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ArticleRadiation oncology (London, England)2025

Neurocognitive impact of different irradiation modalities for patients with grade I-II skull base meningioma: a prospective multi-arm cohort study (CANCER COG).

Paul Lesueur, Florence Joly, Benedicte Clarisse, Justine Lequesne, Dinu Stefan, Jacques Balosso, Marie Lange, Sebastien Thureau, Aurelie Capel, Marie Castera and 6 more

Erratum issued Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Radiation oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06036706 (Neurocognitive Impact of Different Irradiation Modalities for Patients With Grade I-II Skull Base Meningioma), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06036706 narecruitingnot on this map

Neurocognitive Impact of Different Irradiation Modalities for Patients With Grade I-II Skull Base Meningioma: A Prospective Multi-Arm Cohort Study

TypeinterventionalSponsorCentre Francois BaclesseRan2023 to 2039Enrolled108ConditionsMeningioma, Radiation ToxicityArmsNormo-fractionated intensity-modulated brain irradiation with or without stereotactic positioning, Hypo-fractionated stereotactic brain irradiation, Normo-fractionated proton therapy brain irradiation, Cognitive assessment by a trained neuropsychologis
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Paul LesueurDepartment of Radiation Oncology, François Baclesse center, Caen, 14000, France. paul.lesueur89@gmail.com.
Florence JolyDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Benedicte ClarisseDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Justine LequesneDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Dinu StefanDepartment of Radiation Oncology, François Baclesse center, Caen, 14000, France.
Jacques BalossoDepartment of Radiation Oncology, François Baclesse center, Caen, 14000, France.
Marie LangeDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Sebastien ThureauDepartment of Radiation Oncology, Henri Becquerel Center, Rouen, 76000, France.
Aurelie CapelDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Marie CasteraDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Berenice LegrandDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Nicolas GoliotDepartment of Radiation Oncology, François Baclesse center, Caen, 14000, France.
Jean Michel GrellardDepartment of Clinical research, François Baclesse Center, Caen, 14000, France.
Thomas TessonnierHeidelberg Ion Beam Therapy Center (HIT), Department of radiation Oncology, Heidelberg university Hospital, 69120, Heidelberg, Germany.
Helene CastelINSERM U1245, Université de Rouen Normandie, Rouen, 76000, France.
Samuel ValableISTCT UMR 6030-CNRS, Université de Caen-Normandie, Caen, France.

Funding

European Regional Development Fund 19P02809 / 19E00844
6 · The paper itself

Abstract

backgroundRadiotherapy as a complement or an alternative to neurosurgery has a central role in the treatment of skull base grade I-II meningiomas. Radiotherapy techniques have improved considerably over the last two decades, becoming more effective and sparing more and more the healthy tissue surrounding the tumour. Currently, hypo-fractionated stereotactic radiotherapy (SRT) for small tumours and normo-fractionated intensity-modulated radiotherapy (IMRT) or proton-therapy (PT) for larger tumours are the most widely used techniques. It is expected a decrease of the risk of cognitive impairment with these modern techniques. However prospective data about cognitive long-term consequences of partial brain irradiation with SRT, PT, or IMRT remain very scarce to date.

methodsCANCER COG is one of the first multicentric study in the world to prospectively assess the cognitive performances of patients following different modalities of cerebral radiotherapy (stereotactic radiotherapy, proton therapy, intensity modulated radiotherapy) for the treatment of grade I-II skull base meningioma, up to at least 10 years after the end of radiotherapy. This longitudinal study includes the follow-up of 3 cohorts, including: patients treated with PRT, IMRT, and SRT. An additionally control group will be formed. The primary objective is to report long-term cognitive deterioration in each cohort until 10 years after the end of irradiation. The rate of clinical symptomatology improvement over time after irradiation, the evolution of health-related quality-of-life, anxiety/depression, fatigue, over time after irradiation, the tumoral local control after irradiation, the progression-free survival (PFS), the professional reintegration for working-age patients will also be assessed. CANCER COG aims to help clinicians to choose the best irradiation techniques with the best benefit/risk ratio. Inclusions started on september 2023.

trial registrationThe study was registered on clinicaltrials.gov with the following number: NCT06036706.

Indexed as

CognitionMeningeal NeoplasmsMeningiomaRadiosurgeryRadiotherapy, Intensity-ModulatedSkull Base NeoplasmsAdultCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm GradingProspective StudiesProton TherapyCognitionIrradiationMeningiomaProton therapySkull base

Identifiers

PMID39881369
PMCPMC11781042

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Registered trials

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.