Evidence map›Paper›PMID 26042933›Full record

Trial reportBritish journal of cancer2015

Prognostic value and kinetics of circulating endothelial cells in patients with recurrent glioblastoma randomised to bevacizumab plus lomustine, bevacizumab single agent or lomustine single agent. A report from the Dutch Neuro-Oncology Group BELOB trial.

N Beije, J Kraan, W Taal, B van der Holt, H M Oosterkamp, A M Walenkamp, L Beerepoot, M Hanse, M E van Linde, A Otten and 5 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 22% 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Molecular Biomarkers in Glioblastoma: A Systematic Review and Meta-Analysis.International journal of molecular sciences · 2022
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  5. A Synopsis of Biomarkers in Glioblastoma: Past and Present.Current issues in molecular biology · 2024
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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

15 authors at 7 institutions in 3 countries.

N BeijeDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam and Cancer Genomics Netherlands, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.
J KraanDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam and Cancer Genomics Netherlands, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.
W TaalDepartment of Neuro-oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Groene Hilledijk 301, 3075 EA Rotterdam, The Netherlands.
B van der HoltErasmus MC Cancer Institute, University Medical Center Rotterdam, Clinical Trial Center, s-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
H M OosterkampDepartment of Medical Oncology, Medical Center Haaglanden, Lijnbaan 32, 2512 VA The Hague, The Netherlands.
A M WalenkampDepartment of Medical Oncology, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
L BeerepootDepartment of Oncology, St Elisabeth Hospital, Hilvarenbeeksweg 60, 5022 GC Tilburg, The Netherlands.
M HanseDepartment of Neurology, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands.
M E van LindeDepartment of Oncology, VU University Medical Center, De Boelelaan 117, 1081 HV Amsterdam, The Netherlands.
A OttenDepartment of Neurology, Isala Klinieken, Dokter van Heesweg 2, 8025 AB Zwolle, The Netherlands.
R M VernhoutErasmus MC Cancer Institute, University Medical Center Rotterdam, Clinical Trial Center, s-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
F Y F de VosDepartment of Medical Oncology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
J W GratamaDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam and Cancer Genomics Netherlands, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.
S SleijferDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam and Cancer Genomics Netherlands, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.
M J van den BentDepartment of Neuro-oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Groene Hilledijk 301, 3075 EA Rotterdam, The Netherlands.
Erasmus University Rotterdam · NLCatharina Ziekenhuis · NLIsala · NLMedisch Centrum Haaglanden · NLUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngiogenesis is crucial for glioblastoma growth, and anti-vascular endothelial growth factor agents are widely used in recurrent glioblastoma patients. The number of circulating endothelial cells (CECs) is a surrogate marker for endothelial damage. We assessed their kinetics and explored their prognostic value in patients with recurrent glioblastoma.

methodsIn this side study of the BELOB trial, 141 patients with recurrent glioblastoma were randomised to receive single-agent bevacizumab or lomustine, or bevacizumab plus lomustine. Before treatment, after 4 weeks and after 6 weeks of treatment, CECs were enumerated.

resultsThe number of CECs increased during treatment with bevacizumab plus lomustine, but not during treatment in the single-agent arms. In patients treated with lomustine single agent, higher absolute CEC numbers after 4 weeks (log₁₀CEC hazard ratio (HR) 0.41, 95% CI 0.18-0.91) and 6 weeks (log₁₀CEC HR 0.16, 95% CI 0.05-0.56) of treatment were associated with improved overall survival (OS). Absolute CEC numbers in patients receiving bevacizumab plus lomustine or bevacizumab single agent were not associated with OS.

conclusionCEC numbers increased during treatment with bevacizumab plus lomustine but not during treatment with either agent alone, suggesting that this combination induced the greatest vascular damage. Although the absolute number of CECs was not associated with OS in patients treated with bevacizumab either alone or in combination, they could serve as a marker in glioblastoma patients receiving lomustine single agent.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAntigens, CDAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBrain NeoplasmsCell MovementEndothelial CellsFemaleGlioblastomaGPI-Linked ProteinsHumansKineticsLomustineMaleAntibodies, Monoclonal, HumanizedAntigens, CDBevacizumabCD109 protein, humanGPI-Linked ProteinsLomustineNeoplasm Proteins

Identifiers

PMID26042933
PMCPMC4506382
OpenAlexW1546365711

What OpenQuestion holds

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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.