Evidence map›Paper›PMID 32617293›Full record

ArticleAnnals of translational medicine2020

Neuronavigation-guided focused ultrasound (NaviFUS) for transcranial blood-brain barrier opening in recurrent glioblastoma patients: clinical trial protocol.

Ko-Ting Chen, Ya-Jui Lin, Wen-Yen Chai, Chia-Jung Lin, Pin-Yuan Chen, Chiung-Yin Huang, John S Kuo, Hao-Li Liu, Kuo-Chen Wei

2 registry-linked trialsAbstract read
In one paragraph

Article in Annals of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06329570 phase1 / phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Prospective, Open-Label, Single-Arm Pilot Study to Evaluate the Safety and Efficacy of Bevacizumab in Combination With NaviFUS System for the Treatment of Recurrent Glioblastoma Multiforme (rGBM)

TypeinterventionalSponsorNaviFUS CorporationRan2024 to 2028Enrolled10ConditionsGlioblastoma Multiforme, Glioblastoma, Glioma, Brain TumorArmsNaviFUS System, Lumason, Bevacizumab
NCT06496971 phase3recruitingnot on this mapstarted 2024, after this paper: background citation

A Prospective, Randomized, Standard of Care Controlled, Parallel, Open-Label, Multicenter Pivotal Study to Evaluate the Efficacy and Safety of Avastin® in Combination With NaviFUS System Compared With Avastin® Alone for the Treatment of Recurrent Glioblastoma Multiforme (rGBM)

TypeinterventionalSponsorNaviFUS CorporationRan2024 to 2027Enrolled32ConditionsGlioblastoma Multiforme, Glioblastoma, Glioblastoma Multiforme, Adult, GliomaArmsBevacizumab, Microbubble, Low-Intensity Focused Ultrasound
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Acquired resistance to molecularly targeted therapies for cancer.Cancer drug resistance (Alhambra, Calif.) · 2025
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  18. Targeting diffuse midline gliomas: The promise of focused ultrasound-mediated blood-brain barrier opening.Journal of controlled release : official journal of the Controlled Release Society · 2024
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  20. Therapeutic ultrasound transducer technology and monitoring techniques: a review with clinical examples.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 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

9 authors.

Ko-Ting ChenDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Taipei.
Ya-Jui LinDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Taipei.
Wen-Yen ChaiDepartment of Diagnostic Radiology and Intervention, Chang Gung Memorial Hospital at LinKou, Linkou, Taipei.
Chia-Jung LinDepartment of Electrical Engineering, Chang Gung University, Linkou, Taipei.
Pin-Yuan ChenDepartment of Neurosurgery, Chang Gung Memorial Hospital at Keelung, New Taipei.
Chiung-Yin HuangDepartment of Neurosurgery, New Taipei Municipal TuCheng Hospital, Chang Gung Memorial Hospital and Chang Gung University, Linkou, Taipei.
John S KuoDepartment of Neurosurgery and Mulva Clinic for the Neurosciences, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Hao-Li LiuDepartment of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Taipei.
Kuo-Chen WeiDepartment of Neurosurgery, New Taipei Municipal TuCheng Hospital, Chang Gung Memorial Hospital and Chang Gung University, Linkou, Taipei.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood-brain barrier (BBB) limits over 95% of drugs' penetration into brain, which has been a major obstacle in treating patients with glioblastoma. Transient BBB opening in glioblastoma (GBM) is feasible by combining focused ultrasound (FUS) with systemic infusion of microbubbles (MB). NaviFUS, a novel device that integrates neuronavigation and FUS-MB system, is able to intraoperatively direct the ultrasound energy precisely and repeatedly at targeted CNS areas. This clinical trial evaluates the safety and feasibility of NaviFUS in recurrent glioblastoma patients.

methodsThe study is a first-in-human, prospective, open-label, single-center, single-arm, dose escalation phase 1 clinical trial. A total of 6 patients will be enrolled. Patients will be enrolled into three groups, each group receiving an escalating dose of FUS energy (acoustic power is 4, 8, and 12 W) with concomitant systemic microbubbles (0.1 mL/kg) applied 1 week before surgical resection.

resultsDynamic contrast-enhanced MRI will be obtained immediately and 24 hours after FUS procedures, while heavily T2-weighted sequence will be obtained to evaluate for any micro-hemorrhages. We anticipate that there will be minimal side effects associated with NaviFUS-mediated transient BBB opening.

conclusionsObtained results will support a planned phase 2 trial to evaluate whether NaviFUS can effectively enhance the delivery of chemotherapeutic agents and improve tumor control.

Indexed as

Blood-brain barrier (BBB)brain tumorfocused ultrasoundglioblastomaneuronavigation

Identifiers

PMID32617293
PMCPMC7327352

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Registered trials

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.