Evidence map›Paper›PMID 27921166›Full record

ArticleJournal of neurology2017

Outcome in unresectable glioblastoma: MGMT promoter methylation makes the difference.

Niklas Thon, Jun Thorsteinsdottir, Sabina Eigenbrod, Ulrich Schüller, Jürgen Lutz, Simone Kreth, Claus Belka, Jörg-Christian Tonn, Maximilian Niyazi, Friedrich Wilhelm Kreth

Abstract read
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In one paragraph

Article in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  15. DNA methylation of AHCY may increase the risk of ischemic stroke.Bosnian journal of basic medical sciences · 2020
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Vaccination in the immunotherapy of glioblastoma.Human vaccines & immunotherapeutics · 2018
    Review
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

10 authors at 1 institution in 1 country.

Niklas ThonDepartment of Neurosurgery, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Jun ThorsteinsdottirDepartment of Neurosurgery, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany. jun.thorsteinsdottir@med.uni-muenchen.de.
Sabina EigenbrodCenter for Neuropathology and Prion Research, University of Munich LMU, Feodor-Lynen-Str. 20, 81377, Munich, Germany.
Ulrich SchüllerCenter for Neuropathology and Prion Research, University of Munich LMU, Feodor-Lynen-Str. 20, 81377, Munich, Germany.
Jürgen LutzDepartment of Neuroradiology, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Simone KrethDepartment of Anaesthesiology, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Jörg-Christian TonnDepartment of Neurosurgery, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Maximilian NiyaziDepartment of Radiation Oncology, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Friedrich Wilhelm KrethDepartment of Neurosurgery, University of Munich LMU, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.
Ludwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2011, we reported a predominant prognostic/predictive role of MGMT promoter methylation status on progression-free survival (PFS) in unresectable glioblastoma patients undergoing upfront radiotherapy plus concomitant and maintenance temozolomide (RTX/TMZ → TMZ). We, here, present the final results of this prospective study focussing on the prognostic/predictive value of MGMT promoter methylation status for death risk stratification. Overall, 56 adult patients with unresectable, biopsy proven glioblastoma were prospectively assigned to upfront RTX/TMZ → TMZ treatment between March 2006 and August 2008. Last follow-up was performed in June 2016. MGMT promoter methylation was determined using methylation-specific PCR (MSP) and sodium bisulfite sequencing. Analyses were done by intention to treat. Prognostic factors were obtained from proportional hazard models. At the time of the final analysis 55 patients showed progressive disease and 53 patients had died. MGMT promoter was methylated (unmethylated) in 30 (26) patients. Methylation of the MGMT promoter was the strongest favorable predictor for overall survival (OS, median: 20.3 vs. 7.3 months, p < 0.001, HR 0.30, 95% CI 0.16-0.55), and PFS (median: 15.0 vs. 6.1 months, p < 0.001, HR 0.31, 95% CI 0.17-0.57) and was also associated with higher frequencies of treatment response and prolonged post-recurrence survival (PRS, median: 4.5 vs. 1.4 months, p < 0.002, HR 0.39, 95% CI 0.21-0.71). Knowledge of MGMT promoter methylation status is essential for patients' counseling, prognostic evaluation, and for the design of future trials dealing with unresectable glioblastomas.

Indexed as

DNA MethylationPromoter Regions, GeneticAdolescentAdultAgedAged, 80 and overAntineoplastic Agents, AlkylatingBiopsyCentral Nervous System NeoplasmsChemoradiotherapyDacarbazineDNA Modification MethylasesDNA Repair EnzymesDrug Resistance, NeoplasmFemaleFollow-Up StudiesAntineoplastic Agents, AlkylatingDacarbazineDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTemozolomideTumor Suppressor ProteinsBiopsyExtent of resectionGlioblastomaMGMTOutcomePrognostic factors

Identifiers

PMID27921166
OpenAlexW2559946365

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.