Evidence map›Paper›PMID 34982371›Full record

SynthesisJournal of neuro-oncology2022

The effect of levetiracetam treatment on survival in patients with glioblastoma: a systematic review and meta-analysis.

Jia-Shu Chen, Ross Clarke, Alexander F Haddad, Elaina J Wang, Michel Lacroix, Indra Neil Sarkar, Ramin Zand, Elizabeth S Chen, Steven A Toms

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.5field-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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  3. Pilot Trial of Perampanel on Peritumoral Hyperexcitability in Newly Diagnosed High-grade Glioma.Clinical cancer research : an official journal of the American Association for Cancer Research · 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 at 4 institutions in 1 country.

Jia-Shu ChenThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Ross ClarkeThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Alexander F HaddadDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Elaina J WangThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Michel LacroixGeisinger Health, Neuroscience Institute, Danville, PA, USA.
Indra Neil SarkarThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Ramin ZandGeisinger Health, Neuroscience Institute, Danville, PA, USA.
Elizabeth S ChenThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Steven A TomsThe Warren Alpert Medical School of Brown University, Providence, RI, USA. Steven.Toms@lifespan.org.ORCID http://orcid.org/0000-0001-8732-0522
Brown University · USGeisinger Neuroscience Institute · USProvidence College · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLevetiracetam (LEV) is an anti-epileptic drug (AED) that sensitizes glioblastoma (GBM) to temozolomide (TMZ) chemotherapy by inhibiting O

methodA search of CINAHL, Embase, PubMed, and Web of Science from inception to May 2021 was performed to identify relevant articles. Hazard ratios (HR), median overall survival, and adverse events were pooled using random-effect models. Meta-regression, funnel plots, and the Newcastle-Ottawa Scale were utilized to identify sources of heterogeneity, bias, and statistical influence.

resultsFrom 20 included studies, 5804 GBM patients underwent meta-analysis, of which 1923 (33%) were treated with LEV. Administration of LEV did not significantly improve survival in the entire patient population (HR 0.89, p = 0.094). Significant heterogeneity was observed during pooling of HRs (I

conclusionsLevetiracetam treatment may not be effective for all GBM patients. Instead, LEV may be better suited for treating specific molecular profiles of GBM. Further studies are necessary to identify optimal GBM candidates for LEV.

Indexed as

Brain NeoplasmsGlioblastomaLevetiracetamHumansSurvival AnalysisTreatment OutcomeLevetiracetamAnti-epilepticGlioblastomaLevetiracetamSurvivalTemozolomide

Identifiers

PMID34982371
OpenAlexW4226153917

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.