Evidence map›Paper›PMID 29948766›Full record

Trial reportJournal of neuro-oncology2018

Effect of lapatinib on meningioma growth in adults with neurofibromatosis type 2.

Diana S Osorio, Jessica Hu, Carole Mitchell, Jeffrey C Allen, Joseph Stanek, Mari Hagiwara, Matthias A Karajannis

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00973739 (Phase II Study of Lapatinib in Children and Adults With Neurofibromatosis Type 2), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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.

NCT00973739 phase2completednot on this map

Phase II Study of Lapatinib in Children and Adults With Neurofibromatosis Type 2(NF2) and NF2-related Tumors

TypeinterventionalSponsorNYU Langone HealthRan2009 to 2012Enrolled21ConditionsNeurofibromatosis 2, Vestibular SchwannomaArmsLapatinib
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Update on Cancer and Central Nervous System Tumor Surveillance in Pediatric NF2-, SMARCB1-, and LZTR1-Related Schwannomatosis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  4. Article
  5. Review
  6. An unusual finding of an anaplastic meningioma in NF2-related schwannomatosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Nervous system (NS) Tumors in Cancer Predisposition Syndromes.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  14. Article
  15. Review
  16. Review
  17. Current Understanding of Neurofibromatosis Type 1, 2, and Schwannomatosis.International journal of molecular sciences · 2021
    Review
  18. Article
  19. 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

7 authors at 3 institutions in 1 country.

Diana S OsorioDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Jessica HuDivision of Neuroradiology, Department of Radiology, NYU Langone Health, New York, NY, USA.
Carole MitchellDepartment of Pediatrics, NYU Langone Health, New York, NY, USA.
Jeffrey C AllenDepartment of Pediatrics, NYU Langone Health, New York, NY, USA.
Joseph StanekDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Mari HagiwaraDivision of Neuroradiology, Department of Radiology, NYU Langone Health, New York, NY, USA.
Matthias A KarajannisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. karajanm@mskcc.org.
NYU Langone Health · USNationwide Children's Hospital · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

introductionEpidermal growth factor receptors EGFR and ErbB2 are overexpressed in schwannomas and meningiomas. Preclinical and clinical data indicate that lapatinib, an EGFR/ErbB2 inhibitor, has antitumor activity against vestibular schwannomas in neurofibromatosis type 2 (NF2) patients. Its antitumor activity against meningiomas, however, is unknown.

methodsWe conducted a retrospective review of patients with NF2 and progressive vestibular schwannomas treated on a phase 2 clinical trial with lapatinib (NCT00973739). We included patients with at least one volumetrically measurable meningioma (> 0.5 cm

resultsEight patients (ages: 20-58 years) who met criteria had 17 evaluable meningiomas with a combined volume of 61.35 cc at baseline, 61.17 cc during treatment, and 108.86 cc (+ 77.44% change) off-treatment, p = 0.0033. Median time on-treatment and off-treatment was 15.5 and 16.7 months, respectively. On-treatment mean and median annualized growth rates were 10.67 and 1.32%, respectively. Off-treatment mean and median annualized growth rates were 20.05 and 10.42%, respectively. The best volumetric response was - 26.1% after 23 months on lapatinib. Two tumors increased > 20% volumetrically on-treatment, compared to eight tumors off-treatment.

conclusionsThese data suggest that lapatinib may have growth-inhibitory effects on meningiomas in NF2 patients, and support prospective studies of lapatinib for NF2 patients with progressive meningiomas.

Indexed as

AdultAntineoplastic AgentsFemaleHumansImaging, Three-DimensionalLapatinibMagnetic Resonance ImagingMaleMeningeal NeoplasmsMeningiomaMiddle AgedNeurofibromatosis 2Neuroma, AcousticQuinazolinesRetrospective StudiesYoung AdultAntineoplastic AgentsLapatinibQuinazolinesEpidermal growth factor receptorLapatinibMeningiomaNeurofibromatosis type 2Volumetrics

Identifiers

PMID29948766
PMCPMC6126973
OpenAlexW2807218055

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.