Evidence map›Paper›PMID 18824714›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2008

Association of vascular endothelial growth factor and vascular endothelial growth factor receptor-2 genetic polymorphisms with outcome in a trial of paclitaxel compared with paclitaxel plus bevacizumab in advanced breast cancer: ECOG 2100.

Bryan P Schneider, Molin Wang, Milan Radovich, George W Sledge, Sunil Badve, Ann Thor, David A Flockhart, Bradley Hancock, Nancy Davidson, Julie Gralow and 7 more

Erratum issued 3 registry-linked trialsOpen access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 272 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
272citing papers in PubMed, 3 pooled it
30.2field-weighted citation impact, top 1% of its field
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.

NCT00028990 phase3completednot on this map

A Randomized Phase III Tial Of Paclitaxel Versus Paclitaxel Plus Bevacizumab (rhuMAb VEGF) As First-Line Therapy For Locally Recurrent or Metastatic Breast Cancer

TypeinterventionalSponsorEastern Cooperative Oncology GroupRan2002 to 2009Enrolled722ConditionsBreast CancerArmsbevacizumab, Paclitaxel
NCT01405430 nacompletednot on this mapstarted 2010, after this paper: background citation

Exploration of New Biologic Factors' Predictive Value , Especially Circulating VE-cadherin in Metastatic Colorectal Adenocarcinoma Patients Treated With Bevacizumab

TypeinterventionalSponsorCentre Leon BerardRan2010 to 2014Enrolled63ConditionsColorectal Cancer, MetastasisArmsBevacizumab + blood samples
NCT01935102 completednot on this mapstarted 2012, after this paper: background citation

Polymorphism Interaction to Predict Bevacizumab Efficacy in Advanced Breast Cancer Patients: an Exploratory Retrospective Analysis

TypeobservationalSponsorUniversity of PisaRan2012 to 2014Enrolled169ConditionsMetastatic Breast Cancer
3 · Its place in the literature

Who cites it

272 citing papers in PubMed, 3 syntheses or guidelines pooled it, 607 citations in OpenAlex.

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212 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Bryan P SchneiderIndiana University School of Medicine, Indianapolis, IN, USA. bpschnei@iupui.edu
Molin Wang
Milan Radovich
George W Sledge
Sunil Badve
Ann Thor
David A Flockhart
Bradley Hancock
Nancy Davidson
Julie Gralow
Maura Dickler
Edith A Perez
Melody Cobleigh
Tamara Shenkier
Susan Edgerton
Kathy D Miller
ECOG 2100
Palmetto Hematology Oncology · US

Funding

TAMAXIFEN PHARMACOGENETICSU01GM061373 · NIGMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FLOCKHART, DAVID ALASTAIR · 2000 to 2009
$17.0M
NIGMS NIH HHS U01GM061373
6 · The paper itself

Abstract

purposeNo biomarkers have been identified to predict outcome with the use of an antiangiogenesis agent for cancer. Vascular endothelial growth factor (VEGF) genetic variability has been associated with altered risk of breast cancer and variable promoter activity. Therefore, we evaluated the association of VEGF genotype with efficacy and toxicity in E2100, a phase III study comparing paclitaxel versus paclitaxel plus bevacizumab as initial chemotherapy for metastatic breast cancer. PATIENTS AND

methodsDNA was extracted from tumor blocks of patients from E2100. Three hundred sixty-three samples were available to evaluate associations between genotype and outcome. Genotyping was performed for selected polymorphisms in VEGF and VEGF receptor 2. Testing for associations between each polymorphism and efficacy and toxicity was performed.

resultsThe VEGF-2578 AA genotype was associated with a superior median overall survival (OS) in the combination arm when compared with the alternate genotypes combined (hazard ratio = 0.58; 95% CI, 0.36 to 0.93; P = .023). The VEGF-1154 A allele also demonstrated a superior median OS with an additive effect of each active allele in the combination arm but not the control arm (hazard ratio = 0.62; 95% CI, 0.46 to 0.83; P = .001). Two additional genotypes, VEGF-634 CC and VEGF-1498 TT, were associated with significantly less grade 3 or 4 hypertension in the combination arm when compared with the alternate genotypes combined (P = .005 and P = .022, respectively).

conclusionOur data support an association between VEGF genotype and median OS as well as grade 3 or 4 hypertension when using bevacizumab in metastatic breast cancer.

Indexed as

Polymorphism, Single NucleotideAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBreast NeoplasmsFemaleGenotypeHaplotypesHumansHypertensionPaclitaxelProportional Hazards ModelsRetrospective StudiesStatistics, NonparametricSurvival RateAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBevacizumabPaclitaxelVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID18824714
PMCPMC2653128
OpenAlexW2131705241

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.