Evidence map›Paper›PMID 41276891›Full record

SynthesisCancer medicine2025

Induction Regimens in High-Risk Neuroblastoma: Systematic Review of Response Rates and Toxicities.

Samantha D Martin, Eva C Robinson, Edie Weller, Rochelle Bagatell, Lucas Moreno, Steven G DuBois

Abstract readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  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

6 authors.

Samantha D MartinDepartment of Pediatrics, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0009-0007-0516-3975
Eva C RobinsonBoston Children's Hospital, Biostatistics and Research Design Center (BARD), Boston, Massachusetts, USA.
Edie WellerBoston Children's Hospital, Biostatistics and Research Design Center (BARD), Boston, Massachusetts, USA.
Rochelle BagatellDepartment of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Lucas MorenoDepartment of Pediatric Oncology, Vall d'Hebron Hospital, Barcelona, Spain.
Steven G DuBoisDepartment of Pediatrics, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-0882-738X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous induction therapies have been evaluated for high-risk neuroblastoma (HRNBL). It is not known how these regimens' response rates nor toxicities compare. We aimed to describe and compare key features of HRNBL induction regimens and their associations with study-level end-induction response (EIR).

methodsWe performed a systematic review (PubMed) of prospective trials of frontline HRNBL therapy published January 1, 1995-October 31, 2024 that reported EIR. EIR was measured as partial response or better (PR+) per protocol response criteria.

results1395 unique titles were screened, yielding 95 abstracts. Of these, 29 publications evaluating 36 induction regimens met inclusion criteria, with a median of 64.5 patients (range: 7-652) per regimen. Median cycle number was 6 (range: 2-9), cycle length was 21 days (10-28), and total duration of induction was 18 weeks (11.4-36). An alkylator and a platinum agent were used in all regimens. Only six regimens (16.7%) included a novel agent. The median study level EIR rate (PR+) was 84.4% (64.3-100), with a weighted average by the number of participants of 79.4%. Study level EIR did not vary over time. Anthracycline-containing regimens had higher EIRs. Dose cisplatin intensity was negatively associated with EIR. The median toxic death rate was 0% (0-4.1).

conclusionsOver the past 30 years, induction regimens have relied heavily on conventional chemotherapy. Despite differences in agents, doses, and duration, study-level EIR rates have not improved over time. Future induction regimens incorporating novel agents will be crucial to improve EIR and reduce toxicities.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsInduction ChemotherapyNeuroblastomaHumansTreatment Outcome

Identifiers

PMID41276891
PMCPMC12640792

What OpenQuestion holds

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Registered trials

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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.