Evidence map›Paper›PMID 24475840›Full record

Trial reportRadiology2014

Recurrent glioblastoma treated with bevacizumab: contrast-enhanced T1-weighted subtraction maps improve tumor delineation and aid prediction of survival in a multicenter clinical trial.

Benjamin M Ellingson, Hyun J Kim, Davis C Woodworth, Whitney B Pope, Jonathan N Cloughesy, Robert J Harris, Albert Lai, Phioanh L Nghiemphu, Timothy F Cloughesy

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00345163 (A Phase II, Multicenter, Randomized, Non-Comparative Clinical Trial to Evaluate the Efficacy and Safety of Bevacizumab Alone or in Combination With Irinotecan for Treatment of Glioblastoma Multiforme in First or Second Relapse), which is not on this map. Cited by 144 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 3 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT00345163 phase2completednot on this map

A Phase II, Multicenter, Randomized, Non-Comparative Clinical Trial to Evaluate the Efficacy and Safety of Bevacizumab Alone or in Combination With Irinotecan for Treatment of Glioblastoma Multiforme in First or Second Relapse

TypeinterventionalSponsorGenentech, Inc.Ran2006 to 2007Enrolled167ConditionsGlioblastomaArmsbevacizumab, irinotecan
3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 3 syntheses or guidelines pooled it, 183 citations in OpenAlex.

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  3. Incorporation of biomarkers in phase II studies of recurrent glioblastoma.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2015
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  15. Diffusion MRI Phenotypes Predict Overall Survival Benefit from Anti-VEGF Monotherapy in Recurrent Glioblastoma: Converging Evidence from Phase II Trials.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
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84 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 at 1 institution in 1 country.

Benjamin M EllingsonFrom the Departments of Radiological Sciences (B.M.E., H.J.K., D.C.W., W.B.P., J.N.C., R.J.H.), Biomedical Physics (B.M.E., D.C.W., R.J.H.), and Neurology (A.L., P.L.N., T.F.C.), David Geffen School of Medicine, University of California-Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024; and Department of Bioengineering, Henry Samueli School of Engineering and Applied Science, University of California-Los Angeles, Los Angeles, Calif (B.M.E.).
Hyun J Kim
Davis C Woodworth
Whitney B Pope
Jonathan N Cloughesy
Robert J Harris
Albert Lai
Phioanh L Nghiemphu
Timothy F Cloughesy
University of California, Los Angeles · US

Funding

Cell invasion, motility, and proliferation level estimate maps in gliomasR21CA167354 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ELLINGSON, BENJAMIN M. · 2012 to 2013
$358k
NCI NIH HHS R21 CA167354
6 · The paper itself

Abstract

purposeTo compare the capability to aid prediction of clinical outcome measures, including progression-free survival (PFS) and overall survival (OS), between volumetric estimates from contrast material-enhanced (CE) T1-weighted subtraction maps and traditional segmentation in a randomized multicenter clinical trial of recurrent glioblastoma (GBM) patients treated with bevacizumab. MATERIALS AND

methodsAll patients participating in this study signed institutional review board-approved informed consent at their respective institutions prior to enrolling in the multicenter clinical trial. One-hundred sixty patients with recurrent GBM enrolled as part of a HIPAA-compliant, multicenter clinical trial (AVF3708 g, BRAIN trial). Contrast-enhancing tumor volumes and change in volumes as a response to therapy were quantified by using either conventional segmentation or CE T1-weighted subtraction maps created by voxel-by-voxel subtraction of intensity-normalized nonenhanced T1-weighted images from CE T1-weighted images. These volumes were then tested as predictors of PFS and OS by using log-rank univariate analysis, the multivariate Cox proportional hazards regression model, and receiver operating characteristic analysis.

resultsUse of CE T1-weighted subtraction maps qualitatively improved visualization and improved quantification of tumor volume after bevacizumab treatment. Significant trends between the volume of tumor and change in tumor volume after therapy on CE T1-weighted subtraction maps were found for both PFS and OS (pretreatment volume < 15 cm(3), P < .003; posttreatment volume < 7.5 cm(3), P < .05; percentage change in volume > 25%, P = .004 for PFS and P = .053 for OS). CE T1-weighted subtraction maps were significantly better at aiding prediction of 6-month PFS and 12-month OS compared with conventional segmentation by using receiver operating characteristic analysis (P < .05).

conclusionUse of CE T1-weighted subtraction maps improved visualization and aided better prediction of patient survival in recurrent GBM treated with bevacizumab compared with conventional segmentation of CE T1-weighted images. Clinical trial registration no. NCT00345163. Online supplemental material is available for this article.

Indexed as

AdultAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabBrain NeoplasmsContrast MediaFemaleGadolinium DTPAGlioblastomaHumansMagnetic Resonance ImagingMaleMiddle AgedNeoplasm Recurrence, LocalPredictive Value of TestsSubtraction TechniqueAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabContrast MediaGadolinium DTPA

Identifiers

PMID24475840
PMCPMC4263651
OpenAlexW2140704845

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.