Evidence map›Paper›PMID 35657335›Full record

Trial reportNeuro-oncology2023

Low-risk meningioma: Initial outcomes from NRG Oncology/RTOG 0539.

C Leland Rogers, Stephanie L Pugh, Michael A Vogelbaum, Arie Perry, Lynn S Ashby, Jignesh M Modi, Anthony M Alleman, Igor J Barani, Steve Braunstein, Joseph A Bovi and 12 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 35 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

22 authors at 18 institutions in 2 countries.

C Leland RogersGammaWest Cancer Services, Salt Lake City, Utah, USA.ORCID 0000-0002-5978-8838
Stephanie L PughNRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania, USA.
Michael A VogelbaumMoffitt Cancer Center, Neuosurgery,Tampa, Florida, USA.
Arie PerryUniversity of California, San Francisco, Neuropathology, San Francisco, California, USA.
Lynn S AshbyBarrow Neurological Institute, Neurology, Phoenix, Arizona, USA.
Jignesh M ModiMidState Medical Center, Radiology, Meriden, Connecticut, USA.
Anthony M AllemanUniversity of Oklahoma, Radiology, Oklahoma City, Oklahoma, USA.
Igor J BaraniBarrow Neurological Institute, Radiation Oncology, Phoenix, Arizona, USA.
Steve BraunsteinUniversity of California, San Francisco, Radiation Oncology, San Francisco, California, USA.
Joseph A BoviMedical College of Wisconsin, Radiation Oncology, Milwaukee, Wisconsin, USA.
John F de GrootUniversity of California, San Francisco, Neuro Oncology, San Francisco, California, USA.
Anthony C WhittonJuravinski Cancer Centre, Radiation Oncology, Hamilton, Ontario, Canada.
Scott M LindhorstMedical University of South Carolina, Neuro Oncology, Charleston, South Carolina, USA.
Nimisha DebSt. Luke's Hospital-Anderson Campus Cancer Center, Easton, Pennsylvania, USA.
Dennis C ShrieveHuntsman Cancer Institute, Radiation Oncology, University of Utah, Salt Lake City, Utah, USA.
Hui-Kuo ShuWinship Cancer Institute at Emory University, Radiation Oncology, Atlanta, Georgia, USA.
Beatrice BloomNorthwell Health, Radiation Oncology, New Hyde Park, New York, USA.
Mitchell MachtayPenn State Cancer Institute, Radiation Oncology, Hershey, Pennsylvania, USA.
Mark V MishraUniversity of Maryland, Radiation Oncology, Baltimore, Baltimore, Maryland, USA.
Clifford G RobinsonWashington University, Radiation Oncology, St. Louis, St. Louis, Missouri, USA.
Minhee WonNRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania, USA.
Minesh P MehtaMiami Cancer Institute, Baptist Health South Florida, Miami, Florida, USA.
University of California, San Francisco · USBarrow Neurological Institute · USNRG Oncology · USBaptist Hospital of Miami · USCancer Services · USEmory University · USJuravinski Cancer Centre · CAMedical College of Wisconsin · USMedical University of South Carolina · USMidstate Medical Center · USMoffitt Cancer Center · USNorthwell Health · USOklahoma City University · USPennsylvania State University · USSt. Luke's Hospital · USUniversity of Maryland, Baltimore · USUniversity of Utah · USWashington University in St. Louis · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

backgroundThree- and five-year progression-free survival (PFS) for low-risk meningioma managed with surgery and observation reportedly exceeds 90%. Herewith we summarize outcomes for low-risk meningioma patients enrolled on NRG/RTOG 0539.

methodsThis phase II trial allocated patients to one of three groups per World Health Organization grade, recurrence status, and resection extent. Low-risk patients had either gross total (GTR) or subtotal resection (STR) for a newly diagnosed grade 1 meningioma and were observed after surgery. The primary endpoint was 3-year PFS. Adverse events (AEs) were scored using Common Terminology Criteria for Adverse Events (CTCAE) version 3.

resultsAmong 60 evaluable patients, the median follow-up was 9.1 years. The 3-, 5-, and 10-year rates were 91.4% (95% CI, 84.2 to 98.6), 89.4% (95% CI, 81.3 to 97.5), 85.0% (95% CI, 75.3 to 94.7) for PFS and 98.3% (95% CI, 94.9 to 100), 98.3%, (95% CI, 94.9 to 100), 93.8% (95% CI, 87.0 to 100) for overall survival (OS), respectively. With centrally confirmed GTR, 3/5/10y PFS and OS rates were 94.3/94.3/87.6% and 97.1/97.1/90.4%. With STR, 3/5/10y PFS rates were 83.1/72.7/72.7% and 10y OS 100%. Five patients reported one grade 3, four grade 2, and five grade 1 AEs. There were no grade 4 or 5 AEs.

conclusionsThese results prospectively validate high PFS and OS for low-risk meningioma managed surgically but raise questions regarding optimal management following STR, a subcohort that could potentially benefit from adjuvant therapy.

Indexed as

Meningeal NeoplasmsMeningiomaHumansProgression-Free SurvivalRadiotherapy, AdjuvantRetrospective StudiesRiskcooperative group trialmeningiomaobservationsurgeryWHO grade 1 (benign)

Identifiers

PMID35657335
PMCPMC9825319
OpenAlexW4281609890

What OpenQuestion holds

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Registered trials

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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.