Evidence map›Paper›PMID 39093926›Full record

ArticleNeuro-oncology2024

BMScope: A scoping review to chart the evolving clinical study landscape in brain and leptomeningeal metastasis.

Vinton W T Cheng, Richard Heywood, Rasheed Zakaria, Rebecca Burger, Kieran Zucker, Siddarth Kannan, Muhammad Alifian Remifta Putra, Amanda Fitzpatrick, Gary Doherty, Paul Sanghera and 2 more

Abstract readScoping Review
In one paragraph

Article in Neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Brain metastasis: Opportunities for novel therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  2. Review
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

12 authors.

Vinton W T ChengLeeds Institute of Medical Research, St James's University Hospital, University of Leeds, Leeds, UK.ORCID 0000-0003-4159-8697
Richard HeywoodDepartment of Oncology, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Rasheed ZakariaDepartment of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK.
Rebecca BurgerImperial College Healthcare NHS Trust, London, UK.
Kieran ZuckerLeeds Institute of Data Analytics, University of Leeds, Leeds, UK.
Siddarth KannanSchool of Medicine, University of Central Lancashire, Preston, UK.
Muhammad Alifian Remifta PutraDepartment of Internal Medicine, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Amanda FitzpatrickComprehensive Cancer Centre, King's College London, London, UK.ORCID 0000-0001-9201-3797
Gary DohertyCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Paul SangheraDepartment of Oncology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Michael D JenkinsonDepartment of Clinical and Molecular Pharmacology, University of Liverpool, Liverpool, UK.
Carlo PalmieriInstitute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

backgroundRecent studies have challenged the notion that patients with brain metastasis (BM) or leptomeningeal metastasis (LM) should be excluded from systemic therapy clinical trials. This scoping study summarizes the BM/LM clinical studies published between 2010 and 2023.

methodsMEDLINE, CINAHL, CAB Abstracts, PsycINFO, Cochrane Library, HINARI, International Pharmaceutical Abstracts, PubMed, Scopus, Web of Science, and EMBASE electronic databases were searched on June 21, 2021. An updated search was performed on February 21, 2023. Eligible studies investigated a therapeutic intervention in solid tumor patients with BM and/or LM and reported a patient outcome. Extracted study-level data, including study type, publication date, geographical location, number of BM/LM patients in the study, primary tumor type, and type of therapeutic intervention, were collected.

results4921 unique studies were eligible for analysis. The key finding is that BM/LM clinical research is expanding globally, both in observational studies and clinical trials. Despite the shift over time toward a higher proportion of systemic therapy trials, the majority still do not include patients with symptomatic disease and lack reporting of BM/LM-specific endpoints. Globally, there has been a trend to more international collaboration in BM/LM clinical studies.

conclusionsOur analysis of the BM/LM literature charts the evolving landscape of studies involving this previously excluded population. Given the increasing clinical research activity, particularly involving late-stage systemic therapy trials, it is imperative that due consideration is given to the intracranial activity of new investigational agents. Wider adoption of standardized reporting of intracranial-specific endpoints will facilitate the evaluation of relative intracranial efficacy.

Indexed as

Brain NeoplasmsMeningeal NeoplasmsClinical Trials as TopicHumansbrain metastasisintracranial endpointsleptomeningeal metastasisscoping review

Identifiers

PMID39093926
PMCPMC11630544

What OpenQuestion holds

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Registered trials

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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.