Evidence map›Paper›PMID 30830679›Full record

Trial reportJournal of neuro-oncology2019

Nimotuzumab and radiotherapy for treatment of newly diagnosed diffuse intrinsic pontine glioma (DIPG): a phase III clinical study.

G Fleischhack, M Massimino, M Warmuth-Metz, E Khuhlaeva, G Janssen, N Graf, S Rutkowski, A Beilken, I Schmid, V Biassoni and 9 more

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Journal of neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Radiological complete response in diffuse intrinsic pontine glioma: a case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  5. Article
  6. Review
  7. Re-irradiation in progressive diffuse infiltrative pontine glioma in children and young adults.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  8. Article
  9. Nimotuzumab-vinorelbine combination therapy versus other regimens in the treatment of pediatric diffuse intrinsic pontine glioma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Advances in Treatment of Diffuse Midline Gliomas.Current neurology and neuroscience reports · 2023
    Review
  16. Radiotherapy and radio-sensitization in H3CNS neuroscience & therapeutics · 2023
    Review
  17. Review
  18. Article
  19. Review
  20. 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

19 authors at 14 institutions in 4 countries.

G FleischhackPaediatric Haematology and Oncology, Paediatrics III, University Hospital of Essen, 45122, Essen, Germany. gudrun.fleischhack@uk-essen.de.ORCID http://orcid.org/0000-0001-5714-007X
M MassiminoPaediatric Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133, Milano, Italy.
M Warmuth-MetzDepartment of Neuroradiology, University of Wuerzburg, 97080, Würzburg, Germany.
E KhuhlaevaPaediatric Neurosurgical Department, Burdenko Neurosurgical Institute, Moscow, 125047, Russia.
G JanssenDepartment of Paediatric Haematology/Oncology, Children's Medical Hospital, University of Duesseldorf, 40225, Düsseldorf, Germany.
N GrafDepartment of Paediatric Haematology/Oncology, Saarland University, 66421, Homburg/Saar, Germany.
S RutkowskiDepartment of Paediatric Hematology/Oncology, University of Wuerzburg, University Children's Hospital, 97080, Wuerzburg, Germany.
A BeilkenDepartment of Paediatric Haematology/Oncology, Medical School, Children's Medical Hospital, 30625, Hannover, Germany.
I SchmidDepartment of Paediatric Haematology/Oncology, Children's Medical Hospital, University of Munich, 80337, Munich, Germany.
V BiassoniPaediatric Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133, Milano, Italy.
S K GorelishevPaediatric Neurosurgical Department, Burdenko Neurosurgical Institute, Moscow, 125047, Russia.
C KrammDepartment of Paediatric Haematology/Oncology, Children's Medical Hospital, University of Duesseldorf, 40225, Düsseldorf, Germany.
H ReinhardDepartment of Paediatric Haematology/Oncology, Saarland University, 66421, Homburg/Saar, Germany.
P G SchlegelDepartment of Paediatric Hematology/Oncology, University of Wuerzburg, University Children's Hospital, 97080, Wuerzburg, Germany.
R-D KortmannDepartment of RT and Radiooncology, University of Leipzig, 04103, Leipzig, Germany.
D ReuterOncoscience GmbH, 22869, Schenefeld, Germany.
F BachOncoscience GmbH, 22869, Schenefeld, Germany.
N E Iznaga-EscobarCenter of Molecular Immunology, Havana, Cuba.
U BodeDepartment of Paediatric Haematology/Oncology, Children Medical Hospital, University of Bonn, 53113, Bonn, Germany.
Burdenko Neurosurgery Institute · RUDüsseldorf University Hospital · DEFondazione IRCCS Istituto Nazionale dei Tumori · ITOncoscience (Germany) · DEAsklepios Klinik Sankt Augustin · DECenter of Molecular Immunology (Cuba) · CULeipzig University · DELudwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DESaarland University · DEUniversität Hamburg · DEUniversity Hospital Bonn · DEUniversity of Bonn · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffuse intrinsic pontine glioma (DIPG) is a devastating cancer of childhood and adolescence.

methodsThe study included patients between 3 and 20 years with clinically and radiologically confirmed DIPG. Primary endpoint was 6-month progression-free survival (PFS) following administration of nimotuzumab in combination with external beam radiotherapy (RT). Nimotuzumab was administered intravenously at 150 mg/m

resultsAll 42 patients received at least one dose of nimotuzumab in outpatient settings. Two patients had partial response (4.8%), 27 had stable disease (64.3%), 10 had progressive disease (23.8%) and 3 patients (7.1%) could not be evaluated. The objective response rate (ORR) was 4.8%. Median PFS was 5.8 months and median overall survival (OS) was 9.4 months. Most common drug-related AEs were alopecia (14.3%), vomiting, headache and radiation skin injury (7.1% each). Therapy-related serious adverse events (SAEs) were intra-tumoral bleeding and acute respiratory failure, which were difficult to distinguish from effects of tumor progression.

conclusionsConcomitant treatment with RT and nimotuzumab was feasible in an outpatient setting. The PFS and OS were comparable to results achieved with RT and intensive chemotherapy in hospitalized setting.

Indexed as

ChemoradiotherapyAdolescentAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalBrain Stem NeoplasmsChildChild, PreschoolDisease ProgressionFemaleGliomaHumansMalePonsSurvival AnalysisTreatment OutcomeYoung AdultAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalnimotuzumabChildrenDiffuse midline gliomaDIPGEGFRNimotuzumabRadiotherapy

Identifiers

PMID30830679
OpenAlexW2918569239

What OpenQuestion holds

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Registered trials

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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.