Evidence map›Paper›PMID 39006526›Full record

ArticleNeuro-oncology practice2024

Platform trial design for neurofibromatosis type 1, NF2-related schwannomatosis and non-NF2-related schwannomatosis: A potential model for rare diseases.

Britt A E Dhaenens, Günter Heimann, Annette Bakker, Marco Nievo, Rosalie E Ferner, D Gareth Evans, Pierre Wolkenstein, Jonas Leubner, Cornelia Potratz, Charlotte Carton and 13 more

Abstract read
In one paragraph

Article in Neuro-oncology practice, 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
–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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  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

23 authors.

Britt A E DhaenensDepartment of General Paediatrics, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-0928-4049
Günter HeimannBiostatistics & Pharmacometrics, Novartis Pharma AG, Basel, Switzerland.
Annette BakkerChildren's Tumor Foundation, New York, New York, USA.
Marco NievoChildren's Tumor Foundation, New York, New York, USA.
Rosalie E FernerNeurofibromatosis Service, Department of Neurology, Guy's and St. Thomas' NHS Foundation Trust London, Great Maze Pond, London, UK.
D Gareth EvansCentre for Genomic Medicine, Division of Evolution, Infection and Genomic Sciences, University of Manchester, St Mary's Hospital, Manchester, UK.
Pierre WolkensteinDepartment of Dermatology, Henri-Mondor Hospital, Créteil, France.
Jonas LeubnerDepartment of Pediatric Neurology, Charité Universitätsmedizin Berlin-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Cornelia PotratzDepartment of Pediatric Neurology, Charité Universitätsmedizin Berlin-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Charlotte CartonDepartment of Human Genetics, KU Leuven, Leuven, Belgium.
Uchenna IloejeMedical Affairs, SpringWorks Therapeutics, Stamford, Connecticut, USA.
George KirkAstraZeneca Oncology R&D, Cambridge, UK.
Jaishri O BlakeleyDepartment of Neurology, Neuro-Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Scott PlotkinCancer Center and Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Michael J FisherDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
AeRang KimDivision of Oncology, Children's National Hospital, Washington DC, District of Columbia, USA.ORCID https://orcid.org/0000-0002-7813-5568
Pablo Hernáiz DrieverCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0003-3135-3872
Amedeo A AziziDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Wien, Austria.
Brigitte C WidemannPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.
Andrea GrossPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0003-1646-4531
Tom ParkeBerry Consultants, Abingdon, UK.
Eric LegiusDepartment of Human Genetics, KU Leuven, Leuven, Belgium.
Rianne OostenbrinkDepartment of General Paediatrics, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.

Funding

Therapies for patients with rare tumors and genetic tumor predispositionZIASC010354 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2009 to 2025
$19.2M
6 · The paper itself

Abstract

Background: Neurofibromatosis type 1, Methods: Within European Patient-Centric Clinical Trial Platforms (EU-PEARL), we designed 2 platform-basket trials in NF. The trials were designed by a team of multidisciplinary NF experts and trial methodology experts. Results: The trial will consist of an observational and a treatment period. The observational period will serve as a longitudinal natural history study. The platform trial design and randomization to a sequence of available interventions allow for the addition of interventions during the trial. If a drug does not meet the predetermined efficacy endpoint or reveals unacceptable toxicities, participants may stop treatment on that arm and re-enter the observational period, where they can be re-randomized to a different treatment arm if eligible. Intervention-specific eligibility criteria and endpoints are listed in intervention-specific-appendices, allowing the flexibility and adaptability needed for highly variable and rare conditions like NF. Conclusions: These innovative platform-basket trials for NF may serve as a model for other rare diseases, as they will enhance the chance of identifying beneficial treatments through optimal learning from a small number of patients. The goal of these trials is to identify beneficial treatments for NF more rapidly and at a lower cost than traditional, single-agent clinical trials.

Indexed as

clinical trialneurofibromatosisplatform trialrare diseasesschwannomatosis

Identifiers

PMID39006526
PMCPMC11241353

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.