Evidence map›Paper›PMID 39527919›Full record

ArticleJournal of pediatric hematology/oncology2025

Retrospective Comparison of Targeted Anticancer Drugs Predicted by the CNS-TAP Tool Versus Those Selected by a Molecularly Driven Tumor Board in Children With DIPG.

Holly J Roberts, Karthik Ravi, Bernard L Marini, Allison Schepers, Cassie Kline, Lindsay Kilburn, Michael Prados, Sara A Byron, Julie Sturza, Sabine Mueller and 2 more

Abstract readComparative Study
In one paragraph

Article in Journal of pediatric hematology/oncology, 2025. 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. 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.

Holly J RobertsBoston Children's Hospital, Boston, MA.
Karthik RaviStanford Medicine, Palo Alto.
Bernard L MariniDepartment of Clinical Pharmacy and Pharmacy Services, University of Michigan.
Allison SchepersDepartment of Clinical Pharmacy and Pharmacy Services, University of Michigan.
Cassie KlineChildren's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Lindsay KilburnChildren's National Health System, Washington, DC.
Michael PradosDepartments of Neurosurgery and Pediatrics.ORCID 0000-0002-9630-2075
Sara A ByronTranslational Genomics Research Institute, Phoenix, AZ.
Julie SturzaUniversity of Michigan Medical School, Ann Arbor, MI.
Sabine MuellerNeurology, Neurosurgery, and Pediatrics, San Francisco School of Medicine, University of California, San Francisco, CA.
Carl KoschmannUniversity of Michigan Medical School, Ann Arbor, MI.
Andrea T FransonUniversity of Michigan Medical School, Ann Arbor, MI.ORCID 0000-0002-5361-7683

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
The role of ATRX mutation in the epigenetic dysregulation of cell cycle in pediatric high-grade gliomaR01NS119231 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KOSCHMANN, CARL J · 2021 to 2025
$1.9M
NCI NIH HHS P30 CA046592NINDS NIH HHS R01 NS119231
6 · The paper itself

Abstract

The recent trial Pediatric Neuro-Oncology Consortium 003 (PNOC003) utilized a molecular tumor board to recommend personalized treatment regimens based on tumor sequencing results in children with DIPG. We separately developed the Central Nervous System Targeted Agent Prediction (CNS-TAP) tool, which numerically scores targeted anticancer agents using preclinical, clinical, and patient-specific data. We hypothesized that highly scored agents from CNS-TAP would overlap with the PNOC003 tumor board's recommendations. For each of the 28 participants, actionable genetic alterations were derived from PNOC003 genomic reports and input to CNS-TAP to identify the highest scoring agents. These agents were then compared with PNOC003 recommendations, with a resultant concordance percentage calculated. Overall, 38% of the total agents recommended by the tumor board were also selected by CNS-TAP, with higher concordance (63%) in a subanalysis including only targeted anticancer agents. Furthermore, nearly all patients (93%) had at least 1 drug chosen by both methods. We demonstrate overlap between agents recommended by CNS-TAP and PNOC003 tumor board, though this does not appear to improve survival. We do observe some discordance, highlighting strengths and limitations of each method. We propose that a combination of expert opinion and data-driven tools may improve targeted treatment recommendations for children with DIPG.

Indexed as

Antineoplastic AgentsAdolescentBrain Stem NeoplasmsChildChild, PreschoolDiffuse Intrinsic Pontine GliomaFemaleHumansMaleMolecular Targeted TherapyPrecision MedicineRetrospective StudiesAntineoplastic Agents

Identifiers

PMID39527919
PMCPMC11676589

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.