Evidence map›Paper›PMID 37987802›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2024

Reirradiation with radiosurgery or stereotactic fractionated radiotherapy in association with regorafenib in recurrent glioblastoma.

Fabiana Gregucci, Fiorella Cristina Di Guglielmo, Alessia Surgo, Roberta Carbonara, Letizia Laera, Maria Paola Ciliberti, Maria Annunziata Gentile, Roberto Calbi, Morena Caliandro, Nicola Sasso and 11 more

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In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Are conventional and hypofractionated chemoradiotherapy comparable in glioblastoma patients?Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Review
  4. CXCR5Nature communications · 2026
    Article
  5. Review
  6. 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

21 authors at 5 institutions in 1 country.

Fabiana GregucciDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy. fabianagregucci@gmail.com.ORCID 0000-0002-9947-9650
Fiorella Cristina Di GuglielmoDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Alessia SurgoDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Roberta CarbonaraDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Letizia LaeraDepartment of Medical Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Maria Paola CilibertiDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Maria Annunziata GentileDepartment of Radiology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Roberto CalbiDepartment of Radiology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Morena CaliandroDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Nicola SassoDepartment of Medical Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Valerio Davi'Department of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Ilaria BonaparteDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Vincenzo FanelliDepartment of Neurosurgery, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
David GiraldiDepartment of Neurosurgery, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Romina TortoraCentro Orientamento Oncologico (COrO), Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Valeria InternòDepartment of Medical Oncology, Ospedale San Paolo, Bari, Italy.
Francesco GiulianiDepartment of Medical Oncology, Ospedale San Paolo, Bari, Italy.
Giammarco SuricoDepartment of Medical Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Francesco SignorelliDivision of Neurosurgery, Department of Translational Biomedicine and Neurosciences (DiBraiN), University "Aldo Moro" of Bari, Bari, Italy.
Giuseppe LombardiDepartment of Medical Oncology, Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Alba FiorentinoDepartment of Radiation Oncology, Miulli General Regional Hospital, Acquaviva delle Fonti-Bari, Italy.
Ospedale Generale Regionale Francesco Miulli · ITOspedale San Paolo · ITIstituto Oncologico Veneto · ITLibera Università Maria SS. Assunta · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNo standard treatment has yet been established for recurrent glioblastoma (GBM). In this context, the aim of the current study was to evaluate safety and efficacy of reirradiation (re-RT) by radiosurgery or fractionated stereotactic radiotherapy (SRS/FSRT) in association with regorafenib.

methodsPatients with a histological or radiological diagnosis of recurrent GBM who received re-RT by SRS/FSRT and regorafenib as second-line systemic therapy were included in the analysis.

resultsFrom January 2020 to December 2022, 21 patients were evaluated. The median time between primary/adjuvant RT and disease recurrence was 8 months (range 5-20). Median re-RT dose was 24 Gy (range 18-36 Gy) for a median number of 5 fractions (range 1-6). Median regorafenib treatment duration was 12 weeks (range 3-26). Re-RT was administered before starting regorafenib or in the week off regorafenib during the course of chemotherapy. The median and the 6‑month overall survival (OS) from recurrence were 8.4 months (95% confidence interval [CI] 6.9-12.7 months) and 75% (95% CI 50.9-89.1%), respectively. The median progression-free survival (PFS) from recurrence was 6 months (95% CI 3.7-8.5 months). The most frequent side effects were asthenia that occurred in 10 patients (8 cases of grade 2 and 2 cases of grade 3), and hand-foot skin reaction (2 patients grade 3, 3 patients grade 2). Adverse events led to permanent regorafenib discontinuation in 2 cases, while in 5/21 cases (23.8%), a dose reduction was administered. One patient experienced dehiscence of the surgical wound after reintervention and during regorafenib treatment, while another patient reported intestinal perforation that required hospitalization.

conclusionFor recurrent GBM, re-RT with SRT/FSRT plus regorafenib is a safe treatment. Prospective trials are necessary.

Indexed as

Brain NeoplasmsDose Fractionation, RadiationGlioblastomaNeoplasm Recurrence, LocalPhenylurea CompoundsPyridinesRadiosurgeryAdultAgedAged, 80 and overCombined Modality TherapyFemaleHumansMaleMiddle AgedRe-IrradiationPhenylurea CompoundsPyridinesregorafenibBrain neoplasmsCombined regimensFocal radiotherapyHigh grade gliomaPersonalized medicineTarget therapy

Identifiers

PMID37987802
OpenAlexW4388845343

What OpenQuestion holds

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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.