Evidence map›Paper›PMID 30402263›Full record

ArticleNeuro-oncology practice2018

Late toxicity in long-term survivors from a phase 2 study of concurrent radiation therapy, temozolomide and valproic acid for newly diagnosed glioblastoma.

Andra V Krauze, Megan Mackey, Lindsay Rowe, Michal G Chang, Diane J Holdford, Theresa Cooley, Joanna Shih, Philip J Tofilon, Kevin Camphausen

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology practice, 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
1.6field-weighted citation impact, top 17% 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, 19 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Andra V KrauzeRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
Megan MackeyRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
Lindsay RoweRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
Michal G ChangMassey Cancer Center Virginia Commonwealth University, VA.
Diane J HoldfordMassey Cancer Center Virginia Commonwealth University, VA.
Theresa CooleyRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
Joanna ShihRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
Philip J TofilonRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
Kevin CamphausenRadiation Oncology Branch, National Cancer Institute/NIH, Center Drive, CRC, Bethesda, MD.
National Cancer Institute · USVirginia Commonwealth University · US

Funding

Microenvironmental regulation of glioblastoma radiosensitivityZIABC011372 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI TOFILON, PHILIP · 2011 to 2025
$11.7M
6 · The paper itself

Abstract

backgroundValproic acid (VPA) is an antiepileptic agent with histone deacetylase inhibitor activity shown to enhance overall survival and progression free survival in patients with newly diagnosed glioblastoma (GBM). This reports on the late toxicity of the VPA/radiotherapy (RT)/temozolomide (TMZ) combination in the long-term survivors of a phase 2 study evaluating this regimen.

methods37 patients with newly diagnosed GBM were initially enrolled on this trial and received combination therapy. VPA/RT/TMZ related late toxicities were evaluated in the 6 patients that lived greater than 3 years using the Cancer Therapy and Evaluation Program Common Toxicity Criteria (CTC) Version 4.0 for toxicity and adverse event reporting as well as the RTOG/EORTC Radiation Morbidity Scoring Scheme.

resultsThe median duration of follow-up for these 6 patients was 69.5m. In this cohort, the median OS was 73.8m (60.8-103.8m) and median PFS was 53.1m (37.3 - 103.8m). The most common late toxicity of VPA in conjunction with RT/TMZ were the CTC classifications of

conclusionsThe addition of VPA to concurrent RT/TMZ in patients with newly diagnosed GBM was well tolerated with little late toxicity. Additionally, VPA may result in improved outcomes as compared to historical data and merits further study.

Indexed as

GlioblastomaLate effectsradiation sensitizertoxicityValproic Acid

Identifiers

PMID30402263
PMCPMC6213944
OpenAlexW2802070973

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.