Evidence map›Paper›PMID 18981004›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2008

Bevacizumab plus irinotecan in recurrent WHO grade 3 malignant gliomas.

Annick Desjardins, David A Reardon, James E Herndon, Jennifer Marcello, Jennifer A Quinn, Jeremy N Rich, Sith Sathornsumetee, Sridharan Gururangan, John Sampson, Leighann Bailey and 4 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00268359 (Bevacizumab in Combination With Irinotecan for Malignant Gliomas), which is not on this map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
–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.

NCT00268359 phase2completednot on this map

Bevacizumab in Combination With Irinotecan for Malignant Gliomas

TypeinterventionalSponsorDuke UniversityRan2005 to 2009Enrolled68ConditionsBrain and Central Nervous System TumorsArmsbevacizumab, irinotecan hydrochloride
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Article
  10. Review
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  14. Current therapeutic approaches to diffuse grade II and III gliomas.Therapeutic advances in neurological disorders · 2018
    Article
  15. Article
  16. GEINOFOTE: efficacy and safety of fotemustine in patients with high-grade recurrent gliomas and poor performance status.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2016
    Article
  17. Anaplastic astrocytoma.CNS oncology · 2016
    Review
  18. Article
  19. Review
  20. Article

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

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

14 authors.

Annick DesjardinsDepartment of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. desja002@mc.duke.edu
David A Reardon
James E Herndon
Jennifer Marcello
Jennifer A Quinn
Jeremy N Rich
Sith Sathornsumetee
Sridharan Gururangan
John Sampson
Leighann Bailey
Darell D Bigner
Allan H Friedman
Henry S Friedman
James J Vredenburgh

Funding

TUMOR SUPPRESSOR GENES IN HUMAN MEDULLOBLASTOMAP50NS020023 · NINDS · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1985 to 2013
$17.3M
TEMODAR RESISTANCE IN CENTRAL NERVOUS SYSTEMP50CA108786 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2004 to 2009
$12.3M
BRAIN TUMORS: IMMUNOLOGICAL AND BIOLOGICAL STUDIESR37CA011898 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1988 to 2012
$8.1M
NCI NIH HHS 4 R37 CA11898NCI NIH HHS 5 P50 CA108786NCI NIH HHS P50 CA108786NCI NIH HHS R37 CA011898NINDS NIH HHS 5 P50 NS20023NINDS NIH HHS P50 NS020023
6 · The paper itself

Abstract

purposeAlthough patients with newly diagnosed WHO grade 3 malignant glioma have a more favorable prognosis than those with WHO grade 4 malignant glioma, salvage therapies following recurrence offer essentially palliative benefit. We did a phase II trial of bevacizumab, a monoclonal antibody to vascular endothelial growth factor, in combination with irinotecan for patients with recurrent grade 3 malignant glioma. EXPERIMENTAL

designUpon documentation of adequate safety among an initial cohort of nine patients treated with bevacizumab (10 mg/kg) and irinotecan every 14 days, a second cohort (n=24) was treated with bevacizumab (15 mg/kg) every 3 weeks with irinotecan on days 1, 8, 22, and 29 of each 42-day cycle. For both cohorts, the dose of irinotecan was 340 mg/m(2) for patients on enzyme-inducing antiepileptic drugs (EIAED) and 125 mg/m(2) for patients not on EIAEDs. After each 6-week cycle, patients were evaluated with a physical examination and magnetic resonance imaging.

resultsThe 6-month progression-free survival was 55% (95% confidence interval, 36-70%). The 6-month overall survival was 79% (95% confidence interval, 61-89%). Twenty patients (61%) had at least a partial response. Outcome did not differ between the two treatment cohorts. Significant adverse events were infrequent and included a central nervous system hemorrhage in one patient, and one patient who developed thrombotic thrombocytopenic purpura.

conclusionBevacizumab and irinotecan is an active regimen with acceptable toxicity for patients with recurrent WHO grade 3 malignant glioma.

Indexed as

AdultAngiogenesis InhibitorsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBrain NeoplasmsCamptothecinCohort StudiesDisease-Free SurvivalDNA Topoisomerases, Type IFemaleGliomaHumansIrinotecanMaleAngiogenesis InhibitorsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBevacizumabCamptothecinDNA Topoisomerases, Type IIrinotecan

Identifiers

PMID18981004
PMCPMC3671765

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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.