Evidence map›Paper›PMID 39992790›Full record

Trial reportMolecular oncology2025

Plasma lipidomic and metabolomic profiles in high-grade glioma patients before and after 72-h presurgery water-only fasting.

Iris Divé, Lisa Hahnefeld, Katharina J Wenger, Donat Kögel, Joachim Steinbach, Gerd Geisslinger, Michael W Ronellenfitsch, Irmgard Tegeder

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Molecular oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04461938 (Characterization of Metabolic Changes in the Glioma Tumor Tissue Induced by Transient Fasting), which is not on this map. Cited by 3 papers.

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

NCT04461938 naactive not recruitingnot on this map

Characterization of Metabolic Changes in the Glioma Tumor Tissue Induced by Transient Fasting (ERGO3)

TypeinterventionalSponsorGoethe UniversityRan2020 to 2025Enrolled30ConditionsGlioma, MixedArmsFasting
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  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

8 authors.

Iris DivéDr. Senckenberg Institute of Neurooncology, Goethe University Frankfurt, University Hospital, Germany.ORCID https://orcid.org/0000-0003-1096-5626
Lisa HahnefeldInstitute for Clinical Pharmacology, Faculty of Medicine, Goethe University Frankfurt, Germany.ORCID https://orcid.org/0000-0002-0382-5695
Katharina J WengerCenter for Personalized Translational Epilepsy Research (CePTER), Goethe-University Frankfurt, University Hospital, Germany.ORCID https://orcid.org/0000-0002-8640-6858
Donat KögelUniversity Cancer Center Frankfurt (UCT), Goethe University Frankfurt, University Hospital, Germany.ORCID https://orcid.org/0000-0003-1209-0210
Joachim SteinbachDr. Senckenberg Institute of Neurooncology, Goethe University Frankfurt, University Hospital, Germany.ORCID https://orcid.org/0000-0002-4695-2483
Gerd GeisslingerInstitute for Clinical Pharmacology, Faculty of Medicine, Goethe University Frankfurt, Germany.ORCID https://orcid.org/0000-0003-0552-7488
Michael W RonellenfitschDr. Senckenberg Institute of Neurooncology, Goethe University Frankfurt, University Hospital, Germany.ORCID https://orcid.org/0000-0002-1402-6290
Irmgard TegederInstitute for Clinical Pharmacology, Faculty of Medicine, Goethe University Frankfurt, Germany.ORCID https://orcid.org/0000-0001-7524-8025

Funding

Deutsche Forschungsgemeinschaft 445757098Deutsche Forschungsgemeinschaft CRC1039 A03Deutsche Forschungsgemeinschaft CRC1039 Z01Deutsche Forschungsgemeinschaft KO 1898/14-1Deutsche Forschungsgemeinschaft TE 322/11-1LOEWE CePTER Center for Personalized Translational Epilepsy Research
6 · The paper itself

Abstract

Glioblastoma (GB) is the most aggressive primary brain tumor with poor prognosis despite multimodal therapy. Calorie-restricted diets have emerged as putative strategies to augment anticancer therapies. We employed UHPLC-high-resolution mass spectrometry analyses of plasma lipids and polar metabolites to assess the systemic metabolic effects of a 72-h preoperative fasting period in IDH-wild-type glioma patients (n = 9 GB and n = 1 diffuse pediatric-type high-grade H3/IDH-wildtype) who participated in the prospective ERGO3 trial (NCT04461938). Fasting reduced lysophosphatidylcholines (LPC, LPC-O), lysophosphatidylethanolamines (LPE, LPE-O), and increased free fatty acids and carnitines. Triglyceride (TG) profiles shifted from short-chain TGs (42-48 C-atoms) to very long-chain TGs (58-60 C-atoms) indicating an exploitation of neutral lipid stores. Branched-chain amino acids, aminobutyric acid, and uric acids were increased, and glucose reduced after fasting. The effects of fasting were comparable in men and women. To our knowledge, this is the first study that evaluated the effects of fasting on systemic lipid/metabolite levels in GB patients. Our results may hold promise for integrating fasting interventions as a component of a potential metabolic tumor therapy.

Indexed as

Brain NeoplasmsFastingGliomaLipidomicsLipidsMetabolomeMetabolomicsAdultFemaleHumansMaleMiddle AgedNeoplasm GradingLipidsfastingglioblastomalipidomiclysophosphatidylcholinesmetabolomicplasma

Identifiers

PMID39992790
PMCPMC12330934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.