Evidence map›Paper›PMID 41284071›Full record

SynthesisJournal of neuro-oncology2025

Diagnostic and predictive molecular biomarkers in brain tumors across the lifespan: an age-stratified consensus statement.

Angela Mastronuzzi, Enrico Franceschi, Federica D'Antonio, Elisa Bennicelli, Giulia Berzero, Eugenia Cella, Massimo Filippi, Gaetano Lanzetta, Enrico Marchioni, Claudia Milanaccio and 4 more

Abstract readConsensus StatementSystematic Review
In one paragraph

Synthesis 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

14 authors.

Angela Mastronuzzi *Department of Hematology/Oncology, Cell and Gene Therapy, Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Bambino Gesù Children's Hospital, Rome, Italy. angela.mastronuzzi@opbg.net.
Enrico Franceschi *Nervous System Medical Oncology Department, IRCCS Istituto delle Scienze Neurologiche di Bologna / AUSL di Bologna, Via Altura 3, 40139, Bologna, Italy.
Federica D'AntonioDepartment of Hematology/Oncology, Cell and Gene Therapy, Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Bambino Gesù Children's Hospital, Rome, Italy.
Elisa BennicelliMedical Oncology Unit 2, IRCCS Ospedale Policlinico San Martino, 16132, Genoa, Italy.
Giulia BerzeroNeurology Unit, IRCCS San Raffaele Hospital, Milan, Italy.
Eugenia CellaDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy.
Massimo FilippiNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Gaetano LanzettaDepartment of Medical Oncology and Palliative Care, Casa di Cura INI, Grottaferrata, Italy.
Enrico MarchioniNeuro-Oncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy.
Claudia MilanaccioNeuro-Oncology Unit, Department of Pediatric Hematology and Oncology, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Matteo SimonelliDepartment of Medical Oncology and Hematology, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Paola BiniNeuro-Oncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy.
Antonio SilvaniNeuro-Oncology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Andrea PaceNeuro-Oncology Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMolecular profiling has significantly advanced neuro-oncology, enabling the integration of biomarkers into the diagnosis and management of brain tumors. Precision medicine is emerging as a promising strategy; however, the marked heterogeneity of central nervous system tumors results in a low prevalence of actionable targets, limiting clinical applicability. Despite these challenges, ongoing progress in genetics and molecular biology offers new opportunities for targeted therapies. The incidence and clinical relevance of biomarkers vary across tumor types and age groups, reflecting the biological complexity of brain neoplasms throughout life.

methodsA multidisciplinary expert panel conducted a systematic review of the literature and developed a consensus statement addressing key predictive biomarkers across pediatric, adolescent and young adult (AYA), adult, and elderly populations. Evidence was evaluated for diagnostic, prognostic, and therapeutic relevance.

resultsClinical benefit from targeted therapies has been demonstrated for a limited number of alterations, including BRAF p.V600E, NTRK fusions, EGFR, H3 K27M, and IDH1/2 mutations, while several additional biomarkers remain under investigation. The consensus provides an age-stratified overview of these molecular alterations and discusses challenges such as variability in testing approaches, interpretation of variants of uncertain significance, and limited access to comprehensive molecular diagnostics.

conclusionBased on current evidence and expert opinion, the statement highlights the need for age-adapted testing strategies, multidisciplinary molecular tumor boards, and increased clinical trial availability for patients with rare or emerging biomarkers. These recommendations aim to support the implementation of precision medicine and improve outcomes across all age groups.

Indexed as

Biomarkers, TumorBrain NeoplasmsAdolescentAdultAge FactorsChildHumansPrognosisYoung AdultBiomarkers, TumorAge-stratified profilingBrain tumorsPrecision medicinePredictive and prognostic biomarkersTargeted therapy

Identifiers

PMID41284071
PMCPMC12644167

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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.