Evidence map›Paper›PMID 30506500›Full record

ArticleJournal of neuro-oncology2019

Combined intracavitary thermotherapy with iron oxide nanoparticles and radiotherapy as local treatment modality in recurrent glioblastoma patients.

Oliver Grauer, Mohammed Jaber, Katharina Hess, Matthias Weckesser, Wolfram Schwindt, Stephan Maring, Johannes Wölfer, Walter Stummer

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06271421 (Application of Nanoparticles for Cyclic Hyperthermia In Adjuvant Therapy of gLioblastoma Multiforme), which is not on this map. Cited by 90 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT06271421 narecruitingnot on this mapstarted 2024, after this paper: background citation

Application of Nanoparticles for Cyclic Hyperthermia In Adjuvant Therapy of gLioblastoma Multiforme (ANCHIALE)

TypeinterventionalSponsorPoznan University of Medical SciencesRan2024 to 2027Enrolled100ConditionsGlioblastoma MultiformeArmsNanoTherm therapy, Glioma Resection, radiotherapy according to Stupp protocol, chemotherapy according to Stupp protocol
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 2 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Magnetic Hyperthermia via ZnPharmaceutics · 2026
    Article
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  6. Article
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  15. Mechanical Forces Guide Axon Growth through the Nigrostriatal Pathway in an Organotypic Model.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  16. Review
  17. Synthesis of ε-FeJournal of functional biomaterials · 2025
    Article
  18. State-of-the-art application of nanoparticles in radiotherapy: a platform for synergistic effects in cancer treatment.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Review
  19. Review
  20. Article

30 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 1 country.

Oliver GrauerDepartment of Neurology, University Hospital of Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany. oliver.grauer@ukmuenster.de.ORCID http://orcid.org/0000-0003-4279-4497
Mohammed JaberDepartment of Neurosurgery, University Hospital of Münster, Münster, Germany.
Katharina HessInstitute of Neuropathology, University Hospital of Münster, Münster, Germany.
Matthias WeckesserDepartment of Nuclear Medicine, University Hospital of Münster, Münster, Germany.
Wolfram SchwindtInstitute of Radiology, University Hospital of Münster, Münster, Germany.
Stephan MaringDepartment of Radiation Oncology, University Hospital of Münster, Münster, Germany.
Johannes WölferDepartment of Neurosurgery, University Hospital of Münster, Münster, Germany.
Walter StummerDepartment of Neurosurgery, University Hospital of Münster, Münster, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an increasing interest in local tumor ablative treatment modalities that induce immunogenic cell death and the generation of antitumor immune responses.

methodsWe report six recurrent glioblastoma patients who were treated with intracavitary thermotherapy after coating the resection cavity wall with superparamagnetic iron oxide nanoparticles ("NanoPaste" technique). Patients underwent six 1-h hyperthermia sessions in an alternating magnetic field and, if possible, received concurrent fractionated radiotherapy at a dose of 39.6 Gy.

resultsThere were no major side effects during active treatment. However, after 2-5 months, patients developed increasing clinical symptoms. CT scans showed tumor flare reactions with prominent edema around nanoparticle deposits. Patients were treated with dexamethasone and, if necessary, underwent re-surgery to remove nanoparticles. Histopathology revealed sustained necrosis directly adjacent to aggregated nanoparticles without evidence for tumor activity. Immunohistochemistry showed upregulation of Caspase-3 and heat shock protein 70, prominent infiltration of macrophages with ingested nanoparticles and CD3

conclusionIntracavitary thermotherapy combined with radiotherapy can induce a prominent inflammatory reaction around the resection cavity which might trigger potent antitumor immune responses possibly leading to long-term stabilization of recurrent GBM patients. These results warrant further investigations in a prospective phase-I trial.

Indexed as

AdultAgedBrain NeoplasmsCombined Modality TherapyFemaleFerric CompoundsGlioblastomaHumansHyperthermia, InducedMagnetite NanoparticlesMaleMiddle AgedNeoplasm Recurrence, LocalTreatment OutcomeFerric Compoundsferric oxideMagnetite NanoparticlesCaspase-3HSP70PD-L1Superparamagnetic iron oxide nanoparticlesThermotherapy

Identifiers

PMID30506500
PMCPMC6341053
OpenAlexW2902484473

What OpenQuestion holds

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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.