Evidence map›Paper›PMID 37452916›Full record

Trial reportJournal of neuro-oncology2023

Hypo-fractionated accelerated radiotherapy with concurrent and maintenance temozolomide in newly diagnosed glioblastoma: updated results from phase II HART-GBM trial.

Supriya Mallick, Subhash Gupta, Adila Amariyil, Haresh Kunhiparambath, M A Laviraj, Seema Sharma, Hari Krishna Raju Sagiraju, Pramod Kumar Julka, Dayanand Sharma, Goura Kishor Rath

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07492836 (Prospective, Pilot Study to Evaluate Hypofractionated Radiotherapy Associated With Temozolomide in Patients Aged 18 to 70 Years With Glioblastoma), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT07492836 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective, Pilot Study to Evaluate Hypofractionated Radiotherapy Associated With Temozolomide in Patients Aged 18 to 70 Years With Glioblastoma (HypoGBM)

TypeinterventionalSponsorHospital do CoracaoRan2026 to 2029Enrolled10ConditionsGlioblastoma (GBM)ArmsHypofractionated Radiation Therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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

10 authors at 2 institutions in 1 country.

Supriya MallickDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India. drsupriyamallick@gmail.com.
Subhash GuptaDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Adila AmariyilDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Haresh KunhiparambathDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
M A LavirajDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Seema SharmaDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Hari Krishna Raju SagirajuDepartment of Preventive Oncology, All India Institute of Medical Sciences, New Delhi, India.
Pramod Kumar JulkaDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Dayanand SharmaDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Goura Kishor RathDepartment of Radiation Oncology, National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Cancer Institute (WIA) · INAll India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma (GBM) patients have poor survival outcomes despite treatment advances and most recurrences occur within the radiation field. Survival outcomes after dose escalation through hypofractionated accelerated RT(HART) were evaluated in this study. We previously reported the study's initial results showing similar survival outcomes with acceptable toxicities. Updated results after 5 years are being analysed to determine long-term survival trends. PATIENTS AND

methods89 patients of newly diagnosed GBM after surgery were randomized to conventional radiotherapy (CRT) or HART. CRT arm received adjuvant RT 60 Gy in 30 fractions over 6 weeks and the HART arm received 60 Gy in 20 fractions over 4 weeks, both with concurrent and adjuvant temozolomide.

results83 patients were eligible for analysis. After a median follow-up of 18.9 months, the median OS was 26.5 months and 22.4 months in the HART and CRT arms respectively. 5 year OS was 18.4% in the HART arm versus 3.8% in the CRT arm. This numerical difference in overall survival between the two arms was not statistically significant. The median PFS was not significantly different.

conclusionThe long-term results of the trial support HART as a promising treatment option with comparable survival outcomes to the current standard of care. Phase III trials are required for further validation of this regimen which has the potential to become the new standard of care in GBM.

Indexed as

Brain NeoplasmsGlioblastomaAntineoplastic Agents, AlkylatingDisease-Free SurvivalHumansTemozolomideAntineoplastic Agents, AlkylatingTemozolomideAccelerated radiotherapyGlioblastomaHypo-fractionated radiotherapySurgeryTemozolomide

Identifiers

PMID37452916
OpenAlexW4384407174

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.