Evidence map›Paper›PMID 38902944›Full record

ReviewNeuro-oncology2024

Leptomeningeal metastases from solid tumors: A Society for Neuro-Oncology and American Society of Clinical Oncology consensus review on clinical management and future directions.

Jessica A Wilcox, Ugonma N Chukwueke, Myung-Ju Ahn, Ayal A Aizer, Tejus A Bale, Dieta Brandsma, Priscilla K Brastianos, Susan Chang, Mariza Daras, Peter Forsyth and 19 more

Registry-linked trialAbstract readConsensus StatementReview
In one paragraph

Review in Neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07092202 (Exploratory Clinical Study on Dynamic Monitoring of cfDNA in Cerebrospinal Fluid and Peripheral Blood Using High-dose Firmonertinib Combined With Intrathecal Injection of Pemetrexed for the Treatment of EGFR Mutant NSCLC With Leptomeningeal Metastases), which is not on this map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
–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.

NCT07092202 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Exploratory Clinical Study on Dynamic Monitoring of cfDNA in Cerebrospinal Fluid and Peripheral Blood Using High-dose Firmonertinib Combined With Intrathecal Injection of Pemetrexed for the Treatment of EGFR Mutant NSCLC With Leptomeningeal Metastases

TypeinterventionalSponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2025 to 2027Enrolled40ConditionsLeptomeningeal Metastasis, NSCLC, Intrathecal Chemotherapy, Tyrosine Kinase InhibitorArmsFirmonertinib, Intrathecal injection of pemetrexed
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  14. Targeting ClassicalCancers · 2026
    Review
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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

29 authors.

Jessica A WilcoxDepartment of Neurology, Brain Tumor Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-2919-1360
Ugonma N ChukwuekeCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0003-0598-9535
Myung-Ju AhnDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ayal A AizerDepartment of Radiation Oncology, Brigham and Women's Hospital / Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-8941-188X
Tejus A BaleDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0003-3641-9287
Dieta BrandsmaDepartment of Neuro-Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0001-7998-9904
Priscilla K BrastianosDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-4470-8425
Susan ChangDivision of Neuro-Oncology, Department of Neurosurgery, University of San Francisco California, San Francisco, California, USA.ORCID 0000-0003-3521-364X
Mariza DarasDepartment of Neurology, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0002-2613-1709
Peter ForsythDepartment of Neuro-Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.ORCID 0000-0002-3756-8594
Livia GarziaDevelopmental and Stem Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-5016-0753
Michael GlantzDepartment of Neurosurgery, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID 0000-0003-4877-5094
Isabella C Glitza OlivaDepartment of Melanoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-4530-7765
Priya KumthekarThe Lou and Jean Malnati Brain Tumor Institute, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois, USA.ORCID 0000-0001-5923-0677
Emilie Le RhunDepartments of Neurology and Neurosurgery, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland.ORCID 0000-0002-9408-3278
Seema NagpalDivision of Neuro-Oncology, Department of Neurology, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-0289-2319
Barbara O'BrienDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Elena PentsovaDepartment of Neurology, Brain Tumor Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0001-5854-0251
Eudocia Quant LeeCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0003-3355-5179
Jan RemsikLaboratory for Immunology of Metastatic Ecosystems, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-3228-2896
Roberta RudàDivision of Neuro-Oncology, Department of Neuroscience, University and City of Health and Science Hospital, Turin, Italy.ORCID 0000-0001-9134-1537
Inna SmalleyDepartment of Tumor Biology, The Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.ORCID 0000-0002-6796-9145
Michael D TaylorDivision of Neurosurgery, Department of Surgery, Texas Children's Hospital, Houston, Texas, USA.
Michael WellerDepartment of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland.ORCID 0000-0002-1748-174X
Jeffrey WefelDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-3584-023X
Jonathan T YangDepartment of Radiation Oncology, Department of Radiation Oncology, New York University School of Medicine, New York, New York, USA.ORCID 0000-0001-9375-7384
Robert J YoungDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Patrick Y WenCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0002-0774-7700
Adrienne A BoireHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-9029-1248

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Development of a Clinical CEST MR Fingerprinting Method for Treatment Response Assessment in Brain MetastasesR37CA262662 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Ouri Cohen · 2022 to 2026
$3.4M
Investigating Microenvironmental Interactions in Leptomeningeal MetastasisR01CA245499 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI BOIRE, ADRIENNE A. · 2020 to 2024
$2.0M
Defining the Role of Metabolic Heterogeneity in Melanoma Dissemination and Therapy EscapeR00CA226679 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI SMALLEY, INNA · 2020 to 2022
$747k
Defining and targeting the immune-suppressive metabolic microenvironment of leptomeningeal melanoma metastasesR21CA274060 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI SMALLEY, INNA · 2022 to 2023
$429k
NCI NIH HHS P30 CA008748NCI NIH HHS R00 CA226679NCI NIH HHS R01 CA245499NCI NIH HHS R21 CA274060NCI NIH HHS R37 CA262662NIH/NCI Cancer Center NCI P30 CA008748
6 · The paper itself

Abstract

Leptomeningeal metastases (LM) are increasingly becoming recognized as a treatable, yet generally incurable, complication of advanced cancer. As modern cancer therapeutics have prolonged the lives of patients with metastatic cancer, specifically in patients with parenchymal brain metastases, treatment options, and clinical research protocols for patients with LM from solid tumors have similarly evolved to improve survival within specific populations. Recent expansions in clinical investigation, early diagnosis, and drug development have given rise to new unanswered questions. These include leptomeningeal metastasis biology and preferred animal modeling, epidemiology in the modern cancer population, ensuring validation and accessibility of newer leptomeningeal metastasis diagnostics, best clinical practices with multimodality treatment options, clinical trial design and standardization of response assessments, and avenues worthy of further research. An international group of multi-disciplinary experts in the research and management of LM, supported by the Society for Neuro-Oncology and American Society of Clinical Oncology, were assembled to reach a consensus opinion on these pressing topics and provide a roadmap for future directions. Our hope is that these recommendations will accelerate collaboration and progress in the field of LM and serve as a platform for further discussion and patient advocacy.

Indexed as

Meningeal NeoplasmsDisease ManagementHumansMedical OncologyMeningeal CarcinomatosisNeoplasmsSocieties, MedicalUnited Statesconsensus guidelineintrathecal therapyleptomeningeal diseaseleptomeningeal metastasesradiation therapysystemic therapy

Identifiers

PMID38902944
PMCPMC11449070

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.