Evidence map›Paper›PMID 37494539›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2023

Prognostic Markers of DNA Methylation and Next-Generation Sequencing in Progressive Glioblastoma from the EORTC-26101 Trial.

Tobias Kessler, Daniel Schrimpf, Laura Doerner, Ling Hai, Leon D Kaulen, Jakob Ito, Martin van den Bent, Martin Taphoorn, Alba A Brandes, Ahmed Idbaih and 9 more

Open access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.3field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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

19 authors at 9 institutions in 6 countries.

Tobias KesslerClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-8350-7074
Daniel SchrimpfDepartment of Neuropathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-3063-2423
Laura DoernerDepartment of Neuropathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0009-0001-1528-3889
Ling HaiClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-8719-2727
Leon D KaulenClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-5937-3376
Jakob ItoClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0009-0004-4923-5799
Martin van den BentErasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-5710-5127
Martin TaphoornHaaglanden Medical Center, The Hague, the Netherlands.ORCID 0000-0001-9949-4722
Alba A BrandesThe Medical Oncology Department, Azienda Unità Sanitaria Locale di Bologna-IRCCS Istituto delle Scienze Neurologiche, Bologna, Italy.ORCID 0000-0002-2503-9089
Ahmed IdbaihSorbonne Université, AP-HP, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Hôpitaux Universitaires La Pitié Salpêtrière - Charles Foix, DMU Neurosciences, Service de Neurologie 2-Mazarin, Paris, France.ORCID 0000-0001-5290-1204
Julien DômontInstitut Gustave Roussy, Villejuif, France.ORCID 0009-0008-1214-1835
Paul M ClementLeuven Cancer Institute-KU Leuven, Leuven, Belgium.ORCID 0000-0001-7600-0806
Mario CamponeInstitut de Cancerologie de l'Ouest-Centre Rene Gauducheau, Saint-Herblain, France.ORCID 0000-0002-5196-5908
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-9094-6769
Andreas von DeimlingDepartment of Neuropathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-5863-540X
Felix SahmDepartment of Neuropathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0001-5441-1962
Michael PlattenClinical Cooperation Unit Neuroimmunology and Brain Tumor Immunology, DKTK, DKFZ, Heidelberg, Germany.ORCID 0000-0002-4746-887X
Wolfgang WickClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-6171-634X
Antje WickDepartment of Neurology and Neurooncology Program, National Center for Tumor Diseases, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-0020-6386
Heidelberg University · DEGerman Cancer Research Center · DECentre National de la Recherche Scientifique · FRErasmus MC Cancer Institute · NLInstitut de Cancérologie de l'Ouest · FRInstitut Gustave Roussy · FRIstituto delle Scienze Neurologiche di Bologna · ITLeiden University Medical Center · NLVIB-KU Leuven Center for Cancer Biology · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe EORTC-26101 study was a randomized phase II and III clinical trial of bevacizumab in combination with lomustine versus lomustine alone in progressive glioblastoma. Other than for progression-free survival (PFS), there was no benefit from addition of bevacizumab for overall survival (OS). However, molecular data allow for the rare opportunity to assess prognostic biomarkers from primary surgery for their impact in progressive glioblastoma. EXPERIMENTAL

designWe analyzed DNA methylation array data and panel sequencing from 170 genes of 380 tumor samples of the EORTC-26101 study. These patients were comparable with the overall study cohort in regard to baseline characteristics, study treatment, and survival.

resultsOf patients' samples, 295/380 (78%) were classified into one of the main glioblastoma groups, receptor tyrosine kinase (RTK)1, RTK2 and mesenchymal. There were 10 patients (2.6%) with isocitrate dehydrogenase mutant tumors in the biomarker cohort. Patients with RTK1 and RTK2 classified tumors had lower median OS compared with mesenchymal (7.6 vs. 9.2 vs. 10.5 months). O6-methylguanine DNA-methyltransferase (MGMT) promoter methylation was prognostic for PFS and OS. Neurofibromin (NF)1 mutations were predictive of response to bevacizumab treatment.

conclusionsThorough molecular classification is important for brain tumor clinical trial inclusion and evaluation. MGMT promoter methylation and RTK1 classifier assignment were prognostic in progressive glioblastoma. NF1 mutation may be a predictive biomarker for bevacizumab treatment.

Indexed as

Brain NeoplasmsGlioblastomaBevacizumabBiomarkersDNA MethylationDNA Modification MethylasesDNA Repair EnzymesHigh-Throughput Nucleotide SequencingHumansLomustineO(6)-Methylguanine-DNA MethyltransferasePrognosisBevacizumabBiomarkersDNA Modification MethylasesDNA Repair EnzymesLomustineO(6)-Methylguanine-DNA Methyltransferase

Identifiers

PMID37494539
PMCPMC10543963
OpenAlexW4385289607

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.