Evidence map›Paper›PMID 27193554›Full record

ArticleJournal of neuro-oncology2016

Prognostic factors in recurrent glioblastoma patients treated with bevacizumab.

Christina Schaub, Julia Tichy, Niklas Schäfer, Kea Franz, Frederic Mack, Michel Mittelbronn, Sied Kebir, Anna-Luisa Thiepold, Andreas Waha, Natalie Filmann and 7 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  6. Article
  7. The Clinical Significance of OFrontiers in neurology · 2018
    Article
  8. Bevacizumab for Patients with Recurrent Multifocal Glioblastomas.International journal of molecular sciences · 2017
    Article
  9. Article
  10. Article
  11. 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

17 authors at 3 institutions in 1 country.

Christina SchaubDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, 53105, Bonn, Germany.
Julia TichyDr. Senckenberg Institute of Neurooncology, University Hospital Frankfurt, Goethe University, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Niklas SchäferDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, 53105, Bonn, Germany.
Kea FranzDepartment of Neurosurgery, Goethe University Hospital, Frankfurt, Germany.
Frederic MackDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, 53105, Bonn, Germany.
Michel MittelbronnInstitute of Neurology (Edinger-Institute), Goethe University Hospital, Frankfurt, Germany.
Sied KebirDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, 53105, Bonn, Germany.
Anna-Luisa ThiepoldDr. Senckenberg Institute of Neurooncology, University Hospital Frankfurt, Goethe University, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Andreas WahaInstitute of Neuropathology, University of Bonn Medical Center, Bonn, Germany.
Natalie FilmannInstitute of Biostatistics and Mathematical Modeling, Goethe University Hospital Frankfurt, Frankfurt, Germany.
Mohammed BanatDepartment of Neurosurgery, University of Bonn Medical Center, Bonn, Germany.
Rolf FimmersInstitute of Medical Biometry, Informatics and Epidemiology, University of Bonn Medical Center, Bonn, Germany.
Joachim P SteinbachDr. Senckenberg Institute of Neurooncology, University Hospital Frankfurt, Goethe University, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Ulrich HerrlingerDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, 53105, Bonn, Germany.
Johannes RiegerDr. Senckenberg Institute of Neurooncology, University Hospital Frankfurt, Goethe University, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Martin GlasDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, 53105, Bonn, Germany. martin.glas@ukb.uni-bonn.de.
Oliver BährDr. Senckenberg Institute of Neurooncology, University Hospital Frankfurt, Goethe University, Schleusenweg 2-16, 60528, Frankfurt, Germany. oliver.baehr@med.uni-frankfurt.de.
University of Bonn · DEGoethe University Frankfurt · DEUniversity Hospital Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The value of bevacizumab (BEV) in recurrent glioblastoma is unclear. Imaging parameters and progression-free survival (PFS) are problematic endpoints. Few data exist on clinical factors influencing overall survival (OS) in unselected patients with recurrent glioblastoma exposed to BEV. We retrospectively analyzed 174 patients with recurrent glioblastoma treated with BEV at two German brain tumor centers. We evaluated general patient characteristics, MGMT status, pretreatment, concomitant oncologic treatment and overall survival. Karnofsky performance score, number of prior chemotherapies, number of prior recurrences and combined treatment with irinotecan (IRI) were significantly associated with OS in univariate analysis. We did not find differences in OS related to sex, age, histology, MGMT status, prior surgical treatment or number of prior radiotherapies. Combined treatment with IRI and higher KPS both remained significantly associated with prolonged survival in multivariate analysis, but patients receiving IRI co-treatment had less advanced disease. Grouping into clinically relevant categories revealed an OS of 16.9 months from start of BEV in patients with first recurrence and KPS ≥ 80 % (n = 25). In contrast, in patients with second recurrence and KPS < 80 %, OS was 3.6 months (n = 27). Our observational data support an early use of BEV in patients with good performance status. The benefit of co-treatment with IRI in our cohort seems to be the result of biased patient recruitment.

Indexed as

AdolescentAdultAgedAntineoplastic Agents, ImmunologicalAntineoplastic Agents, PhytogenicBevacizumabBrain NeoplasmsCamptothecinDisease-Free SurvivalDrug Therapy, CombinationFemaleGlioblastomaHumansIrinotecanKarnofsky Performance StatusMaleAntineoplastic Agents, ImmunologicalAntineoplastic Agents, PhytogenicBevacizumabCamptothecinIrinotecanBevacizumabIrinotecanKarnofsky performance scoreRecurrent glioblastomaSurvival

Identifiers

PMID27193554
OpenAlexW2405099481

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.