Evidence map›Paper›PMID 39058662›Full record

ArticlePloS one2024

Evaluation of ex vivo drug combination optimization platform in recurrent high grade astrocytic glioma: An interventional, non-randomized, open-label trial protocol.

Tan Boon Toh, Dexter Kai Hao Thng, Nagarjun Bolem, Balamurugan A Vellayappan, Bryce Wei Quan Tan, Yating Shen, Sou Yen Soon, Yvonne Li En Ang, Nivedh Dinesh, Kejia Teo and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05532397 (Evaluation of ex Vivo Drug Combination Optimization Platform in Recurrent High Grade Astrocytic Glioma), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT05532397 narecruitingnot on this map

Evaluation of ex Vivo Drug Combination Optimization Platform in Recurrent High Grade Astrocytic Glioma

TypeinterventionalSponsorNational University Hospital, SingaporeRan2023 to 2026Enrolled10ConditionsGlioma, AstrocyticArmsQPOP category 1, QPOP category 2
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. The functional imperative in high-grade glioma.Experimental & molecular medicine · 2026
    Review
  3. Review
  4. 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

17 authors.

Tan Boon TohThe N.1 Institute for Health (N.1), National University of Singapore, Singapore, Singapore.ORCID 0000-0003-0292-6985
Dexter Kai Hao ThngThe N.1 Institute for Health (N.1), National University of Singapore, Singapore, Singapore.ORCID 0000-0002-1325-4347
Nagarjun BolemDivision of Neurosurgery, Department of Surgery, National University Hospital, Singapore, Singapore.
Balamurugan A VellayappanDepartment of Radiation Oncology, National University Cancer Institute, Singapore, Singapore.
Bryce Wei Quan TanCancer Science Institute of Singapore (CSI), National University of Singapore, Singapore, Singapore.
Yating ShenThe N.1 Institute for Health (N.1), National University of Singapore, Singapore, Singapore.
Sou Yen SoonDepartment of Haematology-Oncology, National University Hospital, Singapore, Singapore.
Yvonne Li En AngDepartment of Haematology-Oncology, National University Hospital, Singapore, Singapore.
Nivedh DineshDivision of Neurosurgery, Department of Surgery, National University Hospital, Singapore, Singapore.
Kejia TeoDivision of Neurosurgery, Department of Surgery, National University Hospital, Singapore, Singapore.
Vincent Diong Weng NgaDivision of Neurosurgery, Department of Surgery, National University Hospital, Singapore, Singapore.
Shiong Wen LowDivision of Neurological Surgery, Ng Teng Fong General Hospital, Singapore, Singapore.
Pek Lan KhongDepartment of Diagnostic Imaging, National University Hospital, Singapore, Singapore.
Edward Kai-Hua ChowThe N.1 Institute for Health (N.1), National University of Singapore, Singapore, Singapore.
Dean HoThe N.1 Institute for Health (N.1), National University of Singapore, Singapore, Singapore.
Tseng Tsai YeoDivision of Neurosurgery, Department of Surgery, National University Hospital, Singapore, Singapore.
Andrea Li Ann WongCancer Science Institute of Singapore (CSI), National University of Singapore, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHigh grade astrocytic glioma (HGG) is a lethal solid malignancy with high recurrence rates and limited survival. While several cytotoxic agents have demonstrated efficacy against HGG, drug sensitivity testing platforms to aid in therapy selection are lacking. Patient-derived organoids (PDOs) have been shown to faithfully preserve the biological characteristics of several cancer types including HGG, and coupled with the experimental-analytical hybrid platform Quadratic Phenotypic Optimization Platform (QPOP) which evaluates therapeutic sensitivity at a patient-specific level, may aid as a tool for personalized medical decisions to improve treatment outcomes for HGG patients.

methodsThis is an interventional, non-randomized, open-label study, which aims to enroll 10 patients who will receive QPOP-guided chemotherapy at the time of first HGG recurrence following progression on standard first-line therapy. At the initial presentation of HGG, tumor will be harvested for primary PDO generation during the first biopsy/surgery. At the point of tumor recurrence, patients will be enrolled onto the main study to receive systemic therapy as second-line treatment. Subjects who undergo surgery at the time of recurrence will have a second harvest of tissue for PDO generation. Established PDOs will be subject to QPOP analyses to determine their therapeutic sensitivities to specific panels of drugs. A QPOP-guided treatment selection algorithm will then be used to select the most appropriate drug combination. The primary endpoint of the study is six-month progression-free survival. The secondary endpoints include twelve-month overall survival, RANO criteria and toxicities. In our radiological biomarker sub-study, we plan to evaluate novel radiopharmaceutical-based neuroimaging in determining blood-brain barrier permeability and to assess in vivo drug effects on tumor vasculature over time.

trial registrationThis trial was registered on 8th September 2022 with ClinicalTrials.gov Identifier: NCT05532397.

Indexed as

Brain NeoplasmsNeoplasm Recurrence, LocalAntineoplastic Combined Chemotherapy ProtocolsAstrocytomaClinical Trials as TopicHumansNeoplasm GradingOrganoids

Identifiers

PMID39058662
PMCPMC11280195

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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.