Evidence map›Paper›PMID 28631382›Full record

Trial reportInternational journal of cancer2017

A phase II trial evaluating the feasibility of adding bevacizumab to standard osteosarcoma therapy.

Fariba Navid, Victor M Santana, Michael Neel, M Beth McCarville, Barry L Shulkin, Jianrong Wu, Catherine A Billups, Shenghua Mao, Vinay M Daryani, Clinton F Stewart and 9 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in International journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
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  8. Review
  9. Targeted therapy for osteosarcoma: a review.Journal of cancer research and clinical oncology · 2023
    Review
  10. Deciphering the Signaling Mechanisms of Osteosarcoma Tumorigenesis.International journal of molecular sciences · 2023
    Review
  11. Review
  12. Review
  13. Review
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  16. Review
  17. Article
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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

19 authors at 4 institutions in 1 country.

Fariba NavidDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-7916-6382
Victor M SantanaDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
Michael NeelDepartment of Surgery, St. Jude Children's Research Hospital, Memphis, TN.
M Beth McCarvilleDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN.
Barry L ShulkinDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN.
Jianrong WuDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN.
Catherine A BillupsDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN.
Shenghua MaoDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN.
Vinay M DaryaniDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN.
Clinton F StewartDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN.
Michelle KunkelDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
Wendene SmithDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
Deborah WardDepartment of Pharmaceutical Services, St. Jude Children's Research Hospital, Memphis, TN.
Alberto S PappoDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
Armita BahramiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.
David M LoebDepartment of Oncology, Division of Pediatric Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD.
Jennifer Reikes WillertPediatric Hematology/Oncology/Blood and Marrow Transplant, Rady Children's Hospital, San Diego, CA.
Bhaskar N RaoDepartment of Surgery, St. Jude Children's Research Hospital, Memphis, TN.
Najat C DawDivision of Pediatrics, MD Anderson Cancer Center, Houston, TX.
St. Jude Children's Research Hospital · USJohns Hopkins University · USRady Children's Hospital-San Diego · USThe University of Texas MD Anderson Cancer Center · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

Increased vascular endothelial growth factor (VEGF) expression in osteosarcoma correlates with a poor outcome. We conducted a phase II trial to evaluate the feasibility and efficacy of combining bevacizumab, a monoclonal antibody against VEGF, with methotrexate, doxorubicin and cisplatin (MAP) in patients with localized osteosarcoma. Eligible patients received two courses of MAP chemotherapy before definitive surgery at week 10. Bevacizumab (15 mg/kg) was administered 3 days before starting chemotherapy then on day 1 of weeks 3 and 5 of chemotherapy. After surgery, patients received MAP for a total of 29 weeks; bevacizumab was added every 2 or 3 weeks on day 1 of chemotherapy at least 5 weeks after surgery. Group sequential monitoring rules were used to monitor for unacceptable bevacizumab-related targeted toxicity (grade 4 hypertension, proteinuria or bleeding, grade 3 or 4 thrombosis/embolism, and grade 2-4 major wound complications). Thirty-one patients (median age 12.8 years) with localized osteosarcoma were enrolled. No unacceptable targeted toxicities were observed except for wound complications (9 minor and 6 major), which occurred in 15 patients; none required removal of prosthetic hardware or amputation. The estimated 4-year event-free survival (EFS) rate and overall survival rate were 57.5 ± 10.0% and 83.4 ± 7.8%, respectively. Eight (28%) of 29 evaluable patients had good histologic response (<5% viable tumor) to preoperative chemotherapy. The addition of bevacizumab to MAP for localized osteosarcoma is feasible but frequent wound complications are encountered. The observed histologic response and EFS do not support further evaluation of bevacizumab in osteosarcoma.

Indexed as

AdolescentAmputation, SurgicalAngiogenesis InhibitorsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBone NeoplasmsChildCisplatinDisease-Free SurvivalDoxorubicinDrug Administration ScheduleFeasibility StudiesFemaleHumansLimb SalvageMaleAngiogenesis InhibitorsBevacizumabCisplatinDoxorubicinMethotrexateVascular Endothelial Growth Factor Abevacizumabchemotherapyosteosarcomaphase IIsurvivalwound healing

Identifiers

PMID28631382
PMCPMC5812455
OpenAlexW2689625606

What OpenQuestion holds

Textmetadata
LicenceTDM
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.