A grade PMID 42321916
View analysis →Finding therapies hidden in 38,964 pediatric cancer papers.
Neurocompute scores pediatric oncology literature, surfaces overlooked therapeutic signals, and turns fragmented childhood cancer research into a living discovery terminal.
Ranked Discovery Journal Articles
A grade PMID 42690647
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All ranked pediatric cancer papers
This prospective Kyoto school-based program reported declining H. pylori prevalence, higher eradication success after switching from PAC to PAM and later adding CBM588, no reported serious adverse events, and a substantial decline in consultation among screen-positive adolescents.
The record supports that adolescent screening linked to PAM-based eradication can achieve high short-term H. pylori clearance in a real-world program; it is an inference, not demonstrated here, that early eradication prevents gastric mucosal atrophy or ultimately reduces gastric cancer incidence.
This multicenter French observational study of 156 patients aged 12 years or older with metastatic Ewing sarcoma describes decade-long real-world treatment patterns and reports longer survival and first-line TTNT in upfront metastatic disease than in metastatic relapse, similar later-line outcomes across regimens, and modest activity for regorafenib or cabozantinib.
The record provides observational evidence that dose-dense polychemotherapy and loco-regional procedures are associated with longer outcomes in selected patients with upfront metastatic Ewing sarcoma; it is an inference, not a causal finding, that optimizing multimodal first-line treatment or prospectively selecting patients for these approaches could improve survival, while comparable later-line results support prioritizing clinical trials rather than assuming superiority of a routine relapse regimen.
In this multicentre phase 3 trial in adults with newly diagnosed resectable glioblastoma, adding 30 Gy intraoperative radiotherapy to standard chemoradiotherapy did not improve progression-free survival or reduce local recurrence and was associated with more serious adverse events.
The trial directly refutes the tested hypothesis that spatially precise intraoperative dose escalation improves progression-free survival in resectable adult glioblastoma; it supports the inference that avoiding this additional local therapy could reduce treatment burden and toxicity, although pediatric applicability was not evaluated.
This Australian retrospective population-based study of 4,782 adults with metastatic NSCLC found shorter real-world survival with pembrolizumab plus chemotherapy than reported in clinical trials, longer survival among females, and more frequent levothyroxine initiation among females.
The observed evidence suggests that sex may be associated with pembrolizumab-chemotherapy outcomes and thyroid-toxicity proxies in metastatic NSCLC; it remains an untested inference that biological sex could guide treatment selection or tailored toxicity monitoring, and the record provides no pediatric-specific evidence.
In a prospective real-world cohort of 1,103 adults with unresectable HCC, second-line treatment was less frequent after atezolizumab-bevacizumab than after sorafenib, while second-line TKIs produced numerically similar survival across sequences and selected patients receiving immunotherapy rechallenge had encouraging outcomes.
Evidence: second-line TKIs were associated with numerically similar overall survival after atezolizumab-bevacizumab or sorafenib, and selected rechallenge recipients had encouraging survival. Inference requiring prospective controlled testing: TKIs may remain useful after first-line immunotherapy, while carefully selected patients may benefit from immunotherapy rechallenge.
In a retrospective two-center Korean cohort of 270 patients with classical Hodgkin lymphoma treated with ABVD, PET-adapted bleomycin omission among patients achieving interim PET complete response was not associated with different progression-free or overall survival.
The reported clinical association supports the hypothesis that interim PET response may identify some patients who can omit bleomycin without compromising disease control; reduced toxicity is a plausible therapeutic benefit but was not evaluated in the supplied abstract, and pediatric applicability remains uncertain.
In 159 pediatric PAX5-rearranged B-ALL cases, unfavorable event-free survival was concentrated among patients with positive end-of-induction MRD, while transcriptomic analysis and PDX drug screening identified high FLT3 expression and sensitivity to FLT3 inhibitors, including gilteritinib with dexamethasone.
The supplied evidence shows FLT3 overexpression and ex vivo FLT3-inhibitor sensitivity in PAX5-rearranged PDX models; it therefore supports—but does not clinically establish—the hypothesis that adding an FLT3 inhibitor such as gilteritinib could improve outcomes in MRD-positive pediatric PAX5-rearranged B-ALL.
Two phase 3 placebo-controlled trials found that once-daily upadacitinib increased clinically meaningful facial and total-body repigmentation at 48 weeks in adults and adolescents with non-segmental vitiligo, without new safety signals reported during the study period.
The trials support upadacitinib as a potential systemic treatment for non-segmental vitiligo; any relevance to pediatric cancer treatment, oncology-associated depigmentation, or antitumor biology would be unsupported inference because no oncology population or outcomes were studied.
This multi-institutional retrospective study reports that an nnU-Net model trained with both pre- and post-treatment MRI scans improved diffuse midline glioma whole-tumor segmentation, particularly on external post-treatment scans from PNOC007, compared with the BraTS-PEDs 2024 winning model.
Evidence: including post-treatment imaging improved automated tumor segmentation and volumetric accuracy in an external clinical-trial dataset. Inference: if prospectively validated and integrated into trial workflows, this approach could improve longitudinal response measurement and treatment evaluation, but the record does not show that it changes therapy selection, outcomes, or survival.
In this adult randomised phase 2 double-hit lymphoma cohort, adding venetoclax to DA-EPOCH-R did not improve progression-free survival and was associated with excess on-treatment deaths and worse 24-month overall survival, leading to early cohort closure.
The evidence argues against the tested venetoclax schedule combined with DA-EPOCH-R in newly diagnosed adult double-hit lymphoma because it increased mortality without demonstrated efficacy; as an inference, future research could investigate whether different dosing, supportive care, or biomarker-defined settings can retain BCL2-targeting activity without the observed toxicity, but this record provides no support for pediatric use.
In a 23-patient pediatric case series of relapsed or refractory classic Hodgkin lymphoma, BV plus ifosfamide and gemcitabine produced responses in all 22 evaluable children after two cycles, a 91% overall complete metabolic response rate, and event-free survival in all patients at a median 15-month follow-up, although frequent grade 3 or higher adverse events occurred.
The reported responses and avoidance of hematopoietic stem cell transplantation in 21 children support further study of BV plus IGE as a salvage strategy; it remains an inference—not established by this uncontrolled series—that the combination can safely replace transplantation or improve long-term outcomes compared with other salvage regimens.
In a single-center assessor-blinded randomized trial of 280 women aged 18–75 receiving adjuvant radiotherapy for breast cancer in China, structured education plus entertainment therapy was associated with a modest improvement in anxiety trajectory through six months, while the depression result was marginal.
The trial provides evidence that this psychosocial intervention may reduce anxiety during and after breast-cancer radiotherapy; extension to pediatric oncology is only an inference because no pediatric-specific population or subgroup results are reported.