Evidence map›Paper›PMID 19047117›Full record

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

A phase II trial of erlotinib in combination with bevacizumab in patients with metastatic breast cancer.

Maura N Dickler, Hope S Rugo, Carey A Eberle, Edi Brogi, James F Caravelli, Katherine S Panageas, Jeff Boyd, Benjamin Yeh, Diana E Lake, Chau T Dang and 10 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
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. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
5.3field-weighted citation impact, top 3% 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.

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

57 citing papers in PubMed, 120 citations in OpenAlex.

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  12. Hydrogen Sulfide Biology and Its Role in Cancer.Molecules (Basel, Switzerland) · 2022
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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

20 authors at 5 institutions in 1 country.

Maura N DicklerBreast Cancer Medicine Service, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. dicklerm@mskcc.org
Hope S Rugo
Carey A Eberle
Edi Brogi
James F Caravelli
Katherine S Panageas
Jeff Boyd
Benjamin Yeh
Diana E Lake
Chau T Dang
Teresa A Gilewski
Jacqueline F Bromberg
Andrew D Seidman
Gabriella M D'Andrea
Mark M Moasser
Michele Melisko
John W Park
Janet Dancey
Larry Norton
Clifford A Hudis
Memorial Health University Medical Center · USMemorial Sloan Kettering Cancer Center · USNational Cancer Institute · USUniversity of California, San Francisco · USUniversity Radiology · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS N01 CM062206NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo evaluate the efficacy and toxicity of erlotinib plus bevacizumab in patients with metastatic breast cancer (MBC), targeting the epidermal growth factor receptor (EGFR/HER1) and the vascular endothelial growth factor (VEGF) pathway. EXPERIMENTAL

designThirty-eight patients with MBC were enrolled and treated at two institutions with erlotinib, a small molecule EGFR tyrosine kinase inhibitor (150 mg p.o. daily) plus bevacizumab, an anti-VEGF antibody (15 mg/kg i.v. every 3 weeks). Patients had one to two prior chemotherapy regimens for metastatic disease. The primary end point was response rate by Response Evaluation Criteria in Solid Tumors criteria using a Simon 2-stage design. Secondary end points included toxicity, time to progression, response duration, and stabilization of disease of > or = 26 weeks. Correlative studies were done on tumor tissue, including EGFR expression and mutation analysis.

resultsOne patient achieved a partial response for 52+ months. Fifteen patients had stable disease at first evaluation at 9 weeks; 4 of these patients had stable disease beyond 26 weeks. Median time to progression was 11 weeks (95% confidence interval, 8-18 weeks). Diarrhea of any grade was observed in 84% of patients (grade 3 in 3%); 76% experienced grade 1 or 2 skin rash, and 18% developed hypertension (grade 3 in 11%). The level of EGFR expression was not predictive of response to therapy.

conclusionsThe combination of erlotinib and bevacizumab was well-tolerated but had limited activity in unselected patients with previously treated MBC. Biomarkers are needed to identify those MBC patients likely to respond to anti-EGFR/HER1 plus anti-VEGF therapy.

Indexed as

AdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBreast NeoplasmsErlotinib HydrochlorideFemaleHumansImmunohistochemistryMiddle AgedQuinazolinesTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBevacizumabErlotinib HydrochlorideQuinazolines

Identifiers

PMID19047117
PMCPMC2748748
OpenAlexW2137721949

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.