Evidence map›Paper›PMID 28298023›Full record

SynthesisJournal of neurosurgery2018

Alternating electric tumor treating fields for treatment of glioblastoma: rationale, preclinical, and clinical studies.

Sandeep Mittal, Neil V Klinger, Sharon K Michelhaugh, Geoffrey R Barger, Susan C Pannullo, Csaba Juhász

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of neurosurgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Biophysical and Biological Mechanisms of Tumor Treating Fields in Glioblastoma.Journal of cancer science and clinical therapeutics · 2024
    Article
  12. Article
  13. Extracranial metastasis of glioblastoma: A case report and literature review.International journal of surgery case reports · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
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

6 authors at 4 institutions in 1 country.

Sandeep MittalDepartments of1Neurosurgery.
Neil V KlingerDepartments of1Neurosurgery.
Sharon K MichelhaughDepartments of1Neurosurgery.
Geoffrey R Barger3Neurology, and.
Susan C Pannullo6Department of Neurological Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York; and.
Csaba Juhász3Neurology, and.
Cornell University · USNeurology, Inc · USPediatrics and Genetics · USWayne State University · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

OBJECTIVE Treatment for glioblastoma (GBM) remains largely unsuccessful, even with aggressive combined treatment via surgery, radiotherapy, and chemotherapy. Tumor treating fields (TTFs) are low-intensity, intermediate-frequency, alternating electric fields that have antiproliferative properties in vitro and in vivo. The authors provide an up-to-date review of the mechanism of action as well as preclinical and clinical data on TTFs. METHODS A systematic review of the literature was performed using the terms "tumor treating fields," "alternating electric fields," "glioblastoma," "Optune," "NovoTTF-100A," and "Novocure." RESULTS Preclinical and clinical data have demonstrated the potential efficacy of TTFs for treatment of GBM, leading to several pilot studies, clinical trials, and, in 2011, FDA approval for its use as salvage therapy for recurrent GBM and, in 2015, approval for newly diagnosed GBM. CONCLUSIONS Current evidence supports the use of TTFs as an efficacious, antimitotic treatment with minimal toxicity in patients with newly diagnosed and recurrent GBM. Additional studies are needed to further optimize patient selection, determine cost-effectiveness, and assess the full impact on quality of life.

Indexed as

Brain NeoplasmsElectric Stimulation TherapyGlioblastomaHumansTreatment Outcomealternating electric fieldsGBM = glioblastomaLYG = life years gainedMDR = multidrug resistantnewly diagnosed glioblastomaNovoTTF-100ANSCLC = non–small cell lung canceroncologyOptuneOS = overall survivalPFS = progression-free survivalQALY = quality-adjusted life yearQOL = quality of liferecurrent glioblastomaTMZ = temozolomideTTF = tumor treating fieldTTP = time to disease progressiontumor treating fields

Identifiers

PMID28298023
PMCPMC6836465
OpenAlexW2591374963

What OpenQuestion holds

Textmetadata
LicenceTDM
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.