Evidence map›Paper›PMID 24876730›Full record

SynthesisWorld journal of gastroenterology2014

Bevacizumab in the pre-operative treatment of locally advanced rectal cancer: a systematic review.

Lorenzo Fornaro, Chiara Caparello, Caterina Vivaldi, Virginia Rotella, Gianna Musettini, Alfredo Falcone, Editta Baldini, Gianluca Masi

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 26 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Lorenzo FornaroLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Chiara CaparelloLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Caterina VivaldiLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Virginia RotellaLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Gianna MusettiniLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Alfredo FalconeLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Editta BaldiniLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
Gianluca MasiLorenzo Fornaro, Virginia Rotella, Editta Baldini, Division of Medical Oncology, Azienda USL2 Lucca, 55100 Lucca, Italy.
IMT School for Advanced Studies Lucca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in the management of patients with locally advanced, non-metastatic rectal adenocarcinoma (LARC), prognosis remains largely unsatisfactory due to a high rate of distant relapse. In fact, currently available neoadjuvant protocols, represented by fluoropyrimidine-based chemo-radiotherapy (CT-RT) or short-course RT, together with improved surgical techniques, have largely reduced the risk of local relapse, with limited impact on distant recurrence. Available results of phase III trials with additional cytotoxic agents combined with standard CT-RT are disappointing, as no significant reduction in the risk of recurrence has been demonstrated. In order to improve the control of micrometastatic disease, integrating targeted agents into neoadjuvant treatment protocols thus offers a rational approach. In particular, the antiangiogenic agent bevacizumab has demonstrated synergistic activity with both CT and RT in pre-clinical and clinical models, and thus may represent a suitable companion in the neoadjuvant treatment of LARC. Preliminary results of phase I-II clinical studies are promising and suggest potential clinical parameters and molecular predictive biomarkers useful for patient selection: treatment personalization is indeed the key in order to maximize the benefit while reducing the risk of more complex neoadjuvant treatment schedules.

Indexed as

AdenocarcinomaAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabClinical Trials as TopicCombined Modality TherapyDrug Administration ScheduleHumansMedical OncologyNeoadjuvant TherapyNeoplasm Recurrence, LocalOrganoplatinum CompoundsOxaliplatinPreoperative PeriodPrognosisRadiotherapyAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabOrganoplatinum CompoundsOxaliplatinBevacizumabChemotherapyLocally advanced rectal cancerNeoadjuvant treatmentRadiotherapy

Identifiers

PMID24876730
PMCPMC4033447
OpenAlexW2020014009

What OpenQuestion holds

Textmetadata
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.