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100 1 _ |a Mackay, Alan
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245 _ _ |a Molecular, Pathological, Radiological, and Immune Profiling of Non-brainstem Pediatric High-Grade Glioma from the HERBY Phase II Randomized Trial.
260 _ _ |a Cambridge, Mass.
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520 _ _ |a The HERBY trial was a phase II open-label, randomized, multicenter trial evaluating bevacizumab (BEV) in addition to temozolomide/radiotherapy in patients with newly diagnosed non-brainstem high-grade glioma (HGG) between the ages of 3 and 18 years. We carried out comprehensive molecular analysis integrated with pathology, radiology, and immune profiling. In post-hoc subgroup analysis, hypermutator tumors (mismatch repair deficiency and somatic POLE/POLD1 mutations) and those biologically resembling pleomorphic xanthoastrocytoma ([PXA]-like, driven by BRAF_V600E or NF1 mutation) had significantly more CD8+ tumor-infiltrating lymphocytes, and longer survival with the addition of BEV. Histone H3 subgroups (hemispheric G34R/V and midline K27M) had a worse outcome and were immune cold. Future clinical trials will need to take into account the diversity represented by the term 'HGG' in the pediatric population.
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700 1 _ |a Izquierdo, Elisa
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700 1 _ |a Brouwer-Visser, Jurriaan
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700 1 _ |a Giangaspero, Felice
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700 1 _ |a Haberler, Christine
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700 1 _ |a Pietsch, Torsten
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700 1 _ |a Jacques, Thomas S
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700 1 _ |a Raman, Pichai
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700 1 _ |a Waanders, Angela J
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700 1 _ |a Resnick, Adam C
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700 1 _ |a Massimino, Maura
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700 1 _ |a Garrè, Maria Luisa
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700 1 _ |a Würdinger, Thomas
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700 1 _ |a Tam, Rachel
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700 1 _ |a Garcia, Josep
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700 1 _ |a Thakur, Meghna Das
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700 1 _ |a Vassal, Gilles
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700 1 _ |a Grill, Jacques
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