Evidence map›Paper›PMID 41348255›Full record

SynthesisJournal of neuro-oncology2025

Enhancing radiation sensitivity in malignant brain tumors with chloroquine: a systematic review.

Paul M Harary, Yusuke S Hori, Shreyas Annagiri, Koki Abe, Yuki Tatekoshi, Ryusuke Hosoda, Yukika Saga, David J Park, Atsushi Kuno, Steven D Chang

Abstract readSystematic Review
PubMed Publisher
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 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. 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

10 authors.

Paul M HararyDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-4683-2115
Yusuke S HoriDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA. yshori@stanford.edu.ORCID http://orcid.org/0000-0001-9921-6810
Shreyas AnnagiriDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Koki AbeDepartment of Pharmacology, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
Yuki TatekoshiDepartment of Pharmacology, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.ORCID http://orcid.org/0000-0001-7345-0158
Ryusuke HosodaDepartment of Pharmacology, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
Yukika SagaDepartment of Pharmacology, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
David J ParkDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-9858-2592
Atsushi KunoDepartment of Pharmacology, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan. kuno@sapmed.ac.jp.ORCID http://orcid.org/0000-0001-6873-1297
Steven D ChangDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA. sdchang@stanford.edu.ORCID http://orcid.org/0000-0002-4315-681X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChloroquine (CQ) has been studied for over 50 years as a potential adjuvant to cancer therapy. However, clinical studies investigating CQ combined with radiotherapy for brain tumors have yielded conflicting results. We aimed to synthesize existing evidence on the safety and efficacy of adjuvant CQ with radiotherapy for treatment of high-grade gliomas (HGG) and brain metastases.

methodsWe conducted a systematic review using the PubMed, Embase, Scopus, and Web of Science databases with no date restrictions. We included English-language clinical studies (n ≥ 5 patients) that evaluated the combination of CQ or its analogues with radiotherapy for HGG or brain metastases and reported overall survival (OS) outcomes. Pre-clinical studies and reviews were excluded.

resultsWe identified 13 eligible studies with 789 patients. Across both HGG and brain metastases, the median CQ dose was 250 mg daily, with whole-brain radiotherapy as the most common radiotherapy modality. For HGG, 3 out of 8 controlled trials reported significant benefit from treatment, with median survival ranging from 7.9 to 36.6 months. By comparison, only a single study of brain metastases found significantly improved progression-free survival relative to control. The safety profile of adjuvant CQ was generally favorable, with mild adverse effects reported in both patient populations.

conclusionsFor HGG, CQ combined with radiotherapy shows promise but modest, inconsistent survival benefits. For brain metastases, evidence is limited and less favorable, with no consistent benefit across tumor types or study designs. Adverse events are generally mild, though most studies used low CQ doses and long‑term safety remains uncertain.

Indexed as

Brain NeoplasmsChloroquineGliomaRadiation-Sensitizing AgentsRadiation ToleranceHumansChloroquineRadiation-Sensitizing AgentsAutophagyBrain metastasesChloroquineHigh-grade gliomaRadiosensitivityRadiotherapy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.