Evidence map›Paper›PMID 34853984›Full record

SynthesisAdvances in therapy2022

Clinical and Molecular Features of Patients with Gliomas Harboring IDH1 Non-canonical Mutations: A Systematic Review and Meta-Analysis.

Vincenzo Di Nunno, Enrico Franceschi, Alicia Tosoni, Lidia Gatto, Ilaria Maggio, Raffaele Lodi, Daniele Angelini, Stefania Bartolini, Alba Ariela Brandes

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Advances in therapy, 2022. 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
1.8field-weighted citation impact, top 14% 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, 19 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

9 authors at 1 institution in 1 country.

Vincenzo Di NunnoDepartment of Oncology, AUSL Bologna, Bologna, Italy.
Enrico FranceschiNervous System Medical Oncology Department, IRCCS Istituto Scienze Neurologiche, Via Altura 3, Bologna, Italy. enricofra@yahoo.it.ORCID http://orcid.org/0000-0001-9332-4677
Alicia TosoniNervous System Medical Oncology Department, IRCCS Istituto Scienze Neurologiche, Via Altura 3, Bologna, Italy.
Lidia GattoDepartment of Oncology, AUSL Bologna, Bologna, Italy.
Ilaria MaggioDepartment of Oncology, AUSL Bologna, Bologna, Italy.
Raffaele LodiIRCCS Istituto delle Scienze Neuroradiologiche di Bologna, Bologna, Italy.
Daniele AngeliniNervous System Medical Oncology Department, IRCCS Istituto Scienze Neurologiche, Via Altura 3, Bologna, Italy.
Stefania BartoliniNervous System Medical Oncology Department, IRCCS Istituto Scienze Neurologiche, Via Altura 3, Bologna, Italy.
Alba Ariela BrandesNervous System Medical Oncology Department, IRCCS Istituto Scienze Neurologiche, Via Altura 3, Bologna, Italy.
Istituto delle Scienze Neurologiche di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe canonical isocitrate dehydrogenase 1 R132 mutation (IDH1 R132) is the most frequent mutation among IDH-mutated gliomas. Non-canonical IDH1 mutations or IDH2 mutations are unusual and their clinical and biological role is still unclear.

methodsWe performed a systematic review and meta-analysis to assess the clinical role of IDH non-canonical mutations.

resultsOverall, we selected 13 of 3513 studies reporting data of 4007 patients with a diagnosis of grade 2 and grade 3 glioma including 3091 patients with a molecularly proven IDH1 or IDH2 mutation. Patients with non-canonical IDH1 mutations were younger and presented a higher DNA methylation level as compared to those with canonical IDH1 R132H alteration. The overall incidence of non-canonical IDH1 mutations was 7.9% (95% CI 5.4-10.7%) in patients with IDH-mutated gliomas. There was no statistical difference in terms of incidence between patients with grade 2 or grade 3 glioma. Patients with non-canonical IDH mutations had a lower rate of 1p19q codeletion (risk difference 31%, 95% CI 23-38%) and presented a significantly prolonged survival (pooled HR 0.47, 95% CI 0.28-0.81) as compared to those with IDH1 R132H mutation.

conclusionNon-canonical IDH1 mutations occur in 7.9% of IDH-mutated gliomas and identify a specific subgroup of patients with an improved survival despite a lower rate of 1p19q codeletion. Data about the type of IDH mutation should be collected in clinical practice and within interventional trials as this could be a critical variable for improved stratification and selection of patients.

Indexed as

Brain NeoplasmsGliomaHumansIsocitrate DehydrogenaseMutationIDH1 protein, humanIsocitrate DehydrogenaseGliomaIDHIsocitrate dehydrogenasesMeta-analysisNon-canonical mutationsSystematic review

Identifiers

PMID34853984
OpenAlexW3195145210

What OpenQuestion holds

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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.