Evidence map›Paper›PMID 38502052›Full record

Trial reportNeuro-oncology2024

Marizomib for patients with newly diagnosed glioblastoma: A randomized phase 3 trial.

Patrick Roth, Thierry Gorlia, Jaap C Reijneveld, Filip de Vos, Ahmed Idbaih, Jean-Sébastien Frenel, Emilie Le Rhun, Juan Manuel Sepulveda, James Perry, G Laura Masucci and 20 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
15.3field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Preclinical evaluation of ixazomib for high-risk pediatric brain tumors.bioRxiv : the preprint server for biology · 2026
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  16. Taxonomic and biosynthetic diversity of the marine actinomyceteApplied and environmental microbiology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 10 countries.

Patrick RothDepartment of Neurology and Brain Tumor Center, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0003-3897-214X
Thierry GorliaEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Jaap C ReijneveldDepartment of Neurology & Brain Tumor Center, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Filip de VosDepartment of Medical Oncology, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
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
Jean-Sébastien FrenelDepartment of Medical Oncology, Institut de Cancerologie de L'Ouest, Saint-Herblain, France.
Emilie Le RhunCHU Lille, Service de neurochirurgie, Lille, France.ORCID 0000-0002-9408-3278
Juan Manuel SepulvedaNeuro-Oncology Unit, Department of Medical Oncology, Instituto de Investigación Hospital 12 de Octubre, Madrid, Spain.
James PerryDivision of Neurology, Sunnybrook HSC, University of Toronto, Toronto, Ontario, Canada.
G Laura MasucciDepartment of Radiation Oncology, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.
Pierre FreresDepartment of Medical Oncology, University Hospital of Liege, Liege, Belgium.
Hal HirteDepartment of Oncology, McMaster University, Hamilton, Ontario, Canada.
Clemens SeidelDepartment of Radiation Oncology, University Hospital Leipzig, Leipzig, Germany.
Annemiek WalenkampDepartment of Medical Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Slavka LukacovaDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Paul MeijndersDepartment of Radiation Oncology, Iridium Network Antwerpen, University of Antwerp, Antwerp, Belgium.
Andre BlaisService d'hématologie et d'oncologie, Centre intégré de cancérologie du CHU de Québec - Université Laval, Québec City, Québec, Canada.
Francois DucrayDepartment of Neuro-Oncology, Hospices Civils de Lyon and Université Claude Bernard Lyon 1, Lyon, France.
Vincent VerschaeveDepartment of Medical Oncology, GHDC Grand Hopital de Charleroi, Charleroi, Belgium.
Garth NicholasUniversity of Ottawa, Division of Medical Oncology, Ottawa, Ontario, Canada.ORCID 0000-0003-3742-7537
Carmen BalanaBadalona Applied Research Group in Oncology (B-ARGO Group), Institut Investigació Germans Trias i Pujol (IGTP), Badalona, Spain.ORCID 0000-0003-0771-0390
Daniela A BotaChao Family Comprehensive Cancer Center and Department of Neurology, University of California, Irvine, California, USA.
Matthias PreusserDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3541-2315
Sarah NuyensEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Fréderic DhermainDepartment of Radiation Oncology, University Hospital Gustave Roussy, Villejuif, France.
Martin van den BentBrain Tumor Center at ErasmusMC Cancer Institute, Rotterdam, The Netherlands.
Chris J O'CallaghanCanadian Cancer Trials Group, Queen's University, Kingston, Ontario, Canada.
Maureen VanlanckerEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels, Belgium.
Warren MasonDepartment of Medicine, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
Michael WellerDepartment of Neurology and Brain Tumor Center, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-1748-174X
European Organisation for Research and Treatment of Cancer · BEUniversity of Zurich · CHAarhus University Hospital · DKAmsterdam University Medical Centers · NLCentre Hospitalier de l’Université de Montréal · CACentre National de la Recherche Scientifique · FRErasmus MC Cancer Institute · NLGrand Charleroi Hospital · BEInserm · FRInstitut de Cancérologie de l'Ouest · FRInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESInstitut Gustave Roussy · FRMcMaster University · CAMedical University of Vienna · ATPrincess Margaret Cancer Centre · CAQueen's University · CAResearch Institute Hospital 12 de Octubre · ESSunnybrook Health Science Centre · CAUniversité Claude Bernard Lyon 1 · FRUniversité Laval · CA

Funding

Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Melanie Funes · 1994 to 2026
$57.9M
NCI NIH HHS P30 CA062203
6 · The paper itself

Abstract

backgroundStandard treatment for patients with newly diagnosed glioblastoma includes surgery, radiotherapy (RT), and temozolomide (TMZ) chemotherapy (TMZ/RT→TMZ). The proteasome has long been considered a promising therapeutic target because of its role as a central biological hub in tumor cells. Marizomib is a novel pan-proteasome inhibitor that crosses the blood-brain barrier.

methodsEuropean Organisation for Research and Treatment of Cancer 1709/Canadian Cancer Trials Group CE.8 was a multicenter, randomized, controlled, open-label phase 3 superiority trial. Key eligibility criteria included newly diagnosed glioblastoma, age > 18 years and Karnofsky performance status > 70. Patients were randomized in a 1:1 ratio. The primary objective was to compare overall survival (OS) in patients receiving marizomib in addition to TMZ/RT→TMZ with patients receiving the only standard treatment in the whole population and in the subgroup of patients with MGMT promoter-unmethylated tumors.

resultsThe trial was opened at 82 institutions in Europe, Canada, and the U.S. A total of 749 patients (99.9% of the planned 750) were randomized. OS was not different between the standard and the marizomib arm (median 17 vs. 16.5 months; HR = 1.04; P = .64). PFS was not statistically different either (median 6.0 vs. 6.3 months; HR = 0.97; P = .67). In patients with MGMT promoter-unmethylated tumors, OS was also not different between standard therapy and marizomib (median 14.5 vs. 15.1 months, HR = 1.13; P = .27). More CTCAE grade 3/4 treatment-emergent adverse events were observed in the marizomib arm than in the standard arm.

conclusionsAdding marizomib to standard temozolomide-based radiochemotherapy resulted in more toxicity, but did not improve OS or PFS in patients with newly diagnosed glioblastoma.

Indexed as

Brain NeoplasmsGlioblastomaLactonesTemozolomideAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemoradiotherapyDNA Modification MethylasesDNA Repair EnzymesFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisDNA Modification MethylasesDNA Repair EnzymesLactonesmarizomibPyrrolesTemozolomideEORTC 1709gliomaMGMTproteasome inhibitorrandomized study

Identifiers

PMID38502052
PMCPMC11376448
OpenAlexW4392951258

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.