Evidence map›Paper›PMID 27701387›Full record

ArticleBritish journal of cancer2016

Factors associated with recurrence and survival length following relapse in patients with neuroblastoma.

Nermine O Basta, Gail C Halliday, Guy Makin, Jillian Birch, Richard Feltbower, Nick Bown, Martin Elliott, Lucas Moreno, Giuseppe Barone, Andrew Dj Pearson and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05303727 (Clinical Research of Allogeneic Hematopoietic Stem Cell Transplantation for Treatment of Children With Stage 4/M Neuroblastoma), which is not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
–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.

NCT05303727 phase2not yet recruitingnot on this mapstarted 2022, after this paper: background citation

Clinical Research of Allogeneic Hematopoietic Stem Cell Transplantation for Treatment of Children With Stage 4/M Neuroblastoma: A Prospective, Single-arm, Phase II, Multi-center Trial

TypeinterventionalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2022 to 2027Enrolled64ConditionsNeuroblastomaArmsAnti Thymocyte Globulin, Fludarabine, Cyclophosphamide injection, Topotecan, Melphalan
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Management and outcome of children with high-risk neuroblastoma: insights from the Spanish Society of Pediatric Hematology and Oncology (SEHOP) neuroblastoma group on refractory and relapse/progressive disease.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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

13 authors.

Nermine O BastaInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, UK.
Gail C HallidayNewcastle Cancer Centre at the Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
Guy MakinInstitute of Cancer Sciences, Manchester Cancer Research Centre, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Jillian BirchInstitute of Cancer Sciences, Manchester Cancer Research Centre, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Richard FeltbowerDivision of Epidemiology and Biostatistics, School of Medicine, University of Leeds, Leeds, UK.
Nick BownInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, UK.
Martin ElliottPaediatric Oncology and Haematology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Lucas MorenoChildren and Young People's Unit, The Royal Marsden NHS Foundation Trust, Sutton, and Division of Clinical Studies and Cancer Therapeutics, The Institute of Cancer Research, Sutton, UK.
Giuseppe BaroneChildren and Young People's Unit, The Royal Marsden NHS Foundation Trust, Sutton, and Division of Clinical Studies and Cancer Therapeutics, The Institute of Cancer Research, Sutton, UK.
Andrew Dj PearsonChildren and Young People's Unit, The Royal Marsden NHS Foundation Trust, Sutton, and Division of Clinical Studies and Cancer Therapeutics, The Institute of Cancer Research, Sutton, UK.
Peter W JamesInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, UK.
Deborah A TweddleNewcastle Cancer Centre at the Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
Richard Jq McNallyInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite therapeutic advances, survival following relapse for neuroblastoma patients remains poor. We investigated clinical and biological factors associated with length of progression-free and overall survival following relapse in UK neuroblastoma patients.

methodsAll cases of relapsed neuroblastoma, diagnosed during 1990-2010, were identified from four Paediatric Oncology principal treatment centres. Kaplan-Meier and Cox regression analyses were used to calculate post-relapse overall survival (PROS), post-relapse progression-free survival (PRPFS) between relapse and further progression, and to investigate influencing factors.

resultsOne hundred eighty-nine cases were identified from case notes, 159 (84.0%) high risk and 17 (9.0%), unresectable, MYCN non-amplified (non-MNA) intermediate risk (IR). For high-risk patients diagnosed >2000, median PROS was 8.4 months (interquartile range (IQR)=3.0-17.4) and median PRPFS was 4.7 months (IQR=2.1-7.1). For IR, unresectable non-MNA patients, median PROS was 11.8 months (IQR 9.0-51.6) and 5-year PROS was 24% (95% CI 7-45%). MYCN amplified (MNA) disease and bone marrow metastases at diagnosis were independently associated with worse PROS for high-risk cases. Eighty percent of high-risk relapses occurred within 2 years of diagnosis compared with 50% of unresectable non-MNA IR disease.

conclusionsPatients with relapsed HR neuroblastomas should be treatment stratified according to MYCN status and PRPFS should be the primary endpoint in early phase clinical trials. The failure to salvage the majority of IR neuroblastoma is concerning, supporting investigation of intensification of upfront treatment regimens in this group to determine whether their use would diminish likelihood of relapse.

Indexed as

AdolescentChildChild, PreschoolDisease-Free SurvivalDisease ProgressionFemaleHumansInfantMaleNeoplasm Recurrence, LocalNeuroblastomaPrognosisRecurrenceRisk Factors

Identifiers

PMID27701387
PMCPMC5117794

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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.