Evidence map›Paper›PMID 36215167›Full record

ArticleNeuro-oncology2023

Neurological applications of belzutifan in von Hippel-Lindau disease.

Yue Zhang, Catherine C Nguyen, Nigel T Zhang, Nicolas S Fink, Jordan D John, Omkar G Venkatesh, Jonathan D Roe, Steven C Hoffman, Maciej S Lesniak, Jean-Paul Wolinsky and 6 more

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Yue ZhangNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0002-3148-8833
Catherine C NguyenLoyola University, Chicago, IL, 60660, USA.ORCID 0000-0003-3109-134X
Nigel T ZhangNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0001-5873-2755
Nicolas S FinkNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0002-0860-5085
Jordan D JohnNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0003-4981-5748
Omkar G VenkateshNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0003-0596-5824
Jonathan D RoeNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0002-5715-2692
Steven C HoffmanNorthwestern University, Feinberg School of Medicine, 420 E Superior St. Chicago, IL 60611USA.ORCID 0000-0003-1191-7263
Maciej S LesniakLou & Jean Malnati Brain Tumor Institute, Chicago, Illinois 60611, USA.ORCID 0000-0002-0096-5107
Jean-Paul WolinskyLou & Jean Malnati Brain Tumor Institute, Chicago, Illinois 60611, USA.ORCID 0000-0001-5599-4143
Craig HorbinskiLou & Jean Malnati Brain Tumor Institute, Chicago, Illinois 60611, USA.ORCID 0000-0001-8340-9992
Brittany M SzymaniakDepartment of Urology, Northwestern University, Chicago, Illinois 60611, USA.
Robin A BuerkiDepartment of Neurology, Northwestern University, Chicago, Illinois 60611, USA.ORCID 0000-0002-8808-4020
Jeffrey A SosmanDepartment of Internal Medicine, Division of Hematology and Oncology, Northwestern University, Chicago, Illinois 60611, USA.ORCID 0000-0002-0650-9698
Niraj K ShenoyDepartment of Internal Medicine, Division of Hematology and Oncology, Northwestern University, Chicago, Illinois 60611, USA.ORCID 0000-0003-2074-1108
Rimas V LukasDepartment of Neurology, Northwestern University, Chicago, Illinois 60611, USA.ORCID 0000-0003-4115-6370
Northwestern University · USLoyola University Chicago · US

Funding

STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Atique U. Ahmed · 2018 to 2026
$21.4M
NCI NIH HHS P50 CA221747
6 · The paper itself

Abstract

Von Hippel-Lindau (VHL) disease is a tumor predisposition syndrome caused by mutations in the VHL gene that presents with visceral neoplasms and growths, including clear cell renal cell carcinoma, and central nervous system manifestations, such as hemangioblastomas of the brain and spine. The pathophysiology involves dysregulation of oxygen sensing caused by the inability to degrade HIFα, leading to the overactivation of hypoxic pathways. Hemangioblastomas are the most common tumors in patients with VHL and cause significant morbidity. Until recently, there were no systemic therapies available for patients that could effectively reduce the size of these lesions. Belzutifan, the first approved HIF-2α inhibitor, has demonstrated benefit in VHL-associated tumors, with a 30% response rate in hemangioblastomas and ~30%-50% reduction in their sizes over the course of treatment. Anemia is the most prominent adverse effect, affecting 76%-90% of participants and sometimes requiring dose reduction or transfusion. Other significant adverse events include hypoxia and fatigue. Overall, belzutifan is well tolerated; however, long-term data on dosing regimens, safety, and fertility are not yet available. Belzutifan holds promise for the treatment of neurological manifestations of VHL and its utility may influence the clinical management paradigms for this patient population.

Indexed as

HemangioblastomaKidney Neoplasmsvon Hippel-Lindau DiseaseHumansIndenesVon Hippel-Lindau Tumor Suppressor ProteinbelzutifanIndenesVon Hippel-Lindau Tumor Suppressor Proteinbelzutifanclear cell renal cell carcinomahemangioblastomaHIF-2αVHL

Identifiers

PMID36215167
PMCPMC10158112
OpenAlexW4304116020

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.