Evidence map›Paper›PMID 25713439›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2015

Lessons from anti-vascular endothelial growth factor and anti-vascular endothelial growth factor receptor trials in patients with glioblastoma.

Christine Lu-Emerson, Dan G Duda, Kyrre E Emblem, Jennie W Taylor, Elizabeth R Gerstner, Jay S Loeffler, Tracy T Batchelor, Rakesh K Jain

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 5 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.

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

92 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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32 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

8 authors.

Christine Lu-EmersonAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Dan G DudaAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Kyrre E EmblemAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Jennie W TaylorAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Elizabeth R GerstnerAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Jay S LoefflerAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Tracy T BatchelorAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA.
Rakesh K JainAll authors, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA. jain@steele.mgh.harvard.edu.

Funding

Vascular Normalization: Rolse of Perivascular CellsP01CA080124 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI FUKUMURA, DAI · 2000 to 2016
$35.0M
Targeting the Vasular SystemP50CA165962 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Benjamin Harris Kann · 2013 to 2026
$33.5M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
AZD2171 and chemoradiation for newly diagnosed glioblastomaR01CA129371 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BATCHELOR, TRACY T · 2007 to 2017
$6.2M
Clinical and Molecular Studies of Novel Therapeutics in Malignant Brain TumorsK24CA125440 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BATCHELOR, TRACY T · 2007 to 2016
$1.9M
Role of SDF1a pathway in prostate cancer relapse and metastasis post-radiotherapyR01CA159258 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI DUDA, DAN GABRIEL · 2011 to 2015
$1.6M
Role of PLGF in Medulloblastoma Progression and TreatmentR01CA163815 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2012 to 2015
$1.3M
NCATS NIH HHS 8UL1TR000170-05NCATS NIH HHS UL1 TR000170NCI NIH HHS K24 CA125440NCI NIH HHS K24CA125440ANCI NIH HHS P01 CA080124NCI NIH HHS P01CA080124NCI NIH HHS P50 CA165962NCI NIH HHS R01 CA129371NCI NIH HHS R01CA129371NCI NIH HHS R01 CA159258NCI NIH HHS R01CA159258NCI NIH HHS R01 CA163815NCI NIH HHS R01CA163815
6 · The paper itself

Abstract

Treatment of glioblastoma (GBM), the most common primary malignant brain tumor in adults, remains a significant unmet need in oncology. Historically, cytotoxic treatments provided little durable benefit, and tumors recurred within several months. This has spurred a substantial research effort to establish more effective therapies for both newly diagnosed and recurrent GBM. In this context, antiangiogenic therapy emerged as a promising treatment strategy because GBMs are highly vascular tumors. In particular, GBMs overexpress vascular endothelial growth factor (VEGF), a proangiogenic cytokine. Indeed, many studies have demonstrated promising radiographic response rates, delayed tumor progression, and a relatively safe profile for anti-VEGF agents. However, randomized phase III trials conducted to date have failed to show an overall survival benefit for antiangiogenic agents alone or in combination with chemoradiotherapy. These results indicate that antiangiogenic agents may not be beneficial in unselected populations of patients with GBM. Unfortunately, biomarker development has lagged behind in the process of drug development, and no validated biomarker exists for patient stratification. However, hypothesis-generating data from phase II trials that reveal an association between increased perfusion and/or oxygenation (ie, consequences of vascular normalization) and survival suggest that early imaging biomarkers could help identify the subset of patients who most likely will benefit from anti-VEGF agents. In this article, we discuss the lessons learned from the trials conducted to date and how we could potentially use recent advances in GBM biology and imaging to improve outcomes of patients with GBM who receive antiangiogenic therapy.

Indexed as

Angiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabBiomarkers, TumorBrain NeoplasmsClinical Trials as TopicGlioblastomaHumansIndolesProtein Kinase InhibitorsQuinazolinesReceptors, Vascular Endothelial Growth FactorSurvival AnalysisTreatment OutcomeVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Receptor-2Angiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabBiomarkers, TumorcediranibIndolesProtein Kinase InhibitorsQuinazolinesReceptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID25713439
PMCPMC4517055

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.