Evidence map›Paper›PMID 34654402›Full record

Trial reportBMC cancer2021

A randomized phase III study of short-course radiotherapy combined with Temozolomide in elderly patients with newly diagnosed glioblastoma; Japan clinical oncology group study JCOG1910 (AgedGlio-PIII).

Yoshiki Arakawa, Keita Sasaki, Yohei Mineharu, Megumi Uto, Takashi Mizowaki, Junki Mizusawa, Yuta Sekino, Tomohiro Ono, Hidefumi Aoyama, Kaishi Satomi and 9 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Optimal managements of elderly patients with glioblastoma.Japanese journal of clinical oncology · 2022
    Review
  10. Review
  11. Review
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

19 authors at 8 institutions in 1 country.

Yoshiki ArakawaDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan. yarakawa@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-4626-4645
Keita SasakiJCOG Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Yohei MineharuDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Megumi UtoDepartment of Radiation Oncology and Image-Applied Therapy, Kyoto University Graduate School of Medicine, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Takashi MizowakiDepartment of Radiation Oncology and Image-Applied Therapy, Kyoto University Graduate School of Medicine, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan. mizo@kuhp.kyoto-u.ac.jp.
Junki MizusawaJCOG Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Yuta SekinoJCOG Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Tomohiro OnoDepartment of Radiation Oncology and Image-Applied Therapy, Kyoto University Graduate School of Medicine, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Hidefumi AoyamaDepartment of Radiation Oncology, Faculty of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Kaishi SatomiDepartment of Diagnostic Pathology, National Cancer Center Hospital, Tokyo, Japan.
Koichi IchimuraDepartment of Brain Disease Translational Research, Juntendo University Faculty of Medicine, Tokyo, Japan.
Manabu KinoshitaDepartment of Neurosurgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Makoto OhnoDepartment of Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, Tokyo, Japan.
Yoshinori ItoDepartment of Radiation Oncology, Showa University Graduate School of Medicine, Tokyo, Japan.
Ryo NishikawaDepartment of Neuro-Oncology/Neurosurgery, Saitama Medical University International Medical Center, Saitama, Japan.
Haruhiko FukudaJCOG Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan.
Yasumasa NishimuraDepartment of Radiation Oncology, Kindai University Faculty of Medicine, Osaka, Japan.
Yoshitaka NaritaDepartment of Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, Tokyo, Japan.
Brain Tumor Study Group and Radiation Therapy Study Group of the Japan Clinical Oncology Group
Kyoto University · JPAsahikawa Medical University · JPHokkaido University · JPJuntendo University · JPKindai University · JPSaitama Medical University · JPShowa University · JPTokyo National Hospital · JP

Funding

japan agency for medical research and development 20ck0106619h0001
6 · The paper itself

Abstract

backgroundThe current standard treatment for elderly patients with newly diagnosed glioblastoma is surgery followed by short-course radiotherapy with temozolomide. In recent studies, 40 Gy in 15 fractions vs. 60 Gy in 30 fractions, 34 Gy in 10 fractions vs. 60 Gy in 30 fractions, and 40 Gy in 15 fractions vs. 25 Gy in 5 fractions have been reported as non-inferior. The addition of temozolomide increased the survival benefit of radiotherapy with 40 Gy in 15 fractions. However, the optimal regimen for radiotherapy plus concomitant temozolomide remains unresolved.

methodsThis multi-institutional randomized phase III trial was commenced to confirm the non-inferiority of radiotherapy comprising 25 Gy in 5 fractions with concomitant (150 mg/m DISCUSSION: If the primary endpoint is met, short-course radiotherapy comprising 25 Gy in 5 fractions with concomitant and adjuvant temozolomide will be a standard of care for elderly patients with newly diagnosed glioblastoma.

trial registrationRegistry number: jRCTs031200099 . Date of Registration: 27/Aug/2020. Date of First Participant Enrollment: 4/Sep/2020.

Indexed as

AgedAntineoplastic Agents, AlkylatingBrain NeoplasmsCombined Modality TherapyDose Fractionation, RadiationDrug Administration ScheduleGlioblastomaHumansJapanProgression-Free SurvivalQuality of LifeTemozolomideAntineoplastic Agents, AlkylatingTemozolomideElderlyGlioblastomaRandomized controlled trialShort-course radiotherapyTemozolomide

Identifiers

PMID34654402
PMCPMC8518265
OpenAlexW3207959735

What OpenQuestion holds

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LicenceCC BY
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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.