Evidence map›Paper›PMID 28801183›Full record

Trial reportClinical lung cancer2018

Paired Phase II Studies of Erlotinib/Bevacizumab for Advanced Bronchioloalveolar Carcinoma or Never Smokers With Advanced Non-Small-cell Lung Cancer: SWOG S0635 and S0636 Trials.

Howard L West, James Moon, Antoinette J Wozniak, Philip Mack, Fred R Hirsch, Martin J Bury, Myron Kwong, Dorothy D Nguyen, Dennis F Moore, Jieling Miao and 3 more

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

Trial report in Clinical lung cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Accounting for All Patients in Waterfall Plots.JCO clinical cancer informatics · 2021
    Article
  5. Article
  6. VEGF inhibitors inAnnals of translational medicine · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Howard L WestSwedish Cancer Institute, Seattle, WA. Electronic address: howard.west@swedish.org.
James MoonSouthwestern Oncology Group Statistical Center, Seattle, WA.
Antoinette J WozniakKarmanos Cancer Institute, Wayne State University, Detroit, MI.
Philip MackDepartment of Medical Oncology, University of California, Davis, Cancer Center, Sacramento, CA.
Fred R HirschDepartment of Medical Oncology, University of Colorado Cancer Center, University of Colorado, Aurora, CO.
Martin J BuryGrand Rapids Community Clinical Oncology Program, Grand Rapids, MI.
Myron KwongKaiser Permanente Medical Center, San Jose, CA.
Dorothy D NguyenKaiser Permanente Medical Center, Redwood City, CA.
Dennis F MooreCancer Center of Kansas, Wichita Community Clinical Oncology Program, Wichita, KS.
Jieling MiaoSouthwestern Oncology Group Statistical Center, Seattle, WA.
Mary RedmanSouthwestern Oncology Group Statistical Center, Seattle, WA.
Karen KellyDepartment of Medical Oncology, University of California, Davis, Cancer Center, Sacramento, CA.
David R GandaraDepartment of Medical Oncology, University of California, Davis, Cancer Center, Sacramento, CA.
Cancer Research And Biostatistics · USUniversity of California Davis Medical Center · USCancer Center of Kansas · USGrand Rapids Community College · USKaiser Permanente Redwood City Medical Center · USKaiser Permanente San Jose Medical Center · USSwedish Medical Center · USUniversity of Colorado Cancer Center · USWayne State University · US

