Evidence map›Paper›PMID 42006269›Full record

SynthesisFrontiers in endocrinology2026

Burosumab an emerging therapy in TIO: a local clinical survey and a systematic review with individual patient data analysis.

Anita Vergatti, Veronica Abate, Aquilino F Zarrella, Natalia Fieramosca, Gianpaolo De Filippo, Daniela Merlotti, Luigi Gennari, Ciro Menale, Lanfranco D'Elia, Domenico Rendina

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2026. 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.

Anita Vergatti *Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Veronica Abate *Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Aquilino F ZarrellaDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Natalia FieramoscaDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Gianpaolo De FilippoService de médecine interne et rhumatologie, Service de Santé des Armées, Hôpital National d'Instruction des Armées Percy, Clamart, France.
Daniela MerlottiDepartment of Medical Sciences, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Luigi GennariDepartment of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy.
Ciro MenaleDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Lanfranco D'EliaDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Domenico RendinaDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Burosumab, a recombinant antibody against fibroblast growth factor 23 (FGF23), is a new therapeutical option for Tumor induced osteomalacia (TIO). To estimate the clinical need and to evaluate the efficacy and safety of burosumab, we conducted a hybrid study composed by a clinical survey and a systematic review. Methods: All patients referring for TIO to the Federico II University were enrolled in our clinical survey. A comprehensive literature search on a Medline, Google Scholar, Google Books, and the Cochrane Library was conducted for the Systematic Review. Data were extracted on 12/31/2025. Results: For the local survey, we collected 10 patients affected by TIO [M: F = 5 (50.0%): 5 (50.0%); mean age at symptom onset 57.6 ± 14.3 years]. Two (20.0%) patients received burosumab, obtaining clinical and biochemical improvement. Two who didn't receive the treatment died. For the systematic review, we collected 42 studies and 49 cases [M: F = 19 (44.2%): 24 (55.8%); mean age at onset 36.8 ± 21.3 years; mean age at diagnosis 44.5 ± 22.9 years]. Burosumab reduced clinical symptoms and ameliorates biochemical investigations by normalizing phosphate serum levels. It is also safe and well tolerated. Conclusion: Burosumab represents a safe and efficient treatment in TIO patients, to be administered in case of tumor identification while waiting for surgery, and in case of surgical inoperability to manage hormonal FGF23 effect.

Indexed as

Antibodies, Monoclonal, HumanizedFibroblast Growth FactorsNeoplasms, Connective TissueOsteomalaciaParaneoplastic SyndromesAdultAgedFemaleFibroblast Growth Factor-23HumansMaleMiddle AgedSurveys and QuestionnairesTreatment OutcomeAntibodies, Monoclonal, HumanizedburosumabFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth Factorsburosumabhypophosphatemiaphosphaturic mesenchymal tumorsystematic reviewtumor induced osteomalacia

Identifiers

PMID42006269
PMCPMC13082987

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.