatment OutcomeYoung AdultAntineoplastic Agents, PhytogenicEtoposideATRTEpendymomaMedulloblastomaPediatric brain tumorsProgressionRelapse

Identifiers

PMID27147083
OpenAlexW2346012222

What OpenQuestion holds

Textmetadata
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.