Evidence map›Paper›PMID 27683733›Full record

ReviewNeuro-oncology2017

Pediatric low-grade gliomas: implications of the biologic era.

Roger J Packer, Stephan Pfister, Eric Bouffet, Robert Avery, Pratiti Bandopadhayay, Miriam Bornhorst, Daniel C Bowers, David Ellison, Jason Fangusaro, Nicholas Foreman and 22 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Neuro-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
9.5field-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.

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

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Pediatric low-grade glial, glioneuronal and neuronal tumors: a retrospective study of 85 cases.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  9. Review
  10. Review
  11. Review
  12. Significant clinical and radiologic response to targeted therapy in pediatric cervicomedullary low-grade gliomas harboring the BRAFV600E mutation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  13. Article
  14. Molecular subtype prediction model for pediatric low-grade gliomas using conventional neuroradiology reporting.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  15. FDA Approval Summary: Vorasidenib for IDH-Mutant Grade 2 Astrocytoma or Oligodendroglioma Following Surgery.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  16. Article
  17. Article
  18. Pediatric CNS tumors: Overview and treatment paradigms.Seminars in pediatric neurology · 2025
    Review
  19. Article
  20. Molecular-targeted therapy for childhood low-grade glial and glioneuronal tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review

29 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

32 authors at 7 institutions in 4 countries.

Roger J PackerCenter for Neuroscience and Behavioral Medicine, Washington, District of Columbia, USA.
Stephan PfisterDivision of Pediatric Neuro-oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Eric BouffetPaediatric Neuro-Oncology Program, Research Institute and The Arthur and Sonia Labatt Brain Tumour Research Centre, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Robert AveryCenter for Neuroscience and Behavioral Medicine, Washington, District of Columbia, USA.
Pratiti BandopadhayayDepartment of Pediatrics, Brigham and Women's Hospital, Harvard Medical School, and the Broad Institute, Dana-Farber/Boston Children's Cancer and Blood Disorders Centre, Boston, Massachusetts, USA.
Miriam BornhorstCenter for Neuroscience and Behavioral Medicine, Washington, District of Columbia, USA.
Daniel C BowersDepartment of Pediatrics, UT Southwestern Medical School, Dallas, Texas, USA.
David EllisonDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee. USA.
Jason FangusaroAnn and Robert H. Lurie Children's Hospital of Chicago Department of Pediatric Hematology/Oncology and Stem Cell Transplantation, University of Colorado, Aurora, Colorado, USA.
Nicholas ForemanNorthwestern Feinberg School of Medicine, Chicago, Illinois; Children's Hospital Colorado, University of Colorado, Aurora, Colorado, USA.
Maryam FouladiBrain Tumor Center, Brain Tumor Translational Research, UC Department of Pediatrics, Cincinnati, Ohio, USA.
Amar GajjarDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Daphne Haas-KoganDepartment of Radiation Oncology, Brigham and Women's Hospital, Harvard Medical School, and the Broad Institute, Dana-Farber/Boston Children's Cancer and Blood Disorders Centre, Boston, Massachusetts, USA.
Cynthia HawkinsDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee. USA.
Cheng-Ying HoDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Eugene HwangCenter for Neuroscience and Behavioral Medicine, Washington, District of Columbia, USA.
Nada JabadoAnn and Robert H. Lurie Children's Hospital of Chicago Department of Pediatric Hematology/Oncology and Stem Cell Transplantation, University of Colorado, Aurora, Colorado, USA.
Lindsay B KilburnBrain Tumor Institute, Washington, District of Columbia, USA.
Alvaro LassalettaNorthwestern Feinberg School of Medicine, Chicago, Illinois; Children's Hospital Colorado, University of Colorado, Aurora, Colorado, USA.
Keith L LigonBrain Tumor Center, Brain Tumor Translational Research, UC Department of Pediatrics, Cincinnati, Ohio, USA.
Maura MassiminoDepartment of Radiation Oncology, Brigham and Women's Hospital, Harvard Medical School, and the Broad Institute, Dana-Farber/Boston Children's Cancer and Blood Disorders Centre, Boston, Massachusetts, USA.
Schouten-van MeeterenEmma Children's Hospital AMC, Amsterdam-Zuidoost, Netherlands.
Sabine MuellerDepartment of Neurology, Pediatrics and Neurosurgery, University of California San Francisco, San Francisco, California, USA.
Theo NicolaidesDepartment of Neurology, Pediatrics and Neurosurgery, University of California San Francisco, San Francisco, California, USA.
Giorgio PerilongoDepartment of Woman's and Child's Health, University of Padua, Padua, Italy.
Uri TaboriDivision of Haematology/Oncology, Research Institute and The Arthur and Sonia Labatt Brain Tumour Research Centre, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Gilbert VezinaGilbert Family Neurofibromatosis Institute, Washington, District of Columbia, USA.
Katherine WarrenNational Cancer Institute, Pediatric Oncology and Neuro-Oncology Branches, Bethesda, Maryland, USA.
Olaf WittDivision of Pediatric Neuro-oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Yuan ZhuCenter for Neuroscience and Behavioral Medicine, Washington, District of Columbia, USA.
David T JonesDivision of Pediatric Neuro-oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Mark KieranBrain Tumor Center, Brain Tumor Translational Research, UC Department of Pediatrics, Cincinnati, Ohio, USA.
Lurie Children's Hospital · USEmma Kinderziekenhuis · NLNational Cancer Institute · USUniversity Hospital Heidelberg · DEChildren's National · USHeidelberg University · DEThe University of Texas Southwestern Medical Center · US

Funding

Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2016 to 2020
$5.9M
Noninvasive Evaluation of Pediatric CNS TumorsRAPNOZIABC011299 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WARREN, KATHERINE E · 2010 to 2019
$1.0M
Characterizing the resistance mechanisms to BET-bromodomain inhibition in MYC-amplified medulloblastomaK99CA201592 · NCI · DANA-FARBER CANCER INST · PI BANDOPADHAYAY, PRATITI · 2016 to 2017
$302k
NCI NIH HHS K99 CA201592NICHD NIH HHS U54 HD090257
6 · The paper itself

Abstract

For the past decade, it has been recognized that pediatric low-grade gliomas (LGGs) and glial-neuronal tumors carry distinct molecular alterations with resultant aberrant intracellular signaling in the Ras-mitogen-activated protein kinase pathway. The conclusions and recommendations of a consensus conference of how best to integrate the growing body of molecular genetic information into tumor classifications and, more importantly, for future treatment of pediatric LGGs are summarized here. There is uniform agreement that molecular characterization must be incorporated into classification and is increasingly critical for appropriate management. Molecular-targeted therapies should be integrated expeditiously, but also carefully into the management of these tumors and success measured not only by radiographic responses or stability, but also by functional outcomes. These trials need to be carried out with the caveat that the long-term impact of molecularly targeted therapy on the developing nervous system, especially with long duration treatment, is essentially unknown.

Indexed as

Molecular Targeted TherapyBrain NeoplasmsChildGliomaHumansSignal Transductionlow-grade gliomaneurofibromatosis type 1pediatric brain tumorpilocytic astrocytomaRAS/MAPK pathway

Identifiers

PMID27683733
PMCPMC5464436
OpenAlexW2526188224

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.