Evidence map›Paper›PMID 39549128›Full record

ArticleJournal of neuro-oncology2025

The clinical impact of EGFR alterations in elderly glioblastoma patients: results from a real-life cohort.

Séréna Pulcini, Ludivine Beaussire-Trouvay, Florent Marguet, Pierre-Julien Viailly, Olivier Langlois, Cristina Alexandru, Isabelle Tennevet, Fréderic Di Fiore, Nasrin Sarafan-Vasseur, Maxime Fontanilles

Abstract readMulticenter Study
In one paragraph

Article in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Pooled it
  2. Review
  3. 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

10 authors.

Séréna PulciniDepartment of Oncology, Comprehensive Cancer Centre Henri Becquerel, Rouen, France.
Ludivine Beaussire-TrouvayNormandie Univ, UNIROUEN, INSERM U1245 Brain and Cancer Genomics, IRON Group, Rouen, France.
Florent MarguetDepartment of Pathology, Rouen University Hospital, Normandie Univ, UNIROUEN, INSERM U1245 Brain and Cancer Genomics, Rouen, France.
Pierre-Julien ViaillyDepartment of Pathology, Comprehensive Cancer Centre Henri Becquerel, Rouen, France.
Olivier LangloisDepartment of Neurosurgery, Rouen University Hospital, Rouen, France.
Cristina AlexandruDepartment of Oncology, Comprehensive Cancer Centre Henri Becquerel, Rouen, France.
Isabelle TennevetDepartment of Oncology, Comprehensive Cancer Centre Henri Becquerel, Rouen, France.
Fréderic Di FioreDepartment of Oncology, Comprehensive Cancer Centre Henri Becquerel, Rouen, France.
Nasrin Sarafan-Vasseur *Normandie Univ, UNIROUEN, INSERM U1245 Brain and Cancer Genomics, IRON Group, Rouen, France.
Maxime Fontanilles *Department of Oncology, Comprehensive Cancer Centre Henri Becquerel, Rouen, France. maxime.fontanilles@chb.unicancer.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of glioblastoma in the elderly population is increasing as the worldwide population ages. The differential and poorer survival in the elderly population compared to younger patients is partially explained. The present study aimed to investigate the clinical impact of epidermal growth factor receptor EGFR-altered glioblastoma in a real-life elderly glioblastoma population. PATIENTS AND

methodsA bicentric and retrospective study was conducted. Patients were 70 years or older and suffering from histomolecularly confirmed glioblastoma. Single nucleotide variants (SNV), amplification, or chromosome 7 polysomy were sought. The primary endpoint was the comparison of overall survival (OS) in patients with or without EGFR alteration. Secondary objectives were to determine other clinical parameters correlated with EGFR alteration status.

resultsSeventy-three patients were analyzed: 41.1% had at least one EGFR alteration. The presence of EGFR alteration did not impact overall survival: HR 0.97 [0.6-1.57], p = 0.9; the median overall survival was 6.5 months [5.3-9.3] in the EGFR-altered group versus 7 months [4.5-10] in the EGFR wild-type group, p = 0.75. In multivariate analysis, tumor resection was associated with a significant overall survival improvement: the median OS in the resected group (n = 20) was 11 months [95% CI 7.8-22] versus a median OS of 5.5 months [4.6-7.8] in the unresected group (n = 53), without correlation to EGFR alteration status.

conclusionIn the modern era of molecular characterization and improved treatment modalities, the presence of at least one EGFR alteration did not influence survival outcomes in an elderly population of glioblastoma patients.

Indexed as

Brain NeoplasmsErbB ReceptorsGlioblastomaMutationAgedAged, 80 and overFemaleFollow-Up StudiesHumansMalePolymorphism, Single NucleotidePrognosisRetrospective StudiesSurvival RateEGFR protein, humanErbB ReceptorsEGFRElderlyGene amplificationGlioblastomaSurvival

Identifiers

PMID39549128
PMCPMC11729081

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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.