Evidence map›Paper›PMID 21865400›Full record

Trial reportNeuro-oncology2011

A phase II trial of single-agent bevacizumab in patients with recurrent anaplastic glioma.

Teri N Kreisl, Weiting Zhang, Yazmin Odia, Joanna H Shih, John A Butman, Dima Hammoud, Fabio M Iwamoto, Joohee Sul, Howard A Fine

2 registry-linked trialsAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Neuro-oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 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.

NCT00271609 phase2completednot on this map

A Phase II Trial of Bevacizumab for Patients With Recurrent High-Grade Gliomas

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2005 to 2014Enrolled88ConditionsRecurrent High-Grade Gliomas, Malignant GliomasArmsBevacizumab
NCT00393094 phase2terminatednot on this map

A Phase II Trial of Bevacizumab and Irinotecan for Patients With Recurrent High-Grade Gliomas Immediately Following Tumor Progression After Treatment w/Bevacizumab Alone: A Companion Trial to NCI Study 06-C-0064 (NCT00271609)(Bevacizumab Alone for Recurrent Gliomas)

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2006 to 2010Enrolled31ConditionsHigh-Grade GliomasArmsBevacizumab, Irinotecan hydrochloride
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. Nephrotoxicity of Anti-Angiogenic Therapies.Diagnostics (Basel, Switzerland) · 2021
    Review

6 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

9 authors.

Teri N KreislThe Neuro-Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892, USA. kreislt@mail.nih.gov
Weiting Zhang
Yazmin Odia
Joanna H Shih
John A Butman
Dima Hammoud
Fabio M Iwamoto
Joohee Sul
Howard A Fine

Funding

Brain Tumor Clinical and Clinical Research ProgramZIDBC011098 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GRESS, RONALD · 2009 to 2014
$19.3M
Genetic Correlation with Efficacy and Toxicity of Brain Tumor TherapiesZIABC011347 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI IWAMOTO, FABIO · 2010 to 2012
$275k
Aging and Primary Central Nervous System TumorsZIABC011348 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI IWAMOTO, FABIO · 2010 to 2012
$275k
Neurovascular MRI in the Assessment of HIV-Associated Neurocognitive DisordersZIACL090029 · CLC · CLINICAL CENTER · PI SMITH, BRYAN · 2012 to 2018
$0k
Intramural NIH HHS
6 · The paper itself

Abstract

The purpose of this study was to evaluate the activity of single-agent bevacizumab in patients with recurrent anaplastic glioma and assess correlative advanced imaging parameters. Patients with recurrent anaplastic glioma were treated with bevacizumab 10 mg/kg every 2 weeks. Complete patient evaluations were repeated every 4 weeks. Correlative dynamic contrast-enhanced MR and (18)fluorodeoxyglucose PET imaging studies were obtained to evaluate physiologic changes in tumor and tumor vasculature at time points including baseline, 96 h after the first dose, and after the first 4 weeks of therapy. Median overall survival was 12 months (95% confidence interval [CI]: 6.08-22.8). Median progression-free survival was 2.93 months (95% CI: 2.01-4.93), and 6-month progression-free survival was 20.9% (95% CI: 10.3%-42.5%). Thirteen (43%) patients achieved a partial response. The most common grade ≥ 3 treatment-related toxicities were hypertension, hypophosphatemia, and thromboembolism. Single-agent bevacizumab produces significant radiographic response in patients with recurrent anaplastic glioma but did not meet the 6-month progression-free survival endpoint. Early change in enhancing tumor volume at 4 days after start of therapy was the most significant prognostic factor for overall and progression-free survival.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsBevacizumabBrain NeoplasmsDisease-Free SurvivalFemaleGliomaHumansKaplan-Meier EstimateMagnetic Resonance ImagingMaleMiddle AgedPositron-Emission TomographyTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic AgentsBevacizumab

Identifiers

PMID21865400
PMCPMC3177658

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.