Evidence map›Paper›PMID 24764123›Full record

ArticleInvestigational new drugs2014

Evaluation of a novel blood pressure scoring method and its association with clinical response in cancer patients treated with anti-vascular endothelial growth factor therapy.

Mehmet Asim Bilen, Jean-Bernard Durand, Lacey McQuinn, Kenneth R Hess, Siqing Fu, Gerald S Falchook, David S Hong, Jennifer J Wheler, Rabih Said, Michael S Ewer and 2 more

Abstract read
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In one paragraph

Article in Investigational new drugs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Cardiovascular prevention in the cancer survivor.Current atherosclerosis reports · 2015
    Review
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

12 authors at 3 institutions in 1 country.

Mehmet Asim BilenDivision of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jean-Bernard Durand
Lacey McQuinn
Kenneth R Hess
Siqing Fu
Gerald S Falchook
David S Hong
Jennifer J Wheler
Rabih Said
Michael S Ewer
Razelle Kurzrock
Aung Naing
The University of Texas MD Anderson Cancer Center · USMoores Cancer CenterThe University of Texas Health Science Center at Houston · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

backgroundThe purposes of this study were to establish a novel blood pressure (BP) scoring method and to correlate it with clinical response in advanced cancer patients treated with anti-vascular endothelial growth factor (VEGF) therapies.

methodsWe retrospectively analyzed data for 368 patients from 23 clinical trials that included at least one anti-VEGF agent. We determined BP scores using the traditional Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 and our novel method that considers both BP readings and number of anti-hypertensive medications the patient received. BP scores were categorized at baseline and four months. Logistic regression analysis correlated elevated scores with clinical response. Agreement between the CTCAE and the new method was assessed.

resultsUnder the new BP scoring method, partial response rates were 20 % in patients with an elevated score at four months versus 6 % in patients without elevated score (P < 0.001). When adjusted for tumor type, age, sex, history of anti-VEGF treatment, and number of anti-VEGF treatments, elevated BP under the new scoring method had an odds ratio of 3.8 (95 % confidence interval [CI]: 1.8, 8.2; P < 0.001). The kappa statistic for agreement between the CTCAE and new scoring methods was 0.57 (95 % CI: 0.47, 0.67; P < 0.001), indicating significant concordance.

conclusionUsing the novel scoring method, an increase in BP scores was a marker for favorable clinical response in patients who received anti-VEGF treatment. This new method ultimately provides information with regard to clinical tumor response over and above that provided by the CTCAE scoring method.

Indexed as

AdolescentAdultAgedAged, 80 and overAngiogenesis InhibitorsAntihypertensive AgentsBlood PressureChildFemaleHumansMaleMiddle AgedNeoplasmsRetrospective StudiesVascular Endothelial Growth Factor AYoung AdultAngiogenesis InhibitorsAntihypertensive AgentsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID24764123
OpenAlexW2145607316

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Registered trials

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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.