Evidence map›Paper›PMID 38912846›Full record

ReviewNeuro-oncology2024

The biological significance of tumor grade, age, enhancement, and extent of resection in IDH-mutant gliomas: How should they inform treatment decisions in the era of IDH inhibitors?

Martin J van den Bent, Pim J French, Daniel Brat, Joerg C Tonn, Mehdi Touat, Benjamin M Ellingson, Robert J Young, Johan Pallud, Andreas von Deimling, Felix Sahm and 15 more

Erratum issuedAbstract readReview
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. An erratum has been issued. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing 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.

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

58 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Contemporary surgical strategies for resection of intracranial gliomas.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  5. A Dual-Channel Synergistic Ultrasensitive Biosensor for Tumor Liquid Biopsy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Clinical Outcomes and Prognostic Features of Diffuse Hemispheric Glioma, H3 G34-Mutant: An International Multi-institutional Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  10. Article
  11. Current and emerging therapies in IDH-mutant glioma.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Recent Advances in Targeted Therapies for Adult Gliomas.Current neurology and neuroscience reports · 2026
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Martin J van den BentBrain Tumor Center at Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID 0000-0001-5710-5127
Pim J FrenchBrain Tumor Center at Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID 0000-0002-0668-9529
Daniel BratDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-0633-6563
Joerg C TonnDepartment of Neurosurgery, Ludwig-Maximilians-University, Munich, Germany.ORCID 0009-0004-1756-423X
Mehdi TouatDepartment of Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-5910-7799
Benjamin M EllingsonUCLA Brain Tumor Imaging Laboratory, Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, USA.ORCID 0000-0002-2764-6640
Robert J YoungNeuroradiology Service, Department of Radiology, Memorial Sloan Kettering Cancer, New York, New York, USA.ORCID 0000-0001-7003-3017
Johan PalludInstitute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, IMA-Brain, Université Paris Cité, Paris, France.ORCID 0000-0002-1652-9844
Andreas von DeimlingDepartment of Neuropathology, University Hospital Medicine and CCU Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-5863-540X
Felix SahmDepartment of Neuropathology, University Hospital Medicine and CCU Neuropathology, German Consortium for Translational Cancer Research (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-5441-1962
Dominique Figarella BrangerDFB Aix-Marseille Univ, APHM, CNRS, INP, Inst Neurophysiopathol, CHU Timone, Service d'Anatomie Pathologique et de Neuropathologie, Marseille, France.ORCID 0000-0002-3604-887X
Raymond Y HuangDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-7661-797X
Michael WellerDepartment of Neurology & Brain Tumor Center, University Hospital Zurich & University of Zurich, Zurich, Switzerland.ORCID 0000-0002-1748-174X
Ingo K MellinghoffDepartment of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-4347-8149
Tim F CloughseyDepartment of Neurology, TC David Geffen School of Medicine at UCLA, Los Angeles, USA.ORCID 0000-0002-8656-7483
Jason T HuseDepartments of Pathology and Translational Molecular Pathology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-4514-0640
Kenneth AldapeCenter for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0001-5119-7550
Guido ReifenbergerInstitute of Neuropathology, Medical Faculty, Heinrich Heine University and University Hospital Düsseldorf, and German Cancer Consortium (DKTK), Partner Site Essen/Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-1419-9837
Gilbert YoussefCenter For Neuro-Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-6109-7692
Philipp KarschniaGerman Cancer Consortium (DKTK), Partner Site Munich, Germany.ORCID 0000-0002-1254-5310
Houtan NoushmehrDepartment of Neurosurgery, Henry Ford Hospital+Michigan State University, Detroit, Michigan, USA.ORCID 0000-0003-4051-8114
Katherine B PetersDepartment of Neurosurgery, Preston Robert Tisch Brain Tumor Center, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-5110-3868
Francois DucrayInserm U1052, CNRS UMR5286, Université Claude Bernard Lyon, Lyon, France.ORCID 0000-0002-8150-5785
Matthias PreusserDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3541-2315
Patrick Y WenCenter For Neuro-Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-0774-7700

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
UCLA SPORE in Brain CancerP50CA211015 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Yvonne Yu-Hsuan Chen · 2017 to 2026
$25.2M
Molecular Mechanisms of Drug Resistance in Primary Brain TumorsR35NS105109 · NINDS · SLOAN-KETTERING INST CAN RESEARCH · PI MELLINGHOFF, INGO K · 2018 to 2025
$4.7M
Role of decorin and diffusion MRI in anti-VEGF efficacy for recurrent glioblastomaR01CA270027 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY CLOUGHESY, Benjamin M. Ellingson · 2022 to 2026
$3.0M
Quantitative molecular MR-PET imaging of glycolysis in glioblastomaR01CA279984 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Benjamin M. Ellingson, David A. Nathanson · 2023 to 2026
$2.4M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA211015NCI NIH HHS R01 CA270027NCI NIH HHS R01 CA279984NINDS NIH HHS R35 NS105109
6 · The paper itself

Abstract

The 2016 and 2021 World Health Organization 2021 Classification of central nervous system tumors have resulted in a major improvement in the classification of isocitrate dehydrogenase (IDH)-mutant gliomas. With more effective treatments many patients experience prolonged survival. However, treatment guidelines are often still based on information from historical series comprising both patients with IDH wild-type and IDH-mutant tumors. They provide recommendations for radiotherapy and chemotherapy for so-called high-risk patients, usually based on residual tumor after surgery and age over 40. More up-to-date studies give a better insight into clinical, radiological, and molecular factors associated with the outcome of patients with IDH-mutant glioma. These insights should be used today for risk stratification and for treatment decisions. In many patients with IDH-mutant grades 2 and 3 glioma, if carefully monitored postponing radiotherapy and chemotherapy is safe, and will not jeopardize the overall outcome of patients. With the INDIGO trial showing patient benefit from the IDH inhibitor vorasidenib, there is a sizable population in which it seems reasonable to try this class of agents before recommending radio-chemotherapy with its delayed adverse event profile affecting quality of survival. Ongoing trials should help to further identify the patients that are benefiting from this treatment.

Indexed as

Brain NeoplasmsGliomaIsocitrate DehydrogenaseMutationNeoplasm GradingAge FactorsClinical Decision-MakingEnzyme InhibitorsHumansEnzyme InhibitorsIsocitrate Dehydrogenaseastrocytoma IDH-mutantoligodendroglioma IDH-mutant and 1p/19q codeletedprognosisvorasidenibWHO brain tumor classification

Identifiers

PMID38912846
PMCPMC11449017

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.