Evidence map›Paper›PMID 30668823›Full record

ArticleNeuro-oncology2019

Accelerated progression of IDH mutant glioma after first recurrence.

Julie J Miller, Franziska Loebel, Tareq A Juratli, Shilpa S Tummala, Erik A Williams, Tracy T Batchelor, Isabel Arrillaga-Romany, Daniel P Cahill

Registry-linked trialAbstract read
In one paragraph

Article in 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 NCT05588141 (A Phase I/II Study of Zotiraciclib for Recurrent Malignant Gliomas With Isocitrate Dehydrogenase 1 or 2), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05588141 phase1 / phase2recruitingnot on this mapstarted 2023, after this paper: background citation

A Phase I/II Study of Zotiraciclib for Recurrent Malignant Gliomas With Isocitrate Dehydrogenase 1 or 2 (IDH1 or IDH2) Mutations

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2023 to 2032Enrolled96ConditionsBrain Tumor, CancerArmsZotiraciclib
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. SEOM-GEINO clinical guidelines for grade 2 gliomas (2023).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Guideline
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. UBE2T-Mediated HP1α Ubiquitination Enhances Nucleolar Function and Promotes the Progression of IDH1/TP53-Mutant Glioma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Radiosynthesis and biological evaluation of [European journal of nuclear medicine and molecular imaging · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Zinc Finger MYND-Type Containing 8 (ZMYND8) Is Epigenetically Regulated in Mutant Isocitrate Dehydrogenase 1 (IDH1) Glioma to Promote Radioresistance.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  20. 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

8 authors.

Julie J MillerStephen E. and Catherine Pappas Center for Neuro-Oncology, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Franziska LoebelDepartment of Neurosurgery, Charité University Hospital Berlin, Berlin, Germany.
Tareq A JuratliTranslational Neuro-Oncology Laboratory, Massachusetts General Hospital, Boston, Massachusetts.
Shilpa S TummalaTranslational Neuro-Oncology Laboratory, Massachusetts General Hospital, Boston, Massachusetts.
Erik A WilliamsDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts.
Tracy T BatchelorStephen E. and Catherine Pappas Center for Neuro-Oncology, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Isabel Arrillaga-RomanyStephen E. and Catherine Pappas Center for Neuro-Oncology, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Daniel P CahillTranslational Neuro-Oncology Laboratory, Massachusetts General Hospital, Boston, Massachusetts.

Funding

Targeting the Vasular SystemP50CA165962 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Benjamin Harris Kann · 2013 to 2026
$33.5M
Training Program in Nervous System TumorsK12CA090354 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PLOTKIN, SCOTT R · 2001 to 2025
$16.3M
Targeting Nicotinamide Adenine Dinucleotide (NAD+) metabolism in IDH mutant gliomasR01CA227821 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CAHILL, DANIEL P., WAKIMOTO, HIROAKI · 2018 to 2022
$2.4M
NCI NIH HHS K12 CA090354NCI NIH HHS P50 CA165962NCI NIH HHS R01 CA227821
6 · The paper itself

Abstract

backgroundIsocitrate dehydrogenase (IDH) mutant gliomas are a distinct subtype, reflected in the World Health Organization (WHO) 2016 revised diagnostic criteria. To inform IDH-targeting trial design, we sought to characterize outcomes exclusively within IDH mutant gliomas.

methodsWe retrospectively analyzed 275 IDH mutant glioma patients treated at our institution. Progression was determined using low-grade glioma criteria from Response Assessment in Neuro-Oncology. We calculated survival statistics with the Kaplan-Meier method, and survival proportions were correlated with molecular, histologic, and clinical factors.

resultsDuring a median follow-up of 6.4 years, 44 deaths (7.6%) and 149 first progression (PFS1) events (54.1%) were observed. Median PFS1 was 5.7 years (95% CI: 4.7-6.4) and OS was 18.7 years (95% CI: 12.2 y-not reached). Consistent with prior studies, we observed an association of grade, molecular diagnosis, and treatment with PFS1. Following the first progressive episode, 79 second progression events occurred during a median follow-up period of 4.1 years. Median PFS following an initial progressive event (PFS2) was accelerated at 3.1 years (95% CI: 2.1-4.1). PFS2 was a surrogate prognostic marker, identifying patients with poorer overall survival.

conclusionWe report outcomes in a large cohort of IDH mutant glioma, providing a well-characterized historical control population for future clinical trial design. Notably, the interval between first and second recurrence (PFS2, 3.0 y) is shorter than time from diagnosis to first recurrence (PFS1, 5.7 y), evidence that these tumors clinically degenerate from an indolent course to an accelerated malignant phase. Thus, PFS2 represents a relevant outcome for trials investigating drug efficacy at recurrence.

Indexed as

MutationAdultAgedAged, 80 and overBrain NeoplasmsCombined Modality TherapyDisease ProgressionFemaleFollow-Up StudiesGliomaHumansIsocitrate DehydrogenaseMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisIDH1 protein, humanIsocitrate DehydrogenaseendpointgliomaIDH1IDH2IDH mutationprogression-free survival

Identifiers

PMID30668823
PMCPMC6502499

What OpenQuestion holds

Textmetadata
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.