Evidence map›Paper›PMID 31220093›Full record

Trial reportPloS one2019

Systemic management of malignant meningiomas: A comparative survival and molecular marker analysis between Octreotide in combination with Everolimus and Sunitinib.

Andrés F Cardona, Alejandro Ruiz-Patiño, Zyanya Lucia Zatarain-Barrón, Fernando Hakim, Enrique Jiménez, Juan Armando Mejía, Juan Fernando Ramón, Nicolás Useche, Sonia Bermúdez, Diego Pineda and 6 more

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2019. 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
2.1field-weighted citation impact, top 13% 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, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Hormone therapies in meningioma-where are we?Journal of neuro-oncology · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Antibody-Drug Conjugate to Treat Meningiomas.Pharmaceuticals (Basel, Switzerland) · 2021
    Article
  15. Case Report: Identification of a NovelFrontiers in oncology · 2021
    Article
  16. Article
  17. 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

16 authors at 6 institutions in 3 countries.

Andrés F CardonaBrain Tumor Section, Clinical and Translational Oncology Group, Clínica del Country, Bogotá, Colombia.
Alejandro Ruiz-PatiñoFoundation for Clinical and Applied Cancer Research-FICMAC, Bogotá, Colombia.
Zyanya Lucia Zatarain-BarrónLaboratory of Experimental Oncology, Instituto Nacional de Cancerología (INCaN), México City, México.
Fernando HakimNeurosurgery Department, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Enrique JiménezNeurosurgery Department, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Juan Armando MejíaNeurosurgery Department, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Juan Fernando RamónNeurosurgery Department, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Nicolás UsecheNeuroscience Department, Universidad El Bosque, Bogotá, Colombia.
Sonia BermúdezNeuroscience Department, Universidad El Bosque, Bogotá, Colombia.
Diego PinedaBrain Tumor Section, Clinical and Translational Oncology Group, Clínica del Country, Bogotá, Colombia.
Hernando CifuentesNeurosurgery Department, Clínica del Country, Bogotá, Colombia.
Leonardo RojasBrain Tumor Section, Clinical and Translational Oncology Group, Clínica del Country, Bogotá, Colombia.
Luisa RicaurteFoundation for Clinical and Applied Cancer Research-FICMAC, Bogotá, Colombia.
Luis Eduardo PinoClinical Oncology Group, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Carmen BalañaNeuro-Oncology Section, Oncology Department, Hospital Germans Trias I Pujol, Catalan Institute of Oncology-ICO, Barcelona, Spain.
Oscar ArrietaLaboratory of Experimental Oncology, Instituto Nacional de Cancerología (INCaN), México City, México.ORCID 0000-0002-1164-3779
Universidad El Bosque · COFoundation for Clinical and Applied Cancer Research · COClínica Santa María · COInstituto Nacional de Cancerología · MXFundación Santa Fe de Bogotá · COInstitut Català d'Oncologia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the effectiveness of octreotide/everolimus vs. sunitinib for the systemic treatment of recurrent aggressive meningiomas.

methods31 patients with recurrent or refractory WHO II or WHO III meningiomas were examined in two reference centers in Colombia. Patients who had systemic treatment (sunitinib, everolimus/octreotide) and a complete follow-up were included. Overall survival (OS), progression-free survival (PFS) and toxicities were evaluated. Additionally, tissue samples were examined for PDGFRβ and VEGFR2, their expression was correlated with outcomes.

resultsTwenty-two patients (72%) were female with a median age of 55 years (SD±15.3). The most prevalent histology was anaplastic meningioma in 20 patients (65%) with 48% of patients suffering from three previous relapses before the start of systemic treatment. A total of 14 patients received combination therapy with octreotide/everolimus, 11 received sunitinib and the remaining 6 received other second-line agents. Median OS was 37.3 months (95%CI 28.5-42.1) and the PFS during the treatment with everolimus/octreotide (EO) and sunitinib (Su) was 12.1 months (95%CI 9.2-21.1) and 9.1 months (95%CI 6.8-16.8); p = 0.43), respectively. The OS of the group treated with the EO→Su→Bev sequence (1st/2nd/3rd line) was 6.5 months longer than the Su→EO→Bev sequence (36.0 vs. 29.5 months) (p = 0.0001). When analyzing molecular markers, the positive PDGFRβ and negative VEGFR2 expression were associated with longer survival both in OS and PFS.

conclusionSunitinib and octreotide/everolimus have similar efficacy and safety in the systemic management of refractory meningioma. VEGFR2 and PDGFRβ expression are associated with better outcomes.

Indexed as

Meningeal NeoplasmsMeningiomaAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorDisease-Free SurvivalEverolimusFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHumansMaleMiddle AgedNeoplasm ProteinsBiomarkers, TumorEverolimusKDR protein, humanNeoplasm ProteinsOctreotidePDGFRB protein, humanReceptor, Platelet-Derived Growth Factor betaSunitinibVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID31220093
PMCPMC6586269
OpenAlexW2950038291

What OpenQuestion holds

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LicenceCC BY
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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.