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 multi-institutional retrospective analysis reports frequent radiographic responses to BRAF-directed therapy in BRAF V600E-mutant papillary craniopharyngioma and identifies radiation-sparing, monotherapy, and longer-course strategies as feasible options requiring further study.
The reported human observational evidence supports activity of BRAF and/or BRAF–MEK inhibition in BRAF V600E-mutant papillary craniopharyngioma; it is reasonable but not proven to hypothesize that optimized targeted-therapy regimens could reduce radiation exposure and associated toxicity while preserving tumor control, particularly in younger patients.
This systematic review of 97 studies reports that thiopurines are associated with hepatic microvascular injury, with the strongest causal evidence coming from randomized pediatric acute lymphoblastic leukemia comparisons showing more sinusoidal obstruction syndrome and portal-hypertension phenotypes with prolonged 6-thioguanine than with 6-mercaptopurine.
The evidence supports avoiding or limiting prolonged 6-thioguanine exposure in pediatric ALL maintenance and evaluating new thrombocytopenia or splenomegaly for portal hypertension; it is a plausible but not directly established inference that exposure-tailored monitoring and early thiopurine withdrawal could prevent progression to severe complications or chronic PSVD.
In a 342-patient adult phase 3 trial, on-demand TACE plus atezolizumab and bevacizumab improved investigator-assessed TACE progression-free survival versus TACE alone in unresectable hepatocellular carcinoma, while overall survival remained immature and treatment-related deaths occurred in both groups.
The trial provides evidence that adding atezolizumab and bevacizumab to on-demand TACE can delay unTACEable progression, TACE failure or refractoriness, or death in selected adults with untreated unresectable hepatocellular carcinoma; it is an inference—not evidence from this record—that this strategy improves overall survival or has utility in pediatric liver cancer.
The study reports that genetic or pharmacological PIK3C3/VPS34 inhibition directly impairs neuroblastoma growth, increases tumor-cell surface GD2, enhances anti-GD2 antibody-dependent NK-cell cytotoxicity, and produces durable tumor suppression with anti-GD2 therapy in vivo.
The supplied evidence supports PIK3C3/VPS34 inhibition as a preclinical enhancer of anti-GD2 activity through tumor-cell killing, altered endolysosomal control of surface GD2, and remodeling of antitumor immunity; it remains an inference that this combination would be safe, tolerable, or clinically effective in children with high-risk neuroblastoma.
This narrative review found that eating behavior is rarely measured rigorously after craniopharyngioma and identified one randomized trial in which the MC4R agonist setmelanotide reduced hyperphagia and produced significant weight loss in craniopharyngioma-related obesity.
The supplied review supports an early human therapeutic signal that MC4R agonism may reduce hyperphagia and weight in craniopharyngioma-related hypothalamic obesity; whether this produces durable, tolerable, and clinically meaningful benefit—particularly in childhood-onset disease—remains to be confirmed.
In 203 pediatric patients undergoing alpha-beta T-cell/CD19-depleted haploidentical transplantation, retrospectively predicted low thiotepa/TEPA exposure was associated with more graft rejection, while high predicted exposure was associated with more TA-TMA, non-relapse mortality, and lower overall survival.
The observational evidence supports an exposure–outcome relationship but not a dosing intervention; it suggests, as a testable inference, that prospectively validated model-informed thiotepa dosing toward an intermediate cAUCtotal near 45 mg·hr/L could reduce rejection from underexposure and toxicity or mortality from overexposure.
This review reports that image-guided percutaneous treatments—especially cryoablation—can provide high local control and symptom relief for extra-abdominal desmoid tumors, while emphasizing that the evidence is predominantly retrospective and lacks direct comparisons.
Evidence summarized in the record supports percutaneous ablation as a local-control option for progressive or symptomatic extra-abdominal desmoid tumors; it is reasonable but not yet proven to infer that careful integration with systemic therapy could reduce morbidity or improve treatment sequencing, including in pediatric patients.
In a multicentre retrospective cohort of 1566 treatment-naïve unilateral cT2/cT3 retinoblastoma eyes, intra-arterial chemotherapy was associated with greater globe salvage than intravenous chemotherapy in cT3b/c disease, without reported survival differences versus primary enucleation, while cT3d eyes showed no globe-salvage advantage.
The reported clinical associations support investigating intra-arterial chemotherapy as a globe- and vision-preserving strategy for selected cT3b/c retinoblastoma; whether it provides equivalent long-term oncologic safety or a causal advantage over other treatments remains inferential because this was a retrospective, non-randomized study.
In an open-label randomized trial of 75 peanut-allergic children aged 1–3 years, three years of slow-up-dosing, low-maintenance peanut oral immunotherapy produced substantially greater sustained unresponsiveness and tolerated peanut doses than avoidance, although severe dose-related reactions occurred in some children.
The trial provides evidence that this low-dose, slowly escalated oral-immunotherapy protocol can increase peanut tolerance in preschool children; it is an inference—not established by a direct protocol comparison—that slower escalation and lower maintenance dosing are safer than other oral-immunotherapy regimens, and the record provides no pediatric-oncology therapeutic hypothesis.
This systematic review and meta-analysis of 42 studies encompassing 2,048 leukemia survivors reports substantially higher infertility after HSCT, testicular irradiation, and high-dose TBI than after chemotherapy alone, supporting treatment-exposure-based fertility counseling and follow-up.
Evidence from the pooled observational literature indicates that infertility risk differs markedly by treatment exposure; it is reasonable—but not directly tested here—to hypothesize that early risk stratification and modality-specific fertility-preservation pathways could reduce avoidable reproductive harm or improve reproductive planning.
This component network meta-analysis of 41 RCTs involving 5,804 patients with small hepatocellular carcinoma found that several combination approaches—particularly TACE plus surgical resection—as well as resection alone improved overall and recurrence-free survival relative to radiofrequency ablation, while resection caused more complications.
The evidence supports comparative therapeutic signals for TACE plus resection, TACE plus RFA, and RFA plus 125I in small hepatocellular carcinoma; it may be inferred that these combinations could improve treatment selection, including an RFA-plus-125I option for unresectable disease, but pediatric applicability and benefit for individual patients are not established by the supplied record.
This review synthesizes high-risk cytogenetic and molecular alterations in pediatric AML and discusses integrating alteration-directed agents, including FLT3 and menin inhibitors, into frontline treatment and pediatric clinical-trial pipelines.
The supplied record supports genotype-guided risk stratification and identifies targeted therapies already emerging in AML; it is reasonable—but not demonstrated here—to hypothesize that matching pediatric patients to agents such as FLT3 or menin inhibitors and evaluating them earlier in treatment could improve outcomes in genetically defined high-risk subgroups.