Evidence map›Paper›PMID 32661549›Full record

ArticleNeuro-oncology2021

A molecular signature associated with prolonged survival in glioblastoma patients treated with regorafenib.

Alessandra Santangelo, Marzia Rossato, Giuseppe Lombardi, Salvatore Benfatto, Denise Lavezzari, Gian Luca De Salvo, Stefano Indraccolo, Maria Cristina Dechecchi, Paola Prandini, Roberto Gambari and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 4% 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
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  10. Kinase-Targeted Therapies for Glioblastoma.International journal of molecular sciences · 2025
    Review
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  16. World journal of gastrointestinal oncology · 2024
    Article
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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

23 authors at 9 institutions in 1 country.

Alessandra SantangeloDepartment of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy.
Marzia RossatoDepartment of Biotechnology, University of Verona, Verona, Italy.
Giuseppe LombardiDepartment of Oncology, Veneto Institute of Oncology (IOV), Scientific Institute for Research, Hospitalization, and Health Care (IRCCS), Padova, Italy.
Salvatore BenfattoDepartment of Biotechnology, University of Verona, Verona, Italy.
Denise LavezzariDepartment of Biotechnology, University of Verona, Verona, Italy.
Gian Luca De SalvoResearch Unit, IOV-IRCCS, Padova, Italy.
Stefano IndraccoloBasic and Translational Oncology Unit, IOV-IRCCS, Padova, Italy.
Maria Cristina DechecchiDepartment of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy.
Paola PrandiniDepartment of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy.
Roberto GambariDepartment of Life Sciences and Biotechnologies, University of Ferrara, Ferrara, Italy.
Chiara ScapoliDepartment of Life Sciences and Biotechnologies, University of Ferrara, Ferrara, Italy.
Gianfranco Di GennaroLaboratory of Clinical Biochemistry, University Hospital of Verona, Verona, Italy.
Mario CacceseDepartment of Oncology, Veneto Institute of Oncology (IOV), Scientific Institute for Research, Hospitalization, and Health Care (IRCCS), Padova, Italy.
Marica EoliMolecular Neuro-Oncology Unit, Carlo Besta Neurological Institute Foundation, Milan, Italy.
Roberta RudàDepartment of Neuro-Oncology, University of Turin and City of Health and Science Hospital, Turin, Italy.
Alba Ariela BrandesMedical Oncology Department, Local Health Unit, IRCCS Institute of Neurological Sciences, Bologna, Italy.
Toni IbrahimOsteo-oncology and Rare Tumors Center, Romagna Scientific Institute for the Study and Treatment of Cancer, IRCCS, Meldola, Italy.
Simona RizzatoDepartment of Oncology, Friuli-Venezia Giulia University Hospital, Udine, Italy.
Ivan LolliMedical Oncology Unit, IRCCS Saverio de Bellis Hospital, Castellana Grotte, Bari, Italy.
Giuseppe LippiDepartment of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy.
Massimo DelledonneDepartment of Biotechnology, University of Verona, Verona, Italy.
Vittorina ZagonelDepartment of Oncology, Veneto Institute of Oncology (IOV), Scientific Institute for Research, Hospitalization, and Health Care (IRCCS), Padova, Italy.
Giulio CabriniDepartment of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy.
University of Verona · ITIstituto Oncologico Veneto · ITUniversity of Ferrara · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITGastroenterology Hospital "Saverio de Bellis" · ITInstitute of Neurological Sciences · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with glioblastoma (GBM) have a dramatically poor prognosis. The recent REGOMA trial suggested an overall survival (OS) benefit of regorafenib in recurrent GBM patients. Considering the extreme genetic heterogeneity of GBMs, we aimed to identify molecular biomarkers predictive of differential response to the drug.

methodsTotal RNA was extracted from tumor samples of patients enrolled in the REGOMA trial. Genome-wide transcriptome and micro (mi)RNA profiles were associated with patients' OS and progression-free survival.

resultsIn the first step, a set of 11 gene transcripts (HIF1A, CTSK, SLC2A1, KLHL12, CDKN1A, CA12, WDR1, CD53, CBR4, NIFK-AS1, RAB30-DT) and 10 miRNAs (miR-93-5p, miR-203a-3p, miR-17-5p, let-7c-3p, miR-101-3p, miR-3607-3p, miR-6516-3p, miR-301a-3p, miR-23b-3p, miR-222-3p) was filtered by comparing survival between regorafenib and lomustine arms. In the second step, a mini-signature of 2 gene transcripts (HIF1A, CDKN1A) and 3 miRNAs (miR-3607-3p, miR-301a-3p, miR-93-5p) identified a subgroup of patients showing prolonged survival after regorafenib administration (median OS range, 10.6-20.8 mo).

conclusionsThe study provides evidence that a signature based on the expression of 5 biomarkers could help identify a subgroup of GBM patients exhibiting a striking survival advantage when treated with regorafenib. Although the presented results must be confirmed in larger replication cohorts, the study highlights potential biomarker options to help guide the clinical decision among regorafenib and other treatments in patients with relapsing GBM.

Indexed as

GlioblastomaMicroRNAsAdaptor Proteins, Signal TransducingHumansPhenylurea CompoundsPyridinesAdaptor Proteins, Signal TransducingKLHL12 protein, humanMicroRNAsPhenylurea CompoundsPyridinesregorafenibCDKN1AglioblastomaHIF1AmiR-93-5pregorafenib

Identifiers

PMID32661549
PMCPMC7906066
OpenAlexW3042240296

What OpenQuestion holds

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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.