Evidence map›Paper›PMID 32510610›Full record

ReviewHematological oncology2020

On point in primary CNS lymphoma.

Mazie Tsang, Joseph Cleveland, James L Rubenstein

Open access · greenAbstract readReview
In one paragraph

Review in Hematological oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. A cerebral lymphoma mimicking a meningioma: case report.Annals of medicine and surgery (2012) · 2023
    Article
  4. Study on primary central nervous system lymphoma in pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  5. Primary central nervous system lymphoma.Nature reviews. Disease primers · 2023
    Review
  6. Primary CNS Lymphoma: Progress With Dose-Intensive Consolidation.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. 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

3 authors at 1 institution in 1 country.

Mazie TsangDivision of Hematology/Oncology, University of California, San Francisco, California, USA.
Joseph ClevelandDepartment of Medicine, University of California, San Francisco, California, USA.
James L RubensteinDivision of Hematology/Oncology, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0002-9062-2449
University of California, San Francisco · US

Funding

RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
The Role of Interleukin-4 (IL-4) in the Pathogenesis of Non-Hodgkin's LymphomaR01CA139083 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RUBENSTEIN, JAMES LOUIS · 2009 to 2018
$3.4M
Application of Hyperpolarized 13C Magnetic Resonance Imaging to Detect Target Inhibition of NF-kB Activation and Response in Primary CNS LymphomaR01CA239462 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAUMEIL, MYRIAM MARIANNE, RUBENSTEIN, JAMES LOUIS · 2019 to 2023
$3.1M
Leukemia and Lymphoma Society Translational Research ProgramNCI NIH HHS R01 CA139083NCI NIH HHS R01CA139-83-01A1NCI NIH HHS R01 CA239462NCI NIH HHS R01CA239462NIA NIH HHS T32 AG000212
6 · The paper itself

Abstract

Primary CNS lymphoma (PCNSL) is an aggressive brain tumor that represents a significant challenge both to elucidate its biological pathogenesis as well as to develop definitive precision medicines with minimal collateral toxicity. We highlight the key issues in diagnosis and treatment and focus on emerging technologies, current options among consolidation strategies, and biological agents. We anticipate that further development of molecular diagnostics and molecular imaging approaches that elucidate minimal residual disease in brain parenchyma, leptomeninges, intraocular compartments and even bone marrow will greatly impact the delivery and timing of cytotoxic and biological therapies. Implementation of these approaches is likely essential to clarify ongoing discrepancies in the interpretation of clinical trial results that currently are based on relatively unrefined definitions of response. While the results of early phase investigations involving ibrutinib and the IMiD agents, lenalidomide, pomalidomide, as well as avadomide, strongly support the hypothesis that the B-cell receptor (BCR) pathway, involving MYD88 and CD79B and NF-kB activation, is critical to the pathogenesis of PCNSL, much work is needed to elucidate mechanisms of resistance. Similarly, development of strategies to overcome immunosuppressive mechanisms that are upregulated in the tumor microenvironment is a high priority. Finally, ongoing evidence supports the hypothesis that the blood-brain barrier represents a significant impediment to efficient brain tumor penetration of novel therapeutic agents and innovative strategies of drug delivery remain essential to further improve outcomes.

Indexed as

AnimalsCentral Nervous System NeoplasmsCombined Modality TherapyDisease ManagementDisease SusceptibilityHumansLymphomaMolecular Diagnostic TechniquesMultimodal ImagingSymptom AssessmentTreatment OutcomeTumor Microenvironmenthigh dose chemotherapyimmunotherapyminimal residual diseaseNFkBprimary CNS lymphoma

Identifiers

PMID32510610
PMCPMC8815361
OpenAlexW3033112907

What OpenQuestion holds

Textmetadata
LicenceTDM
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.