Evidence map›Paper›PMID 25318437›Full record

Trial reportInvestigational new drugs2015

A phase II trial of bevacizumab plus temsirolimus in patients with advanced hepatocellular carcinoma.

Jennifer J Knox, Rui Qin, Jonathan R Strosberg, Benjamin Tan, Andreas Kaubisch, Anthony B El-Khoueiry, Tanios S Bekaii-Saab, Steven R Rousey, Helen X Chen, Charles Erlichman

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
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  4. Article
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  8. Review
  9. Article
  10. Review
  11. Article
  12. Current biologics for treatment of biliary tract cancers.Journal of gastrointestinal oncology · 2017
    Review
  13. Recent advances in hepatocellular carcinoma therapy.Pharmacology & therapeutics · 2017
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
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

10 authors at 10 institutions in 2 countries.

Jennifer J KnoxStaff Medical Oncologist, Gastrointestinal Oncology Lead, Princess Margaret Cancer Centre, University of Toronto, 5-210, 610 University Ave, Toronto, ON, M5G 2 M9, USA, jennifer.knox@uhn.ca.
Rui Qin
Jonathan R Strosberg
Benjamin Tan
Andreas Kaubisch
Anthony B El-Khoueiry
Tanios S Bekaii-Saab
Steven R Rousey
Helen X Chen
Charles Erlichman
Mayo Clinic in Arizona · USMayo Clinic in Florida · USMetro-Minnesota Community Oncology Research Consortium · USMoffitt Cancer Center · USMontefiore Medical Center · USNational Cancer Institute · USThe Ohio State University Wexner Medical Center · USUniversity of Southern California · USUniversity of Toronto · CAWashington University in St. Louis · US

Funding

Phase 2 Clinical Trials Program for Experimental Therapeutics Clinical Trials NetworkUM1CA186686 · NCI · MAYO CLINIC ROCHESTER · PI ADJEI, ALEX A. · 2014 to 2019
$5.3M
NCI NIH HHS N01-CM-2011-00032NCI NIH HHS N01-CM-2011-00038NCI NIH HHS N01-CM-2011-00070NCI NIH HHS N01-CM-2011-00099NCI NIH HHS N01-CM-2011-00100NCI NIH HHS UM1 CA186686
6 · The paper itself

Abstract

backgroundThere is strong rationale to combine temsirolimus (TEM) with Bevacizumab (BEV) for patients with advanced HCC.

methodsA modified two-stage Simon phase II trial was performed with plans to advance to stage 2 if more than 2 patients had confirmed PR or >18 patients were progression free at 6 months out of 25 in stage 1. Toxicity, PFS and overall survival were secondary endpoints. Eligible pts had advanced HCC, Child Pugh A liver status and no prior systemic therapy involving the VEGF or m-TOR targeted agents. Patients were treated with temsirolimus 25 mg IV on Days 1, 8, 15, and 22 of a 28 day cycle and bevacizumab 10 mg/kg IV on Days 1 and 15 of the cycle.

resultsTwenty-eight eligible patients were enrolled, 26 evaluable receiving a median of 6.5 cycles (range 1-18). Drug related toxicities were common including cytopenias, fatigue, mucositis, diarrhea and mild bleeds. Dose reductions or discontinuation of TEM were common. Accrual closed for presumed futility after interim analysis of the first 25 evaluable patients showed only one PR and 16/25 were progression-free at 6 months. However, the final data update in March 2013 demonstrated 4 confirmed PRs, a 5th unconfirmed PR and 16 /26 progression-free at 6 months. Median PFS and OS were 7 and 14 months respectively.

conclusionThis first-line HCC trial evaluating the BEV/TEM doublet reports an ORR of 19 % and OS of 14 months which is favorable but requires further study at a more optimized dose and schedule.

Indexed as

AdultAgedAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, HepatocellularDisease-Free SurvivalFemaleHumansLiver NeoplasmsMaleMiddle AgedProtein Kinase InhibitorsSirolimusTreatment OutcomeAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabProtein Kinase InhibitorsSirolimustemsirolimus

Identifiers

PMID25318437
OpenAlexW2019837162

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.