Evidence map›Paper›PMID 37889443›Full record

ArticleJournal of neuro-oncology2023

Metformin use is associated with longer survival in glioblastoma patients with MGMT gene silencing.

Amro H Mohammad, Sukhdeep Jatana, Miguel Angel Ruiz-Barerra, Roy Khalaf, Tariq Al-Saadi, Roberto J Diaz

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In one paragraph

Article in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

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

6 authors at 3 institutions in 2 countries.

Amro H MohammadFaculty of Medicine, McGill University, Montreal, Canada.
Sukhdeep JatanaFaculty of Medicine, McGill University, Montreal, Canada.
Miguel Angel Ruiz-BarerraNeuro-Oncology Research Group, National Institute of Cancer, Bogotá, Colombia.
Roy KhalafFaculty of Medicine, McGill University, Montreal, Canada.
Tariq Al-SaadiFaculty of Medicine, McGill University, Montreal, Canada.
Roberto J DiazFaculty of Medicine, McGill University, Montreal, Canada. roberto.diaz@mcgill.ca.
McGill University · CAInstituto Nacional de Cancerología · COMcGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNew treatments are needed to improve the overall survival of patients with glioblastoma Metformin is known for anti-tumorigenic effects in cancers, including breast and pancreas cancers. In this study, we assessed the association between metformin use and overall survival in glioblastoma patients.

methodsWe retrospectively studied 241 patients who underwent surgery at diagnosis of glioblastoma between 2014 and 2018. Metformin was used for pre-existing type 2 diabetes mellitus or in the prevention or management of glucocorticoid induced hyperglycemia. Kaplan-Meier curves and log-rank p test were used for univariate analysis. Cox-proportional hazards model was used to generate adjusted hazard ratios for multivariate analysis.

resultsMetformin use was associated with longer survival in patients with tumors that had a methylated O6-methylguanine DNA methyltransferase gene (MGMT) promoter (484 days 95% CI: 56-911 vs. 394 days 95% CI: 249-538, Log-Rank test: 6.5, p = 0.01). Cox regression analysis shows that metformin associates with lower risk of death at 2 years in patients with glioblastoma containing a methylated MGMT promoter (aHR = 0.497, 95% CI 0.26-0.93, p = 0.028).

conclusionOur findings suggest a survival benefit with metformin use in patients with glioblastomas having methylation of the MGMT promoter.

Indexed as

Brain NeoplasmsDiabetes Mellitus, Type 2GlioblastomaMetforminDNA MethylationDNA Modification MethylasesDNA Repair EnzymesGene SilencingHumansMethyltransferasesPrognosisRetrospective StudiesTumor Suppressor ProteinsDNA Modification MethylasesDNA Repair EnzymesMetforminMethyltransferasesMGMT protein, humanTumor Suppressor ProteinsDiabetesGlioblastomaMetforminMGMT methylationSurvival

Identifiers

PMID37889443
OpenAlexW4387965306

What OpenQuestion holds

Texttitle and abstract
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.