Evidence map›Paper›PMID 27861157›Full record

Trial reportOncotarget2016

A randomized phase II trial comparing chemoimmunotherapy with or without bevacizumab in previously untreated patients with chronic lymphocytic leukemia.

Neil E Kay, Paolo Strati, Betsy R LaPlant, Jose F Leis, Daniel Nikcevich, Timothy G Call, Adam M Pettinger, Connie E Lesnick, Curtis A Hanson, Tait D Shanafelt

Open access · diamondAbstract readClinical Trial, Phase IIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
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

10 authors at 3 institutions in 1 country.

Neil E KayMayo Clinic College of Medicine, Rochester, MN, USA.
Paolo StratiMayo Clinic College of Medicine, Rochester, MN, USA.
Betsy R LaPlantMayo Clinic College of Medicine, Rochester, MN, USA.
Jose F LeisMayo Clinic College of Medicine, Scottsdale, AZ, USA.
Daniel NikcevichEssentia Health's East Region, Duluth, MN, USA.
Timothy G CallMayo Clinic College of Medicine, Rochester, MN, USA.
Adam M PettingerMayo Clinic College of Medicine, Rochester, MN, USA.
Connie E LesnickMayo Clinic College of Medicine, Rochester, MN, USA.
Curtis A HansonMayo Clinic College of Medicine, Rochester, MN, USA.
Tait D ShanafeltMayo Clinic College of Medicine, Rochester, MN, USA.
Mayo Clinic · USEssentia Health · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bevacizumab is a monoclonal antibody targeting vascular endothelial growth factor (VEGF) with in vitro pro-apoptotic and antiangiogenic effects on chronic lymphocytic leukemia (CLL) cells. As monotherapy in patients with CLL, it has no clinical activity. Here we report the results of an open-label, randomized phase II trial comparing the combination of pentostatin, cyclophosphamide and rituximab (PCR) either without or with bevacizumab (PCR-B) in previously untreated CLL patients. A total of 65 evaluable patients were enrolled, 32 receiving PCR and 33 PCR-B. A higher rate of grade 3-4 cardiovascular toxicity was observed with PCR-B (33% vs. 3%, p < 0.003). Patients treated with PCR-B had a trend for a higher complete remission (CR) rate (54.5% vs 31.3%; p = 0.08), longer progression-free survival (PFS)(p = 0.06) and treatment-free survival (TFS)(p = 0.09). No differences in PFS and TFS by IGHV mutational status were observed with the addition of bevacizumab. A significant post-treatment increase in VEGF levels was observed in the PCR-B arm (29.77 to 57.05 pg/mL); in the PCR-B arm, lower baseline CCL-3 levels were significantly associated with achievement of CR (p = 0.01). In conclusion, the addition of bevacizumab to chemoimmunotherapy in CLL is generally well-tolerated and appears to prolong PFS and TFS.

Indexed as

AdultAgedAged, 80 and overAngiogenesis InhibitorsAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCyclophosphamideCytokinesDisease-Free SurvivalFemaleGenes, Immunoglobulin Heavy ChainHumansKaplan-Meier EstimateLeukemia, Lymphocytic, Chronic, B-CellMaleAngiogenesis InhibitorsAntineoplastic Agents, ImmunologicalBevacizumabCyclophosphamideCytokinesPentostatinRituximabVascular Endothelial Growth Factor AVEGFA protein, humanbevacizumabchemoimmunotherapyCLL

Identifiers

PMID27861157
PMCPMC5346637
OpenAlexW2556196051

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.