Evidence map›Paper›PMID 38849943›Full record

ArticleTrials2024

Lomustine with or without reirradiation for first progression of glioblastoma, LEGATO, EORTC-2227-BTG: study protocol for a randomized phase III study.

Matthias Preusser, Tomáš Kazda, Emilie Le Rhun, Felix Sahm, Marion Smits, Jens Gempt, Johan Af Koekkoek, Angelo F Monti, Marcell Csanadi, János György Pitter and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05904119 (Lomustine With and Without Reirradiation for First Progression of Glioblastoma), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

NCT05904119 phase3recruitingnot on this map

Lomustine With and Without Reirradiation for First Progression of Glioblastoma: a Randomized Phase III Study

TypeinterventionalSponsorEuropean Organisation for Research and Treatment of Cancer - EORTCRan2024 to 2028Enrolled411ConditionsFirst Progression of GlioblastomaArmsLomustine, Reirradiation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Post-recurrence management of malignant glial brain tumors: therapeutic strategies, evidence and limitations, palliative care, terminal sedation, and end-of-life considerations.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Review
  4. Review
  5. [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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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

17 authors.

Matthias PreusserDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. matthias.preusser@meduniwien.ac.at.ORCID http://orcid.org/0000-0003-3541-2315
Tomáš KazdaDepartment of Radiation Oncology and Research Centre for Applied Molecular Oncology (RECAMO), Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Emilie Le RhunDepartment of Medical Oncology and Hematology, University Hospital & University of Zurich, Zurich, Switzerland.
Felix SahmDepartment of Neuropathology, University Hospital Heidelberg and CCU Neuropathology, DKFZ, Heidelberg, Germany.
Marion SmitsDepartment of Radiology & Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands.
Jens GemptDepartment of Neurosurgery, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Johan Af KoekkoekDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.
Angelo F MontiDepartment of Medical Physics, ASST GOM Niguarda, Milano, Italy.
Marcell CsanadiSyreon Research Institute, Budapest, Hungary.
János György PitterSyreon Research Institute, Budapest, Hungary.
Helen BulbekBrainstrust-the brain cancer people, Isle of Wight, Cowes, UK.
Beatrice FournierEORTC Headquarters Team, Brussels, Belgium.
Caroline QuoilinEORTC Headquarters Team, Brussels, Belgium.
Thierry GorliaEORTC Headquarters Team, Brussels, Belgium.
Michael WellerDepartment of Neurology, University Hospital & University of Zurich, Zurich, Switzerland.
Giuseppe MinnitiDepartment of Radiological Sciences, Oncology and Anatomical Pathology and IRCCS Neuromed (IS), Sapienza University, Policlinico Umberto I, Rome, Italy.
European Organisation for Research, Treatment of Cancer (EORTC) Brain Tumor Group

Funding

Horizon 2020 Framework Programme 101103655
6 · The paper itself

Abstract

backgroundChemotherapy with lomustine is widely considered as standard treatment option for progressive glioblastoma. The value of adding radiotherapy to second-line chemotherapy is not known.

methodsEORTC-2227-BTG (LEGATO, NCT05904119) is an investigator-initiated, pragmatic (PRECIS-2 score: 34 out of 45), randomized, multicenter phase III trial in patients with first progression of glioblastoma. A total of 411 patients will be randomized in a 1:1 ratio to lomustine (110 mg/m DISCUSSION: EORTC-2227-BTG (LEGATO) is a publicly funded pragmatic phase III trial designed to clarify the efficacy of adding reirradiation to chemotherapy with lomustine for the treatment of patients with first progression of glioblastoma.

trial registrationClinicalTrials.gov NCT05904119. Registered before start of inclusion, 23 May 2023.

Indexed as

Antineoplastic Agents, AlkylatingBrain NeoplasmsDisease ProgressionGlioblastomaLomustineMulticenter Studies as TopicProgression-Free SurvivalChemoradiotherapyClinical Trials, Phase III as TopicHumansPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicTime FactorsAntineoplastic Agents, AlkylatingLomustineGlioblastomaLEGATOLomustineProgressionRandomized controlled trialReirradiation

Identifiers

PMID38849943
PMCPMC11157762

What OpenQuestion holds

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Registered trials

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.