Evidence map›Paper›PMID 30507932›Full record

ArticlePloS one2018

Use of statins or NSAIDs and survival of patients with high-grade glioma.

Corinna Seliger, Julia Schaertl, Michael Gerken, Christian Luber, Martin Proescholdt, Markus J Riemenschneider, Michael F Leitzmann, Peter Hau, Monika Klinkhammer-Schalke

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 24% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  7. Article
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  12. Targeting fatty acid metabolism in glioblastoma.The Journal of clinical investigation · 2023
    Review
  13. Review
  14. Article
  15. Statins: a repurposed drug to fight cancer.Journal of experimental & clinical cancer research : CR · 2021
    Review
  16. Review
  17. 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

9 authors at 2 institutions in 1 country.

Corinna SeligerDepartment of Neurology, Regensburg University Medical Center, Regensburg, Germany.ORCID 0000-0002-4923-4495
Julia SchaertlDepartment of Neurology, Regensburg University Medical Center, Regensburg, Germany.
Michael GerkenTumor Center, Institute for Quality Assurance and Health Services Research, University of Regensburg, Regensburg, Germany.
Christian LuberDepartment of Neurology, Regensburg University Medical Center, Regensburg, Germany.
Martin ProescholdtWilhelm Sander-NeuroOncology Unit, Regensburg University Medical Center, Regensburg, Germany.
Markus J RiemenschneiderWilhelm Sander-NeuroOncology Unit, Regensburg University Medical Center, Regensburg, Germany.
Michael F LeitzmannDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Peter HauDepartment of Neurology, Regensburg University Medical Center, Regensburg, Germany.
Monika Klinkhammer-SchalkeTumor Center, Institute for Quality Assurance and Health Services Research, University of Regensburg, Regensburg, Germany.
University of Regensburg · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-grade glioma (HGG) is associated with a limited prognosis. Drug repurposing has become of increasing interest to improve standard therapy. Statins and NSAIDs inhibit glioma cell growth in vitro and in vivo, but data on statin and NSAID treatment in relation to survival of patients with HGG are sparse.

methodsWe performed multivariable adjusted Cox-regression analyses among 1,093 patients with HGG from a regional cancer registry to obtain Hazard Ratios (HRs) with 95% Confidence Intervals (CIs) for overall survival (OS) and progression-free survival (PFS) according to treatment with statins or NSAIDs. Data on dose and duration of treatment was mostly lacking in our analysis, therefore we were not able to perform dose-response analyses.

resultsUse of statins was unrelated to OS or PFS of glioma patients. Use of aspirin was associated with prolonged OS and PFS in patients with WHO grade III, but not WHO grade IV glioma. Use of other NSAIDs (diclofenac, ibuprofen) or non-NSAID analgesics (paracetamol) was mostly unrelated to survival of glioma patients. Use of selective COX-2 inhibitors and metamizol was related to inferior patient survival in parts of the analyses.

conclusionsUse of statins or NSAIDS, including aspirin, was not associated with prolonged OS or PFS of patients with WHO grade IV glioma in our selected cohort. There was an indication for improved survival in patients with WHO grade III glioma using aspirin, but further studies are needed to confirm our first observation.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalAstrocytomaBrain NeoplasmsCohort StudiesDisease-Free SurvivalDNA MethylationDNA Modification MethylasesDNA Repair EnzymesDrug RepositioningFemaleGlioblastomaGliomaHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIsocitrate DehydrogenaseAnti-Inflammatory Agents, Non-SteroidalDNA Modification MethylasesDNA Repair EnzymesHydroxymethylglutaryl-CoA Reductase InhibitorsIsocitrate DehydrogenaseMGMT protein, humanTumor Suppressor Proteins

Identifiers

PMID30507932
PMCPMC6277074
OpenAlexW2903325528

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.