Evidence map›Paper›PMID 39796675›Full record

ArticleCancers2024

Regorafenib Treatment for Recurrent Glioblastoma Beyond Bevacizumab-Based Therapy: A Large, Multicenter, Real-Life Study.

Salih Tünbekici, Haydar Cagatay Yuksel, Caner Acar, Gökhan Sahin, Seval Orman, Nargiz Majidova, Alper Coskun, Mustafa Seyyar, Mehmet Sıddık Dilek, Mahmut Kara and 16 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

26 authors.

Salih TünbekiciDepartment of Medical Oncology, Ege University Medical Faculty, Izmir 35040, Turkey.ORCID 0000-0001-8804-7636
Haydar Cagatay YukselDepartment of Medical Oncology, Ege University Medical Faculty, Izmir 35040, Turkey.ORCID 0000-0001-8857-2983
Caner AcarDepartment of Medical Oncology, Ege University Medical Faculty, Izmir 35040, Turkey.ORCID 0000-0002-9782-6807
Gökhan SahinDepartment of Medical Oncology, Ege University Medical Faculty, Izmir 35040, Turkey.
Seval OrmanDepartment of Medical Oncology, Kartal Dr. Lütfi Kirdar City Hospital, Health Science University, Cevizli, D-100 Güney Yanyol, Cevizli Mevkii No:47, Kartal, Istanbul 34865, Turkey.
Nargiz MajidovaDepartment of Medical Oncology, School of Medicine, Marmara University, Istanbul 34899, Turkey.ORCID 0000-0002-2575-5819
Alper CoskunDepartment of Medical Oncology, Uludağ University, Bursa 16059, Turkey.ORCID 0000-0003-2444-6587
Mustafa SeyyarDepartment of Medical Oncology, Gaziantep City Hospital, Gaziantep 27470, Turkey.ORCID 0000-0002-4841-7994
Mehmet Sıddık DilekMedical Oncology, Medical School, Dicle University, Diyarbakir 21280, Turkey.
Mahmut KaraDepartment of Medical Oncology, Yuzuncu Yil University Faculty of Medicine, Van 65090, Turkey.
Ahmet Kursat DıslıDepartment of Medical Oncology, Erciyes University Faculty of Medicine, Kayseri 38030, Turkey.
Teyfik DemirDepartment of Medical Oncology, Ondokuz Mayis University Faculty of Medicine, Samsun 55270, Turkey.
Nagihan KolkıranDepartment of Medical Oncology, Celal Bayar University Faculty of Medicine, Manisa 45030, Turkey.ORCID 0000-0001-9344-7212
Mustafa SahbazlarDepartment of Medical Oncology, Celal Bayar University Faculty of Medicine, Manisa 45030, Turkey.
Erkut DemırcılerDepartment of Medical Oncology, 9 Eylül University Faculty of Medicine, Izmir 35220, Turkey.ORCID 0000-0001-9747-3784
Fatih KuşDepartment of Medical Oncology, Hacettepe University Cancer Institute, Ankara 06230, Turkey.
Ali AytacDepartment of Medical Oncology, Mehmet Akif İnan Training and Research Hospital, Sanlıurfa 63040, Turkey.
Serkan MenekseDepartment of Medical Oncology, Manisa City Hospital, Manisa 45040, Turkey.
Hakan YucelDepartment of Medical Oncology, School of Medicine, Gaziantep University, Gaziantep 27580, Turkey.
Sedat BiterDepartment of Medical Oncology, Cukurova University, Adana 01790, Turkey.ORCID 0000-0002-1053-0668
Tolga KoseciDepartment of Medical Oncology, Cukurova University, Adana 01790, Turkey.
Ahmet UnsalDepartment of Medical Oncology, Gumushane State Hospital, Gumushane 29000, Turkey.ORCID 0000-0001-8625-0761
Ahmet OzverenMedical Oncology, Department MD, İzmir Kent Hospital, Izmir 35620, Turkey.
Alper SevıncMedical Oncology, Medical Park Gaziantep Hospital, Gaziantep 27090, Turkey.
Erdem GokerDepartment of Medical Oncology, Ege University Medical Faculty, Izmir 35040, Turkey.
Pınar GürsoyDepartment of Medical Oncology, Ege University Medical Faculty, Izmir 35040, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesIn the REGOMA trial, regorafenib demonstrated an overall survival advantage over lomustine, and it has become a recommended treatment for recurrent glioblastoma in guidelines. This study aimed to evaluate the effectiveness and safety of regorafenib as a third-line treatment for patients with recurrent glioblastoma who progressed while taking bevacizumab-based therapy.

methodsThis retrospective, multicenter study in Turkey included 65 patients treated between 2021 and 2023 across 19 oncology centers. The main inclusion criteria were histologically confirmed isocitrate dehydrogenase (IDH)-wildtype glioblastoma, progression after second-line bevacizumab-based treatment, and an Eastern Cooperative Oncology Group (ECOG) performance status score of ≤2. Patients received regorafenib 160 mg once daily for the first 3 weeks of each 4-week cycle.

resultsThe median age of the patients was 53 years (18-67 years), with a median progression-free survival of 2.5 months (95% Confidence Interval: 2.23-2.75) and a median overall survival of 4.1 months (95% CI: 3.52-4.68). The median overall survival was improved in patients who received subsequent therapy after regorafenib treatment compared with those who did not (

conclusionsRegorafenib shows good efficacy and safety as a third-line treatment for recurrent glioblastoma after bevacizumab-based therapy. This study supports the use of regorafenib and emphasizes the need for further randomized studies to validate its role and optimize treatment strategies.

Indexed as

efficacyreal-worldrecurrent glioblastomaregorafenibsafetytargeted therapy

Identifiers

PMID39796675
PMCPMC11718784

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.