Evidence map›Paper›PMID 31828428›Full record

ArticleJournal of cancer research and clinical oncology2020

Tumour Treating Fields (TTFields) in combination with lomustine and temozolomide in patients with newly diagnosed glioblastoma.

Lazaros Lazaridis, Niklas Schäfer, Sarah Teuber-Hanselmann, Tobias Blau, Teresa Schmidt, Christoph Oster, Johannes Weller, Theophilos Tzaridis, Daniela Pierscianek, Kathy Keyvani and 8 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  4. Glioblastoma Therapy: Past, Present and Future.International journal of molecular sciences · 2024
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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

18 authors at 4 institutions in 1 country.

Lazaros LazaridisDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Niklas SchäferDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Centre, Bonn, Germany.
Sarah Teuber-HanselmannDepartment of Neuropathology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Tobias BlauDepartment of Neuropathology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Teresa SchmidtDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Christoph OsterDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Johannes WellerDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Centre, Bonn, Germany.
Theophilos TzaridisDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Centre, Bonn, Germany.
Daniela PierscianekDepartment of Neurosurgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Kathy KeyvaniDepartment of Neuropathology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Martin StuschkeDepartment of Radiotherapy, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Björn SchefflerDKFZ-Division Translational Neurooncology at the West German Cancer Centre (WTZ), German Cancer Consortium (DKTK), Partner Site University Hospital Essen, Essen, Germany.
Cornelius DeuschlInstitute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Ulrich SureDepartment of Neurosurgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Ulrich HerrlingerDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Centre, Bonn, Germany.
Sied KebirDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Martin GlasDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany. Martin.Glas@uk-essen.de.ORCID http://orcid.org/0000-0003-3167-3403
German Cancer Research Center · DEUniversity of Duisburg-Essen · DEUniversity of Bonn · DEEssen University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the EF-14 trial for newly diagnosed glioblastoma (ndGBM) patients addition of Tumour Treating Fields (TTFields) to temozolomide treatment resulted in a significantly improved overall survival (OS). In the NOA-09/CeTeG trial, combination of lomustine and temozolomide was superior to temozolomide monotherapy in patients with O6-methylguanine DNA methyltransferase (MGMT) promoter methylated (MGMTm) ndGBM. We evaluated combination of these two treatment modalities in patients with MGMTm ndGBM. There have been so far no data on the combination of these two efficient regimens.

methodsThis bicentric retrospective analysis investigated 16 patients. Parameters evaluated included safety outcome as measured by Common Toxicity Criteria for Adverse Events (CTCAE), clinical outcomes, and compliance to treatment.

resultsHematologic adverse events CTCAE ≥ 3 were observed in seven, hepatotoxic adverse events of CTCAE ≥ 3 in four patients. Mild to moderate skin toxicity was detected in six patients. At data cutoff, patients demonstrated a median progression-free survival (PFS) of 20 months. The usage rate of TTFields showed a high median adherence (83%) to the therapy.

conclusionsThis analysis provides first indication that the combination of TTFields/lomustine/temozolomide is safe and feasible. The observed survival outcomes might suggest potential beneficial effects.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBrain NeoplasmsChemoradiotherapyCombined Modality TherapyDisease-Free SurvivalElectric Stimulation TherapyFemaleGlioblastomaHumansLomustineMaleRetrospective StudiesTemozolomideLomustineTemozolomideEF-14GlioblastomaLomustineNOA-09TemozolomideTTfields

Identifiers

PMID31828428
PMCPMC11804447
OpenAlexW2996450468

What OpenQuestion holds

Textmetadata
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.