Evidence map›Paper›PMID 39217426›Full record

ArticlePediatric blood & cancer2024

Craniospinal irradiation and/or intraventricular radioimmunotherapy after high-dose chemotherapy and autologous stem cell rescue in patients with CNS retinoblastoma-Safety and outcomes.

Sameer Farouk Sait, Nancy A Kernan, Elizabeth Klein, Barbara Spitzer, Carolyn Fein Levy, Jonathan Fish, Onur Yildirim, Sofia Haque, Maria Donzelli, Mauricio Rendon Bernot and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatric blood & cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

Sameer Farouk SaitDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0001-6715-2402
Nancy A KernanDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Elizabeth KleinDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-9735-4862
Barbara SpitzerDivision of Hematology/Oncology, Department of Pediatrics, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Carolyn Fein LevyDivision of Hematology/Oncology and Cellular Therapy, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, New York, USA.ORCID 0000-0002-9285-2248
Jonathan FishDivision of Hematology/Oncology and Cellular Therapy, Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, New York, USA.ORCID 0000-0003-4498-1843
Onur YildirimDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Sofia HaqueDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Maria DonzelliDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Mauricio Rendon BernotDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
David H AbramsonDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jasmine H FrancisDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Yasmin KhakooDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Matthias KarajannisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-7151-6528
Stephen SandsDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0003-4550-263X
Neeta Pandit-TaskarDepartment of Nuclear Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Suzanne WoldenDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0002-5234-4134
Kim KramerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ira J DunkelDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0001-8091-6067

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI Cancer Center Support P30CA008748NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe prognosis for patients with central nervous system (CNS) retinoblastoma (RB) (trilateral or stage 4b metastatic RB) treated with high-dose chemotherapy and autologous stem cell transplant (HDC-ASCT) remains poor. The impact of irradiation when administered as part of upfront therapy post HDC-ASCT on treatment outcomes and survival is unknown.

methodsWe performed a retrospective review of all patients with CNS RB (seven stage 4b, eight trilateral, one pineal lesion belonging to methylation group RB) who underwent induction chemotherapy with an intent to proceed to HDC-ASCT at two institutions.

resultsTwelve of 16 patients (n = 75%) achieved an objective response to induction chemotherapy, while four patients had progressive/refractory disease; two patients responded to subsequent therapy and proceeded to ASCT, and two patients did not. Seven of 14 patients who underwent HDC-ASCT, received radiotherapy as part of upfront therapy post HDC-ASCT in the form of craniospinal irradiation (CSI) (n = 3), intraventricular radioimmunotherapy (n = 3), or both CSI and intraventricular radioimmunotherapy (n = 1). The Kaplan-Meier estimate of overall survival for these patients was 62.5% at 5 years; no patients developed second malignant neoplasms within the radiation fields. For the seven patients who did not receive radiotherapy, the overall survival was 28.6% at 5 years.

conclusionsCSI (23.4 Gy) alone or in conjunction with intraventricular RIT may have clinical utility in eliminating persistent MRD post HDC-ASCT, contributing to improved disease-free survival in patients with CNS RB. This treatment strategy merits evaluation in a prospective, multicenter clinical trial for patients with CNS metastatic RB.

Indexed as

Craniospinal IrradiationRadioimmunotherapyRetinoblastomaTransplantation, AutologousAdolescentAntineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsChildChild, PreschoolCombined Modality TherapyFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansInduction ChemotherapyInfantCNS metastatic retinoblastomacompartmental radioimmunotherapyradiotherapy

Identifiers

PMID39217426
PMCPMC12834254

What OpenQuestion holds

Textmetadata
LicenceTDM
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.