Funding

SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG - Foreign Accrual under UMiU10CA032102 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BLANKE, CHARLES D. · 1985 to 2013
$141.3M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Catherine M. Tangen · 2014 to 2026
$115.2M
SOUTHWEST ONCOLOGY GROUP--STATISTICAL CENTERU10CA038926 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEBLANC, MICHAEL L. · 1985 to 2013
$69.8M
Kaiser Permanente NCI National Community Oncology Research Program, NCORPUG1CA189821 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI Jennifer Marie Suga · 2014 to 2026
$44.4M
Heartland Cancer Research NCORPUG1CA189830 · NCI · DECATUR MEMORIAL HOSPITAL · PI Bryan A. Faller · 2014 to 2026
$40.9M
Southeast Clinical Oncology Research Consortium, Inc. (SCOR)UG1CA189858 · NCI · SOUTHEAST CLINICAL ONCOL RES CONSORTIUM · PI Judith O Hopkins, William J Irvin · 2014 to 2026
$38.8M
Michigan Cancer Research Consortium NCORPUG1CA189971 · NCI · SAINT JOSEPH MERCY HEALTH SYSTEM · PI Tareq Al baghdadi · 2014 to 2026
$36.6M
Cancer Research Consortium of West Michigan (CRCWM)UG1CA189860 · NCI · COREWELL HEALTH · PI KATHLEEN YOST BUTLER · 2014 to 2026
$29.1M
The Pacific Cancer Research Consortium (PCRC), an NCORP Community SiteUG1CA189953 · NCI · SWEDISH MEDICAL CENTER, FIRST HILL · PI Alison Katherine Conlin, Charles Drescher · 2014 to 2026
$27.4M
UPSTATE CAROLINA COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035119 · NCI · SPARTANBURG REGIONAL MEDICAL CENTER · PI BEARDEN, JAMES D · 1985 to 2013
$21.5M
Georgia NCI Community Oncology Research Program (NCORP)UG1CA189997 · NCI · NORTHSIDE HOSPITAL ATLANTA · PI Guilherme Cantuaria, Leonard R. Henry · 2014 to 2026
$20.9M
NCI NIH HHS N01 CA032102NCI NIH HHS N01 CA035119NCI NIH HHS N01 CA038926NCI NIH HHS U10 CA012644NCI NIH HHS U10 CA016385NCI NIH HHS U10 CA032102NCI NIH HHS U10 CA035119NCI NIH HHS U10 CA038926NCI NIH HHS U10 CA045450NCI NIH HHS U10 CA046282NCI NIH HHS U10 CA058416NCI NIH HHS U10 CA073590NCI NIH HHS U10 CA180818NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180834NCI NIH HHS U10 CA180846NCI NIH HHS U10 CA180888NCI NIH HHS UG1 CA189808NCI NIH HHS UG1 CA189821NCI NIH HHS UG1 CA189822NCI NIH HHS UG1 CA189830NCI NIH HHS UG1 CA189848NCI NIH HHS UG1 CA189858NCI NIH HHS UG1 CA189860NCI NIH HHS UG1 CA189872NCI NIH HHS UG1 CA189953NCI NIH HHS UG1 CA189954NCI NIH HHS UG1 CA189971NCI NIH HHS UG1 CA189997NCI NIH HHS UG1 CA233324NCI NIH HHS UG1 CA233340
6 · The paper itself

Abstract

backgroundBefore mutation testing of the epidermal growth factor receptor (EGFR) gene was recognized as highly associated with the activity of EGFR tyrosine kinase inhibitors (TKIs), clinically defined patient populations with bronchioloalveolar carcinoma (BAC) and never smokers were identified as likely to benefit from EGFR TKIs. From preclinical and clinical data suggesting potentially improved efficacy with a combination of an EGFR TKI and the antiangiogenic agent bevacizumab, the Southwestern Oncology Group (SWOG) initiated paired phase II trials to evaluate the combination of erlotinib/bevacizumab in patients with advanced BAC (SWOG S0635) or never smokers with advanced lung adenocarcinoma (SWOG S0636). MATERIALS AND

methodsEligible patients with BAC or adenocarcinoma with BAC features (SWOG S0635) or never smokers with advanced lung adenocarcinoma (SWOG S0636) received erlotinib 150 mg/day with bevacizumab 15 mg/kg until progression or prohibitive toxicity. Never smokers with BAC were preferentially enrolled to SWOG S0636. The primary endpoint for both trials was overall survival.

resultsA total of 84 patients were enrolled in the SWOG S0635 trial and 85 in the SWOG S0636 trial. The objective response rate was 22% (3% complete response) in the SWOG S0635 trial and 50% (38% confirmed; 3% complete response) in the SWOG S0636 trial. The median progression-free survival was 5 and 7.4 months in the S0635 and S0636 trials, respectively. The median overall survival was 21 and 29.8 months, respectively. Toxicity consisted mainly of rash and diarrhea in both trials.

conclusionAlthough the field has moved toward molecular, rather than clinical, selection of patients as optimal candidates for EGFR TKI therapy, these results support the hypothesis that a subset of patients in whom erlotinib is particularly active could receive an incremental benefit from the addition of bevacizumab.

Indexed as

Adenocarcinoma, Bronchiolo-AlveolarAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCigarette SmokingDiarrheaDrug-Related Side Effects and Adverse ReactionsErlotinib HydrochlorideExanthemaFemaleHumansLung NeoplasmsMaleMiddle AgedBevacizumabErlotinib HydrochlorideAntiangiogenesisBACBronchioloalveolarEGFRLepidicNever-smoker

Identifiers

PMID28801183
PMCPMC5748264
OpenAlexW2734008320

What OpenQuestion holds

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Registered trials

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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.