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@ARTICLE{Hertler:276424,
author = {C. Hertler and J. Felsberg and D. Gramatzki and E. Le Rhun
and J. Clarke and R. Soffietti and W. Wick$^*$ and O. Chinot
and F. Ducray and P. Roth and K. McDonald and P. Hau and A.
F. Hottinger and J. Reijneveld and O. Schnell and C. Marosi
and M. Glantz and A. Darlix and G. Lombardi and D. Krex$^*$
and M. Glas$^*$ and D. A. Reardon and M. van den Bent and F.
Lefranc and U. Herrlinger and E. Razis and A. F. Carpentier
and S. Phillips and R. Rudà and A. Wick and E. Tabouret and
D. Meyronet and C.-A. Maurage and E. Rushing and R. Rapkins
and E. Bumes and M. Hegi and A. Weyerbrock and D. Aregawi
and C. Gonzalez-Gomez and A. Pellerino and M. Klein and M.
Preusser and M. Bendszus and V. Golfinopoulos and A. von
Deimling$^*$ and T. Gorlia and P. Y. Wen and G.
Reifenberger$^*$ and M. Weller},
title = {{L}ong-term survival with {IDH} wildtype glioblastoma:
first results from the {ETERNITY} {B}rain {T}umor {F}unders'
{C}ollaborative {C}onsortium ({EORTC} 1419).},
journal = {European journal of cancer},
volume = {189},
issn = {0014-2964},
address = {Amsterdam [u.a.]},
publisher = {Elsevier},
reportid = {DKFZ-2023-01107},
pages = {112913},
year = {2023},
note = {Volume 189, August 2023, 112913},
abstract = {Median survival with glioblastoma remains in the range of
12 months on population levels. Only few patients survive
for more than 5 years. Patient and disease features
associated with long-term survival remain poorly
defined.European Organization for Research and Treatment of
Cancer (EORTC) 1419 (ETERNITY) is a registry study supported
by the Brain Tumor Funders Collaborative in the US and the
EORTC Brain Tumor Group. Patients with glioblastoma
surviving at least 5 years from diagnosis were identified at
24 sites in Europe, US, and Australia. In patients with
isocitrate dehydrogenase (IDH) wildtype tumours, prognostic
factors were analysed using the Kaplan-Meier method and the
Cox proportional hazards model. A population-based reference
cohort was obtained from the Cantonal cancer registry
Zurich.At the database lock of July 2020, 280 patients with
histologically centrally confirmed glioblastoma (189 IDH
wildtype, 80 IDH mutant, 11 incompletely characterised) had
been registered. In the IDH wildtype population, median age
was 56 years (range 24-78 years), 96 patients $(50.8\%)$
were female, 139 patients $(74.3\%)$ had tumours with
O6-methylguanine DNA methyltransferase (MGMT) promoter
methylation. Median overall survival was 9.9 years $(95\%$
confidence interval $[95\%$ CI] 7.9-11.9). Patients without
recurrence experienced longer median survival (not reached)
than patients with one or more recurrences (8.92 years) (p <
0.001) and had a high rate $(48.8\%)$ of MGMT
promoter-unmethylated tumours.Freedom from progression is a
powerful predictor of overall survival in long-term
survivors with glioblastoma. Patients without relapse often
have MGMT promoter-unmethylated glioblastoma and may
represent a distinct subtype of glioblastoma.},
keywords = {IDH (Other) / MGMT (Other) / Outcome (Other) / Prognosis
(Other) / Registry (Other) / Wildtype (Other)},
cin = {B320 / B300 / DD01 / ED01},
ddc = {610},
cid = {I:(DE-He78)B320-20160331 / I:(DE-He78)B300-20160331 /
I:(DE-He78)DD01-20160331 / I:(DE-He78)ED01-20160331},
pnm = {312 - Funktionelle und strukturelle Genomforschung
(POF4-312)},
pid = {G:(DE-HGF)POF4-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37277265},
doi = {10.1016/j.ejca.2023.05.002},
url = {https://inrepo02.dkfz.de/record/276424},
}