Evidence map›Paper›PMID 37955759›Full record

ArticleJournal of neuro-oncology2023

The outcome of central nervous system hemangioblastomas in Von Hippel-Lindau (VHL) disease treated with belzutifan: a single-institution retrospective experience.

Aroosa Zamarud, Neelan J Marianayagam, David J Park, Ulas Yener, Kelly H Yoo, Antonio Meola, Steven D Chang

Abstract read
PubMed Publisher
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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

7 authors at 1 institution in 1 country.

Aroosa ZamarudDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Neelan J MarianayagamDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.
David J ParkDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Ulas YenerDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Kelly H YooDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Antonio MeolaDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Steven D ChangDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, 94305, USA. sdchang@stanford.edu.
Stanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBelzutifan is a Hypoxia Inducible Factor 2-alpha inhibitor approved in 2021 by the FDA for the treatment of renal cell carcinoma (RCC) in patients with Von-Hippel Landau (VHL) disease. These patients can also present with central nervous system (CNS) hemangioblastomas (HBs). We aim to study the effectiveness and adverse effects of belzutifan for CNS HBs, by reporting our preliminary institutional experience.

methodsWe present a series of VHL patients with CNS HBs undergoing treatment with belzutifan for RCC. All the included patients met the RECIST inclusion criteria. The clinical and radiological outcome measures included: Objective response rate (ORR), time-to-response (TTR), adverse events (AE), and patient response. Patient response was classified as partial response (PR), complete response (CR), progressive disease (PD), or stable disease (SD).

resultsSeven patients with 25 HBs were included in our study. A belzutifan dose of 120 mg/day PO was administered for a median of 13 months (range 10-17). Median follow up time was 15 months (range 10-24). An ORR of 71% was observed. The median TTR was 5 months (range: 1-10). None of the patients showed CR, while 5 patients (71.4%) showed PR and 2 (28.5%) showed SD. Among patients with SD the maximum tumor response was 20% [increase/decrease] of the lesion diameter. All the patients experienced decreased hemoglobin concentration, fatigue, and dizziness. None of the patients experienced severe anemia (grade 3-4 CTCAE).

conclusionBelzutifan appears to be an effective and safe treatment for CNS hemangioblastoma in VHL patients. Further clinical trials to assess the long-term effectiveness of the medication are required.

Indexed as

Carcinoma, Renal CellCentral Nervous System NeoplasmsHemangioblastomaKidney Neoplasmsvon Hippel-Lindau DiseaseCentral Nervous SystemHumansIndenesRetrospective StudiesVon Hippel-Lindau Tumor Suppressor ProteinbelzutifanIndenesVHL protein, humanVon Hippel-Lindau Tumor Suppressor ProteinBelzutifanHemangioblastomaRenal cell carcinomaStereotactic radiosurgeryVon-Hippel Landau

Identifiers

PMID37955759
OpenAlexW4388631152

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.