Evidence map›Paper›PMID 31963414›Full record

ArticleBrain sciences2020

A New Treatment Opportunity for DIPG and Diffuse Midline Gliomas: 5-ALA Augmented Irradiation, the 5aai Regimen.

Richard E Kast, Alex P Michael, Iacopo Sardi, Terry C Burns, Tim Heiland, Georg Karpel-Massler, Francois G Kamar, Marc-Eric Halatsch

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. 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 at 5 institutions in 4 countries.

Richard E KastIIAIGC Study Center, 148 College Street, suite 202, Burlington, VT 05401, USA.ORCID 0000-0002-7876-0400
Alex P MichaelSouthern Illinois University School of Medicine, Division of Neurosurgery, PO Box 19638, Springfield, IL 62794, USA.
Iacopo SardiNeuro-Oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, viale Pieraccini, 50139 24 Florence, Italy.ORCID 0000-0002-8763-6524
Terry C BurnsDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Tim HeilandDepartment of Neurosurgery, Ulm University Hospital, Albert-Einstein-Allee 23, D-89081 Ulm, Germany.
Georg Karpel-MasslerDepartment of Neurosurgery, Ulm University Hospital, Albert-Einstein-Allee 23, D-89081 Ulm, Germany.
Francois G KamarClemenceau Medical Centre, Department of Hematology-Oncology, Lebanese American University, Byblos Lebanon, City Centre Bldg. Suite 3A, Avenue Nouvelle, P.O. Box 1076, Jounieh, Lebanon.
Marc-Eric HalatschDepartment of Neurosurgery, Ulm University Hospital, Albert-Einstein-Allee 23, D-89081 Ulm, Germany.ORCID 0000-0002-6981-2280
University Hospital Ulm · DELebanese American University · LBMayo Clinic in Florida · USMeyer Children's Hospital · ITSouthern Illinois University School of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prognosis for diffuse intrinsic pontine glioma (DIPG) and generally for diffuse midline gliomas (DMG) has only marginally improved over the last ~40 years despite dozens of chemotherapy and other therapeutic trials. The prognosis remains invariably fatal. We present here the rationale for a planned study of adding 5-aminolevulinic acid (5-ALA) to the current irradiation of DIPG or DMG: the 5aai regimen. In a series of recent papers, oral 5-ALA was shown to enhance standard therapeutic ionizing irradiation. 5-ALA is currently used in glioblastoma surgery to enable demarcation of overt tumor margins by virtue of selective uptake of 5-ALA by neoplastic cells and selective conversion to protoporphyrin IX (PpIX), which fluoresces after excitation by 410 nm (blue) light. 5-ALA is also useful in treating glioblastomas by virtue of PpIX's transfer of energy to O

Indexed as

5-aminolevulinic aciddiffuse intrinsic pontine gliomadiffuse midline gliomasfluorescenceglioblastomairradiationphotodynamicprognosisprotoporphyrin IXreactive oxygen species

Identifiers

PMID31963414
PMCPMC7016657
OpenAlexW3000069829

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.