Evidence map›Paper›PMID 26998090›Full record

ArticleOncology letters2016

Safety of bevacizumab in clinical practice for recurrent ovarian cancer: A retrospective cohort study.

Frédéric Selle, George Emile, Patricia Pautier, Irène Asmane, Daniele G Soares, Ahmed Khalil, Jerome Alexandre, Catherine Lhommé, Isabelle Ray-Coquard, Jean-Pierre Lotz and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Oncology letters, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.1field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

19 authors at 8 institutions in 1 country.

Frédéric SelleDepartment of Medical Oncology, Alliance For Cancer Research (APREC), Tenon Hospital, Public Assistance Hospitals of Paris (AP-HP), Paris 75020, France; Department of Clinical Oncology, Sorbonne University, Pierre-and-Marie-Curie University (University of Paris VI), Paris 75014, France.
George EmileDepartment of Medical Oncology, Cochin Hospital/Hotel Dieu, AP-HP, Paris Descartes University (University of Paris V), Paris 75014, France.
Patricia PautierDepartment of Medical Oncology, Gustave Roussy, Villejuif 94805, France.
Irène AsmaneOncology Department, Centre Léon Bérard, Lyon 69008, France.
Daniele G SoaresDepartment of Medical Oncology, Alliance For Cancer Research (APREC), Tenon Hospital, Public Assistance Hospitals of Paris (AP-HP), Paris 75020, France.
Ahmed KhalilDepartment of Medical Oncology, Alliance For Cancer Research (APREC), Tenon Hospital, Public Assistance Hospitals of Paris (AP-HP), Paris 75020, France.
Jerome AlexandreDepartment of Medical Oncology, Cochin Hospital/Hotel Dieu, AP-HP, Paris Descartes University (University of Paris V), Paris 75014, France.
Catherine LhomméDepartment of Medical Oncology, Gustave Roussy, Villejuif 94805, France.
Isabelle Ray-CoquardOncology Department, Centre Léon Bérard, Lyon 69008, France.
Jean-Pierre LotzDepartment of Medical Oncology, Alliance For Cancer Research (APREC), Tenon Hospital, Public Assistance Hospitals of Paris (AP-HP), Paris 75020, France; Department of Clinical Oncology, Sorbonne University, Pierre-and-Marie-Curie University (University of Paris VI), Paris 75014, France.
François GoldwasserDepartment of Medical Oncology, Cochin Hospital/Hotel Dieu, AP-HP, Paris Descartes University (University of Paris V), Paris 75014, France.
Youssef TaziDepartment of Medical Oncology, Gustave Roussy, Villejuif 94805, France.
Pierre HeudelOncology Department, Centre Léon Bérard, Lyon 69008, France.
Eric Pujade-LauraineDepartment of Medical Oncology, Cochin Hospital/Hotel Dieu, AP-HP, Paris Descartes University (University of Paris V), Paris 75014, France.
Sébastien GouyDepartment of Medical Oncology, Gustave Roussy, Villejuif 94805, France.
Olivier TredanOncology Department, Centre Léon Bérard, Lyon 69008, France.
Marie O BarbazaDepartment of Statistics, Auxesia, Decines-Charpieu 69150, France.
Nora Ady-VagoRoche S.A.S., Boulogne-Billancourt 92650, France.
Coraline DubotDepartment of Medical Oncology, Alliance For Cancer Research (APREC), Tenon Hospital, Public Assistance Hospitals of Paris (AP-HP), Paris 75020, France.
Centre Léon Bérard · FRInstitut Gustave Roussy · FRHôpital Tenon · FRSorbonne Université · FRUniversité Paris Cité · FRDélégation Paris 5 · FRHôpital Cochin · FRRoche (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The poor outcome of patients with recurrent ovarian cancer constitutes a continuous challenge for decision-making in clinical practice. In this setting, molecular targets have recently been identified, and novel compounds are now available. Bevacizumab has been introduced for the treatment of patients with ovarian cancer and is, to date, the most extensively investigated targeted therapy in this setting. However, potential toxicities are associated with the use of this monoclonal antibody. These toxicities have been reported in clinical trials, and can also be observed outside of trials. As limited data is currently available regarding the safety of bevacizumab treatment in daily clinical practice, the current retrospective study was designed to evaluate this. Data from 156 patients with recurrent ovarian cancer who had received bevacizumab treatment between January 2006 and June 2009 were retrospectively identified from the institutional records of five French centers. In contrast to clinical trials, the patients in the present study were not selected and had a heterogeneous profile according to their prior medical history, lines of treatment prior to bevacizumab introduction and number of relapses. The results first confirm the effect of heavy pretreatment on the occurrence of serious and fatal adverse events in clinical practice, as previously reported for clinical trials and for other retrospective cohort studies. Importantly, the data also demonstrates, for the first time, that medical history of hypertension is an independent predictive risk factor for the development of high-grade hypertension during bevacizumab treatment. These results thus suggest that treating physicians must consider all risk factors for managing bevacizumab toxicity prior to its introduction. Such risk factors include the time of bevacizumab introduction, a patient's history of hypertension and a low incidence of pre-existing obstructive disease.

Indexed as

bevacizumabclinical practicehypertensionrecurrent ovarian cancersafety

Identifiers

PMID26998090
PMCPMC4774410
OpenAlexW2260940483

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.