Evidence map›Paper›PMID 35601970›Full record

ArticleNeuro-oncology practice2022

A randomized feasibility study evaluating temozolomide circadian medicine in patients with glioma.

Anna R Damato, Ruth G N Katumba, Jingqin Luo, Himachandana Atluri, Grayson R Talcott, Ashwin Govindan, Emily A Slat, Katherine N Weilbaecher, Yu Tao, Jiayi Huang and 7 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02781792 (A Randomized Feasibility Study Evaluating Temozolomide Chronotherapy for High Grade Glioma), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.2field-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.

NCT02781792 phase2completednot on this map

A Randomized Feasibility Study Evaluating Temozolomide Chronotherapy for High Grade Glioma

TypeinterventionalSponsorWashington University School of MedicineRan2016 to 2024Enrolled42ConditionsGlioma, Glioblastoma MultiformeArmsTemozolomide, Functional Assessment of Cancer Therapy - Brain, ActTrust Condor Instrument Watch
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Temozolomide Chronotherapy in Glioma: A Systematic Review.Current oncology (Toronto, Ont.) · 2023
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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

17 authors at 1 institution in 1 country.

Anna R DamatoDepartment of Biology, Washington University, St Louis, Missouri, USA.ORCID https://orcid.org/0000-0003-3283-3958
Ruth G N KatumbaDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Jingqin LuoDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0003-2759-3072
Himachandana AtluriDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Grayson R TalcottDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Ashwin GovindanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Emily A SlatDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Katherine N WeilbaecherDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Yu TaoDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Jiayi HuangDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-5153-506X
Omar H ButtDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
George AnsstasDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Tanner M JohannsDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Milan G ChhedaDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Erik D HerzogDepartment of Biology, Washington University, St Louis, Missouri, USA.ORCID https://orcid.org/0000-0001-7209-5174
Joshua B RubinDepartment of Pediatrics, Washington University School of Medicine, St Louis, Missouri, USA.
Jian L CampianDivision of Oncology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-5317-8481
Washington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
MOLECULAR BASIS FOR THE IMPACT OF SEX ON BRAIN TUMORIGENESISR01CA174737 · NCI · WASHINGTON UNIVERSITY · PI RUBIN, JOSHUA B · 2014 to 2024
$3.5M
Training OPportunities in Translational Imaging Education and Research (TOP-TIER)T32EB021955 · NIBIB · WASHINGTON UNIVERSITY · PI Hongyu An, Joseph Edward Ippolito · 2017 to 2026
$2.4M
Chronotherapy for glioblastomaR21NS120003 · NINDS · WASHINGTON UNIVERSITY · PI HERZOG, ERIK, RUBIN, JOSHUA B · 2021 to 2022
$433k
Characterization of circadian rhythms in Glioblastoma multiforme and investigation of chronotherapy as a novel therapy to prolong patient survivalF31CA250161 · NCI · WASHINGTON UNIVERSITY · PI DAMATO, ANNA · 2020 to 2022
$82k
NCI NIH HHS F31 CA250161NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA174737NIBIB NIH HHS T32 EB021955NINDS NIH HHS R21 NS120003
6 · The paper itself

Abstract

Background: Gliomas are the most common primary brain tumor in adults. Current treatments involve surgery, radiation, and temozolomide (TMZ) chemotherapy; however, prognosis remains poor and new approaches are required. Circadian medicine aims to maximize treatment efficacy and/or minimize toxicity by timed delivery of medications in accordance with the daily rhythms of the patient. We published a retrospective study showing greater anti-tumor efficacy for the morning, relative to the evening, administration of TMZ in patients with glioblastoma. We conducted this prospective randomized trial to determine the feasibility, and potential clinical impact, of TMZ chronotherapy in patients with gliomas (NCT02781792). Methods: Adult patients with gliomas (WHO grade II-IV) were enrolled prior to initiation of monthly TMZ therapy and were randomized to receive TMZ either in the morning (AM) before 10 am or in the evening (PM) after 8 pm. Pill diaries were recorded to measure compliance and FACT-Br quality of life (QoL) surveys were completed throughout treatment. Study compliance, adverse events (AE), and overall survival were compared between the two arms. Results: A total of 35 evaluable patients, including 21 with GBM, were analyzed (18 AM patients and 17 PM patients). Compliance data demonstrated the feasibility of timed TMZ dosing. There were no significant differences in AEs, QoL, or survival between the arms. Conclusions: Chronotherapy with TMZ is feasible. A larger study is needed to validate the effect of chronotherapy on clinical efficacy.

Indexed as

chronotherapyfeasibilitygliomasquality of life

Identifiers

PMID35601970
PMCPMC9113320
OpenAlexW4210332009

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.