Evidence map›Paper›PMID 39387386›Full record

GuidelineNeuro-oncology2025

Updated EANO guideline on rational molecular testing of gliomas, glioneuronal, and neuronal tumors in adults for targeted therapy selection-Update 1.

Martin J van den Bent, Enrico Franceschi, Mehdi Touat, Pim J French, Ahmed Idbaih, Giuseppe Lombardi, Roberta Rudà, Leonille Schweizer, David Capper, Marc Sanson and 9 more

Abstract readReviewPractice Guideline
In one paragraph

Guideline in Neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. FET-PETTranslational cancer research · 2026
    Article
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  10. Clinical potential of [European journal of nuclear medicine and molecular imaging · 2026
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  18. Article
  19. Review
  20. Central Nervous System Tumors in Adolescents and Young Adults.Current neurology and neuroscience reports · 2025
    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

19 authors.

Martin J van den BentBrain Tumor Center at Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0001-5710-5127
Enrico FranceschiNervous System Medical Oncology Department, IRCCS Istituto delle Scienze Neurologiche di Bologna, AUSL di Bologna, Via Altura 3, Bologna, Italy.ORCID 0000-0001-9332-4677
Mehdi TouatSorbonne Université, Inserm, CNRS, UMR S 1127, Institut du Cerveau, ICM, AP-HP, Hôpitaux Universitaires La Pitié Salpêtrière - Charles Foix, Service de Neuro-oncologie, Paris, France.ORCID 0000-0002-5910-7799
Pim J FrenchBrain Tumor Center at Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0002-0668-9529
Ahmed IdbaihSorbonne Université, AP-HP, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Hôpitaux Universitaires La Pitié Salpêtière - Charles Foix, DMU Neurosciences, Service de Neuro-Oncologie, Paris, France.ORCID 0000-0001-5290-1204
Giuseppe LombardiOncologia 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.ORCID 0000-0003-1316-2132
Roberta RudàDivision of Neuro-Oncology, Department of Neuroscience, University of Turin, Turin, Italy.
Leonille SchweizerFrankfurt Cancer Institute (FCI), Frankfurt am Main, Germany.ORCID 0000-0002-4649-2587
David CapperGerman Cancer Consortium (DKTK), Partner Site Berlin, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-1945-497X
Marc SansonSorbonne Université, Inserm, CNRS, UMR S 1127, Institut du Cerveau, ICM, AP-HP, Hôpitaux Universitaires La Pitié Salpêtrière - Charles Foix, Service de Neuro-oncologie, Paris, France.ORCID 0000-0002-1813-8476
Pieter WesselingPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Michael WellerDepartment of Neurology, University Hospital and University of Zurich, Zurich, Switzerland.ORCID 0000-0002-1748-174X
Marica EoliSperimental Neuro-Oncology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta Milan, Italy.ORCID 0000-0003-4744-9377
Elena AnghileriNeuro-oncology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta Milan, Italy.ORCID 0000-0001-7383-3108
Franck BielleSorbonne Université, AP-HP, Institut-du Cerveau - Paris Brai- Institute - ICM, Inserm, CNRS, Hôpitaux Universitaires La Pitié -Salpêtrière - Charles Foix, DMU Neurosciences, Département de Neuropathologie, Paris, France.ORCID 0000-0001-6564-6388
Phillipp EuskirchenGerman Cancer Consortium (DKTK), Partner Site Berlin, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Marjolein GeurtsBrain Tumor Center at Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-2369-0035
Patrick Y WenCenter For Neuro-Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-0774-7700
Matthias PreusserDivision of Oncology, Department of Medicine 1, Medical University, Vienna, Austria.ORCID 0000-0003-3541-2315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The standard of care for adult patients with gliomas, glioneuronal, and neuronal tumors consists of combinations of surgery, radiotherapy, and chemotherapy. For many systemic cancers, targeted treatments are a major part of the standard treatment; however, the predictive significance of most of the targets for treatment in systemic cancer is less well-established in central nervous system tumors. In 2023 the European Association for NeuroOncology (EANO) Guideline Committee presented evidence-based recommendations for rational testing of molecular targets for targeted treatments. From all targets reviewed, only testing for BRAF V600E mutations was of proven clinical benefit; despite regulatory approvals for tumor agnostic treatment of NTRK gene fusions and high tumor mutational burden (TMB) for patients with adult brain tumors, the evidence of clinical benefit for adult patients was still limited. This guideline has a modular structure, allowing regular updating of individual sections and adding new ones. The present version (Update 1) presents a review of the rationale of testing for PTEN, H3F3A, MTAP, RET and IDH, and presents an update of the text on TMB high and mismatch repair deficiency. It also presents an overview of the therapeutic yield of routine next-generation sequencing for mutations and fusion detection. The Supplemental File II accompanying this version contains an in-depth review of all targets, whereas, in the main manuscript, the final recommendations of the revised and new targets are presented. Updates will be made on a regular basis.

Indexed as

Biomarkers, TumorBrain NeoplasmsGliomaMolecular Targeted TherapyAdultHumansMutationBiomarkers, Tumordiffuse gliomaEANO guideline(glio)neuronal tumorsIDHtargeted treatment

Identifiers

PMID39387386
PMCPMC11812046

What OpenQuestion holds

Textmetadata
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.