Evidence map›Paper›PMID 27351218›Full record

Trial reportBritish journal of cancer2016

Systematic analysis of circulating soluble angiogenesis-associated proteins in ICON7 identifies Tie2 as a biomarker of vascular progression on bevacizumab.

Cong Zhou, Andrew Clamp, Alison Backen, Carlo Berzuini, Andrew Renehan, Rosamonde E Banks, Richard Kaplan, Stefan J Scherer, Gunnar B Kristensen, Eric Pujade-Lauraine and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04770376 (Prospective Pilot Study for the Evaluation of the Predictive Value of Blood Levels of Angiopoietin 1), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT04770376 unknown statusnot on this mapstarted 2020, after this paper: background citation

Prospective Pilot Study for the Evaluation of the Predictive Value of Blood Levels of Angiopoietin 1 (ANG1) and Endothelial Internal Tunica Cell Kinase 2 (TiE2) in Patients With Ovarian Cancer Treated With Chemotherapy Associated to bevAcizumab

TypeobservationalSponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2020 to 2023Enrolled150ConditionsOvarian CancerArmsObservational study. Blood samples will be collected at scheduled blood draws performed as per clinical practice before each cycle of chemotherapy.
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer.The Cochrane database of systematic reviews · 2023
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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

12 authors at 8 institutions in 4 countries.

Cong ZhouInstitute of Cancer Sciences, University of Manchester, Manchester, UK.
Andrew ClampInstitute of Cancer Sciences, University of Manchester, Manchester, UK.
Alison BackenInstitute of Cancer Sciences, University of Manchester, Manchester, UK.
Carlo BerzuiniCentre for Biostatistics, University of Manchester, Manchester, UK.
Andrew RenehanInstitute of Cancer Sciences, University of Manchester, Manchester, UK.
Rosamonde E BanksClinical and Biomedical Proteomics Group, St James's University Hospital, Cancer Research UK Clinical Centre, University of Leeds, Leeds, UK.
Richard KaplanMRC Clinical Trials Unit, University College London, London, UK.
Stefan J SchererNovartis/GSK Pharmaceutical Cooperation, East Hanover, NJ, USA.
Gunnar B KristensenDepartment of Gynecological Oncology, Oslo University Hospital, Oslo, Norway.
Eric Pujade-LauraineGroup d'Investigateurs Nationaux pour l'Etude des Cancers Ovariens (GINECO) and Université Paris Descartes, Assistance Publique-Hôpitaux de Paris, Paris, France.
Caroline DiveClinical and Experimental Pharmacology Group, CRUK Manchester Institute, University of Manchester, Manchester, UK.
Gordon C JaysonInstitute of Cancer Sciences, University of Manchester, Manchester, UK.
University of Manchester · GBCancer Research UK Manchester Institute · GBAssistance Publique – Hôpitaux de Paris · FRMRC Clinical Trials Unit at UCL · GBNovartis (United States) · USOslo University Hospital · NOThe Christie NHS Foundation Trust · GBUniversity of Leeds · GB

Funding

Cancer Research UK 12127Cancer Research UK 19278Medical Research Council MC_U122861379Medical Research Council MC_UU_12023/20Medical Research Council MC_UU_12023/28Medical Research Council MC_UU_12023/9Medical Research Council MR/L01629X/1
6 · The paper itself

Abstract

backgroundThere is a critical need for predictive/resistance biomarkers for VEGF inhibitors to optimise their use.

methodsBlood samples were collected during and following treatment and, where appropriate, upon progression from ovarian cancer patients in ICON7, a randomised phase III trial of carboplatin and paclitaxel with or without bevacizumab. Plasma concentrations of 15 circulating angio-biomarkers were measured using a validated multiplex ELISA, analysed through a novel network analysis and their relevance to the PFS then determined.

resultsSamples (n=650) were analysed from 92 patients. Bevacizumab induced correlative relationships between Ang1 and Tie2 plasma concentrations, which reduced after initiation of treatment and remained decreased until progressive disease occurred. A 50% increase from the nadir in the concentration of circulating Tie2 (or the product of circulating Ang1 and Tie2) predicted tumour progression. Combining Tie2 with GCIG-defined Ca125 data yielded a significant improvement in the prediction of progressive disease in patients receiving bevacizumab in comparison with Ca125 alone (74.1% vs 47.3%, P<1 × 10(-9)).

conclusionsTie2 is a vascular progression marker for bevacizumab-treated ovarian cancer patients. Tie2 in combination with Ca125 provides superior information to clinicians on progressive disease in patients with VEGFi-treated ovarian cancers.

Indexed as

Neovascularization, PathologicAngiogenic ProteinsAntineoplastic Combined Chemotherapy ProtocolsBayes TheoremBevacizumabBiomarkers, TumorEnzyme-Linked Immunosorbent AssayFemaleHumansOvarian NeoplasmsPaclitaxelReceptor, TIE-2Angiogenic ProteinsBevacizumabBiomarkers, TumorPaclitaxelReceptor, TIE-2

Identifiers

PMID27351218
PMCPMC4947705
OpenAlexW2399195235

What OpenQuestion holds

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Registered trials

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.