Evidence map›Paper›PMID 40295665›Full record

ArticleBJC reports2025

Case report of three patients with end-stage recurrent glioblastoma treated with meldonium.

Sandra Bien-Möller, Martin E Weidemeier, Josefine Radke, Jörg Baldauf, Stefan Engeli, Mladen V Tzvetkov, Henry W S Schroeder

Abstract read
In one paragraph

Article in BJC reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Sandra Bien-Möller *Department of General Pharmacology, University Medicine Greifswald, Greifswald, Germany. sandra.bien@med.uni-greifswald.de.ORCID http://orcid.org/0000-0002-0603-8953
Martin E Weidemeier *Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany. martin.weidemeier@med.uni-greifswald.de.ORCID http://orcid.org/0000-0002-3706-6551
Josefine RadkeInstitute of Pathology, University Medicine Greifswald, Greifswald, Germany.
Jörg BaldaufDepartment of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.
Stefan EngeliDepartment of Clinical Pharmacology, University Medicine Greifswald, Greifswald, Germany.
Mladen V TzvetkovDepartment of General Pharmacology, University Medicine Greifswald, Greifswald, Germany.
Henry W S SchroederDepartment of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma is the most aggressive primary brain tumor in adults. The prognosis is still very poor with a median survival time less than a year. A growing body of data supports the role for fatty acid oxidation (FAO) in the aggressive behavior of glioblastoma. We have previously shown that meldonium, an orally active compound that impairs FAO, caused significant growth reduction of glioblastoma in mice. Here, we report three cases of experimental meldonium-containing therapy in end-stage recurrent glioblastoma patients.

methodsThree end-stage glioblastoma patients, who had second relapse tumor progression after standard of care therapy, received 500 mg meldonium twice a day on the top of the existing therapy regimen. Tolerability and treatment outcomes were monitored.

resultsMeldonium was well tolerated by all three patients. One patient experienced long-term growth arrest and maintained clinically stable disease status, currently 24 months into treatment with meldonium. In contrast, the other two patients passed away.

conclusionsThe case reports presented here suggest good tolerability and the potential for meldonium to improve outcome in glioblastoma patients. Controlled clinical trials need to follow to evaluate systematically possible benefits from the integration of meldonium into standard glioblastoma treatment protocols.

Identifiers

PMID40295665
PMCPMC12037855

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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 Socratic graph.