Evidence map›Paper›PMID 41258619›Full record

ArticleJournal of neuro-oncology2025

Effects of temozolomide dosing on outcome in glioblastoma.

Anuradha Raghu, Sofia Killar, Adam L Cohen

Abstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Obstacles and Trials in Treating Primary Brain Tumors.International journal of molecular sciences · 2026
    Review
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

3 authors.

Anuradha RaghuUniversity of Virginia School of Medicine, Charlottesville, USA.ORCID https://orcid.org/0009-0005-8572-8889
Sofia KillarVirginia Polytechnic Institute and State University, Blacksburg, USA.
Adam L CohenDivision of Oncology, Inova Schar Cancer Institute, 8081 Innovation Park Drive, Fairfax, VA, 22031, USA. adam.cohen@inova.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTemozolomide (TMZ) with concomitant radiation is the standard therapy for treating glioblastomas (GBM) and is dosed based on body surface area (BSA) using a goal dose of 75 mg/m

methodsWe conducted a single-center retrospective review of 380 patients with GBM from 2013 to 2024. Relevant data was extracted from electronic medical records. Kaplan-Meier curves and Cox regression models were used to determine survival outcomes.

resultsNo significant impact on survival outcomes was observed when distance from the calculated temozolomide dose was analyzed as a continuous variable (p = 0.156), adjusting for MGMT, the extent of resection, radiation fractions, and Karnofsky performance scores (KPS). Even limited to just MGMT-methylated tumors, TMZ dose did not affect survival. BMI had no impact on survival outcomes. Our subgroup analysis revealed that patients with MGMT-methylated tumors, total resection, higher KPS, and ≥ 30 radiation fractions had improved survival (p < 0.01). Dose interruptions were not more likely with doses above 75 mg/m

conclusionRounding temozolomide doses does not significantly impact survival outcomes or risk of treatment interruptions for patients with GBM. These findings may allow neuro-oncologists to prioritize reducing pill burden and treatment costs without compromising patient outcomes.

Indexed as

Antineoplastic Agents, AlkylatingBrain NeoplasmsGlioblastomaTemozolomideAdultAgedDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSurvival RateTreatment OutcomeAntineoplastic Agents, AlkylatingTemozolomideAntineoplastic protocolsDose-response relationship, drugGlioblastomaTemozolomide

Identifiers

PMID41258619
PMCPMC12630223

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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.