Evidence map›Paper›PMID 40457103›Full record

SynthesisPituitary2025

Effect of antineoplastic drug therapies on carcinoma and aggressive pituitary tumors: a systematic review and meta-analysis.

Ana Beatriz Ribeiro Cardoso, Amanda Cristina Zimmermann, Gerald Raverot, Vania Dos Santos Nunes-Nogueira

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Pituitary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Ana Beatriz Ribeiro CardosoDepartment of Internal Medicine, São Paulo State University (UNESP), Medical School, Botucatu, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-4774-4093
Amanda Cristina ZimmermannDepartment of Internal Medicine, São Paulo State University (UNESP), Medical School, Botucatu, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-1226-556X
Gerald RaverotEndocrinology Department, Reference Center for Rare Pituitary Diseases HYPO, 'Groupement Hospitalier Est' Hospices Civils de Lyon, Bron, France.ORCID http://orcid.org/0000-0002-9517-338X
Vania Dos Santos Nunes-NogueiraDepartment of Internal Medicine, São Paulo State University (UNESP), Medical School, Botucatu, São Paulo, Brazil. vania.nunes-nogueira@unesp.br.ORCID http://orcid.org/0000-0001-9316-4167

Funding

FAPESP 2021/14151-7
6 · The paper itself

Abstract

purposeThis systematic review aims to evaluate tumor control outcomes associated with antineoplastic drug therapies used for aggressive pituitary tumors (APTs) and pituitary carcinomas (PCs).

methodsWe included studies on patients with PC or APT who received one of the following therapies: temozolomide (TMZ), peptide receptor radionuclide therapy (PRRT), everolimus, immune checkpoint inhibitors (ICIs), lapatinib, bevacizumab, capecitabine plus temozolomide (CAPTEM). Search strategies were applied to MEDLINE, EMBASE, LILACS and CENTRAL. Two independent reviewers selected studies, assessed the risk of bias, and extracted data. Proportional meta-analyses were used to calculate overall frequencies of complete response (CR), partial response (PR), stable disease (SD), and progressive disease (PD).

resultsSeventy eight studies were included. TMZ was the most commonly used therapy, followed by ICIs, bevacizumab, PRRT, CAPTEM, lapatinib, and everolimus. Among 434 patients treated with TMZ in studies involving three or more participants, CR occurred in 4% (95% confidence interval [95% CI], 1-13), PR in 33% (95% CI, 28-37), SD in 32% (95% CI, 28-36), and PD in 29% (95% CI, 25-34). For ICIs, PR occurred in 24% (95% CI, 11-44), SD in 12% (95% CI, 4-31), and PD in 67% (95% CI, 24-93).

conclusionTMZ was the most frequently reported therapy, with PR as the predominant outcome. However, the limited data on ICIs, PRRT, bevacizumab, lapatinib, and everolimus yielded imprecise results, highlighting the need for further research with the aim of gaining more insights into treatment effects of antineoplastic drug therapies for APTs and PCs.

Indexed as

Antineoplastic AgentsPituitary NeoplasmsBevacizumabCapecitabineEverolimusHumansImmune Checkpoint InhibitorsTemozolomideAntineoplastic AgentsBevacizumabCapecitabineEverolimusImmune Checkpoint InhibitorsTemozolomideAggressive pituitary tumorsImmune checkpoint inhibitorsMeta-analysisPituitary carcinomasSystematic reviewTemozolomide

Identifiers

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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.