Evidence map›Paper›PMID 29350464›Full record

ArticlePediatric blood & cancer2018

Predictors of response, progression-free survival, and overall survival using NANT Response Criteria (v1.0) in relapsed and refractory high-risk neuroblastoma.

Judith G Villablanca, Lingyun Ji, Adi Shapira-Lewinson, Araz Marachelian, Hiroyuki Shimada, Randall A Hawkins, Miguel Pampaloni, Hollie Lai, Fariba Goodarzian, Richard Sposto and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Phase II Trial of Alisertib in Combination with Irinotecan and Temozolomide for Patients with Relapsed or Refractory Neuroblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    Trial
  4. Article
  5. Phase I Study ofJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 5-Hydroxymethylcytosine Profiles in Circulating Cell-Free DNA Associate with Disease Burden in Children with Neuroblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  11. 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

12 authors at 5 institutions in 2 countries.

Judith G VillablancaDepartment of Pediatrics, Saban Research Institute, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California.ORCID 0000-0002-7174-669X
Lingyun JiDepartment of Preventative Medicine Statistics, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Adi Shapira-LewinsonDepartment of Pediatric Hematology-Oncology, The Ruth Rappaport Children's Hospital, Haifa, Israel.
Araz MarachelianDepartment of Pediatrics, Saban Research Institute, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Hiroyuki ShimadaDepartment of Pathology, Saban Research Institute, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Randall A HawkinsDepartment of Radiology, University of California San Francisco, San Francisco, California.
Miguel PampaloniDepartment of Radiology, University of California San Francisco, San Francisco, California.
Hollie LaiDepartment of Pediatric Radiology, Children's Hospital Orange County, Orange, California.
Fariba GoodarzianDepartment of Radiology, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Richard SpostoDepartment of Preventative Medicine Statistics, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Julie R ParkDepartment of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, Washington.
Katherine K MatthayDepartment of Pediatrics, University of California San Francisco, San Francisco, California.
University of Southern California · USUniversity of California, San Francisco · USChildren's Hospital of Orange County · USRappaport Family Institute for Research in the Medical Sciences · ILSeattle Children's Hospital · US

Funding

Vascular endothelial cell integrins in angiogenesisP01CA081403 · NCI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI SEEGER, ROBERT CHARLES · 2000 to 2014
$28.5M
Tumor microenvironment-dependent therapy resistanceP01CA217959 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Kimberly Stegmaier · 2017 to 2026
$20.7M
Novel Ceramide-based Chemotherapy for Acute LeukemiaR01CA100895 · NCI · TEXAS TECH UNIVERSITY HEALTH SCIS CENTER · PI MAURER, BARRY J · 2004 to 2007
$980k
NCI NIH HHS P01 CA081403NCI NIH HHS P01 CA217959NCI NIH HHS R01 CA100895
6 · The paper itself

Abstract

purposeThe New Approaches to Neuroblastoma Therapy Response Criteria (NANTRC) were developed to optimize response assessment in patients with recurrent/refractory neuroblastoma. Response predictors and associations of the NANTRC version 1.0 (NANTRCv1.0) and prognostic factors with outcome were analyzed.

methodsA retrospective analysis was performed of patients with recurrent/refractory neuroblastoma enrolled from 2000 to 2009 on 13 NANT Phase 1/2 trials. NANTRC overall response integrated CT/MRI (Response Evaluation Criteria in Solid Tumors [RECIST]), metaiodobenzylguanidine (MIBG; Curie scoring), and percent bone marrow (BM) tumor (morphology).

resultsFourteen (6.9%) complete response (CR) and 14 (6.9%) partial response (PR) occurred among 203 patients evaluable for response. Five-year progression-free survival (PFS) was 16 ± 3%; overall survival (OS) was 27 ± 3%. Disease sites at enrollment included MIBG-avid lesions (100% MIBG trials; 84% non-MIBG trials), measurable CT/MRI lesions (48%), and BM (49%). By multivariable analysis, Curie score of 0 (P < 0.001), lower Curie score (P = 0.003), no measurable CT/MRI lesions (P = 0.044), and treatment on peripheral blood stem cell (PBSC) supported trials (P = 0.005) were associated with achieving CR/PR. Overall response of stable disease (SD) or better was associated with better OS (P < 0.001). In multivariable analysis, MYCN amplification (P = 0.037) was associated with worse PFS; measurable CT/MRI lesions (P = 0.041) were associated with worse OS; prior progressive disease (PD; P < 0.001/P < 0.001), Curie score ≥ 1 (P < 0.001; P = 0.001), higher Curie score (P = 0.048/0.037), and treatment on non-PBSC trials (P = < 0.001/0.003) were associated with worse PFS and OS.

conclusionsNANTRCv1.0 response of at least SD is associated with better OS in patients with recurrent/refractory neuroblastoma. Patient and tumor characteristics may predict response and outcome. Identifying these variables can optimize Phase 1/2 trial design to select novel agents for further testing.

Indexed as

Drug Resistance, NeoplasmAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicFemaleFollow-Up StudiesHumansInfantMaleNeoplasm Recurrence, LocalNeuroblastomaPrognosisclinical trialsneuroblastomaresponse criteria

Identifiers

PMID29350464
PMCPMC7456604
OpenAlexW2791366808

What OpenQuestion holds

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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.