Evidence map›Paper›PMID 28078107›Full record

ArticleJournal of gastrointestinal oncology2016

Phase II study of bevacizumab and preoperative chemoradiation for esophageal adenocarcinoma.

Geoffrey Y Ku, Manjit S Bains, Do Joong Park, Yelena Y Janjigian, Valerie W Rusch, Nabil P Rizk, Sam S Yoon, Brittanie Millang, Marinela Capanu, Karyn A Goodman and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01333033 (Randomized Phase II Trial of PET Scan-Directed Combined Modality Therapy in Esophageal Cancer), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% 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.

NCT01333033 phase2completednot on this map

Randomized Phase II Trial of PET Scan-Directed Combined Modality Therapy in Esophageal Cancer

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2011 to 2023Enrolled257ConditionsAdenocarcinoma of the Gastroesophageal Junction, Esophageal CancerArmsOxaliplatin, Leucovorin Calcium, Fluorouracil, Carboplatin, Paclitaxel
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Prognostic and predictive values of interimAnnals of nuclear medicine · 2021
    Pooled it
  2. Article
  3. Review
  4. Neoadjuvant and adjuvant therapy in esophageal cancer.Journal of gastrointestinal oncology · 2023
    Review
  5. Review
  6. Review
  7. Esophageal Tumor Microenvironment.Advances in experimental medicine and biology · 2020
    Review
  8. 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

11 authors at 3 institutions in 1 country.

Geoffrey Y KuGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, USA.
Manjit S BainsThoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Do Joong ParkJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack, USA.
Yelena Y JanjigianGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, USA.
Valerie W RuschThoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Nabil P RizkJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack, USA.
Sam S YoonGastric and Mixed Tumor Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Brittanie MillangGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, USA.
Marinela CapanuDepartment of Epidemiology/Biostatistics, Memorial Sloan Kettering Cancer Center, New York, USA.
Karyn A GoodmanDepartment of Radiation Oncology, University of Colorado School of Medicine, Denver, USA.
David H IlsonGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, USA.
Memorial Sloan Kettering Cancer Center · USHackensack University Medical Center · USUniversity of Colorado Denver · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundA standard-of-care for locally advanced esophageal and gastroesophageal junction (GEJ) adenocarcinoma is pre-operative chemoradiation. Elevated levels of vascular endothelial growth factor (VEGF) have been associated with worse outcomes following chemoradiation and anti-VEGF therapies can potentiate radiation efficacy.

methodsIn this single-arm phase II study, we added bevacizumab to induction chemotherapy and concurrent chemoradiation with cisplatin/irinotecan for locally advanced esophageal and GEJ adenocarcinomas.

resultsThirty-three patients were enrolled, with all evaluable. All tumors involved the GEJ and 67% were node-positive by endoscopic ultrasound (EUS) and imaging. Twenty-eight patients completed chemoradiation and 26 patients underwent surgery (25 R0 resections). Toxicities were not clearly increased. The pathologic complete response (pCR) rate was 15%. Median progression-free survival (PFS) and overall survival (OS) were 15.1 and 30.5 months respectively. Higher baseline VEGF-A levels were associated with a trend toward improved OS (not reached

conclusionsThe addition of bevacizumab to chemoradiation was not associated with clear worsening of toxicities but also led to no improvement in outcomes, when compared to a prior phase II study of 55 patients. Higher baseline VEGF-A levels correlated with a trend toward improved survival and might be used to stratify or select patients for future studies incorporating this or similar agents. PET scan to assess response following induction chemotherapy and change chemotherapy in non-responders during chemoradiation is the subject of a fully-accrued national trial (NCT01333033).

Indexed as

adenocarcinomaBevacizumabchemoradiationchemotherapyesophageal cancerradiation

Identifiers

PMID28078107
PMCPMC5177593
OpenAlexW2529105505

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.