Evidence map›Paper›PMID 32674144›Full record

ArticleNeurosurgery2020

Convection-Enhanced Delivery of Enhancer of Zeste Homolog-2 (EZH2) Inhibitor for the Treatment of Diffuse Intrinsic Pontine Glioma.

Takahiro Sasaki, Hiroaki Katagi, Stewart Goldman, Oren J Becher, Rintaro Hashizume

Open access · greenAbstract read
In one paragraph

Article in Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Takahiro SasakiDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Hiroaki KatagiDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Stewart GoldmanDivision of Hematology, Oncology and Stem Cell Transplantation in the Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Oren J BecherDivision of Hematology, Oncology and Stem Cell Transplantation in the Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Rintaro HashizumeDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-9373-7831
Northwestern University · US

Funding

FUNCTIONAL DISSECTION OF THE K27M HISTONE MUTATION IN GLIOMAGENESISR01CA197313 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BECHER, OREN JOSH · 2016 to 2021
$1.7M
Targeting histone demethylase activity for the treatment of pediatric brainstem gliomaR01NS093079 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HASHIZUME, RINTARO · 2015 to 2019
$1.5M
NCI NIH HHS R01 CA197313NINDS NIH HHS R01 NS093079
6 · The paper itself

Abstract

backgroundDiffuse intrinsic pontine glioma (DIPG) is a fatal childhood brain tumor and the majority of patients die within 2 yr after initial diagnosis. Factors that contribute to the dismal prognosis of these patients include the infiltrative nature and anatomic location in an eloquent area of the brain, which precludes total surgical resection, and the presence of the blood-brain barrier (BBB), which reduces the distribution of systemically administered agents. Convection-enhanced delivery (CED) is a direct infusion technique to deliver therapeutic agents into a target site in the brain and able to deliver a high concentration drug to the infusion site without systemic toxicities.

objectiveTo assess the efficacy of enhancer of zeste homolog-2 (EZH2) inhibitor by CED against human DIPG xenograft models.

methodsThe concentration of EZH2 inhibitor (EPZ-6438) in the brainstem tumor was evaluated by liquid chromatography-mass spectrometry (LC/MS). We treated mice-bearing human DIPG xenografts with EPZ-6438 using systemic (intraperitoneal) or CED administration. Intracranial tumor growth was monitored by bioluminescence image, and the therapeutic response was evaluated by animal survival.

resultsLC/MS analysis showed that the concentration of EPZ-6438 in the brainstem tumor was 3.74% of serum concentration after systemic administration. CED of EPZ-6438 suppressed tumor growth and significantly extended animal survival when compared to systemic administration of EPZ-6438 (P = .0475).

conclusionOur results indicate that CED of an EZH2 inhibitor is a promising strategy to bypass the BBB and to increase the efficacy of an EZH2 inhibitor for the treatment of DIPG.

Indexed as

Brain Stem NeoplasmsDiffuse Intrinsic Pontine GliomaAnimalsConvectionEnhancer of Zeste Homolog 2 ProteinHumansMiceXenograft Model Antitumor AssaysEnhancer of Zeste Homolog 2 ProteinEZH2 protein, humanConvection-enhanced deliveryDiffuse intrinsic pontine gliomaEZH2 inhibitorPatient-derived xenografts

Identifiers

PMID32674144
PMCPMC7666886
OpenAlexW3043627526

What OpenQuestion holds

Textmetadata
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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.