Evidence map›Paper›PMID 28832978›Full record

Trial reportCancer2017

Bevacizumab alone or in combination with TRC105 for patients with refractory metastatic renal cell cancer.

Tanya B Dorff, Jeff A Longmate, Sumanta K Pal, Walter M Stadler, Mayer N Fishman, Ulka N Vaishampayan, Amol Rao, Jacek K Pinksi, James S Hu, David I Quinn and 1 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Targeted therapy for metastatic renal cell carcinoma.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Endoglin in head and neck neoplasms.Frontiers in medicine · 2023
    Review
  6. Article
  7. Article
  8. CD105: tumor diagnosis, prognostic marker and future tumor therapeutic target.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Endoglin Targeting: Lessons Learned and Questions That Remain.International journal of molecular sciences · 2020
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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 7 institutions in 1 country.

Tanya B DorffUniversity of Southern California Keck School of Medicine, Norris Comprehensive Cancer Center, Los Angeles, California.ORCID http://orcid.org/0000-0001-5990-298X
Jeff A LongmateDepartment of Biostatistics, City of Hope, Duarte, California.
Sumanta K PalDepartment of Medical Oncology and Experimental Therapeutics, City of Hope, Duarte, California.
Walter M StadlerHematology/Oncology Section, University of Chicago, Chicago, Illinois.ORCID http://orcid.org/0000-0002-0435-2527
Mayer N FishmanDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Ulka N VaishampayanDepartment of Hematology and Oncology, Karmanos Cancer Center, Detroit, Michigan.
Amol RaoUniversity of Southern California Keck School of Medicine, Norris Comprehensive Cancer Center, Los Angeles, California.
Jacek K PinksiUniversity of Southern California Keck School of Medicine, Norris Comprehensive Cancer Center, Los Angeles, California.
James S HuUniversity of Southern California Keck School of Medicine, Norris Comprehensive Cancer Center, Los Angeles, California.
David I QuinnDepartment of Medical Oncology, University of Southern California Keck School of Medicine, Norris Comprehensive Cancer Center, Los Angeles, California.ORCID http://orcid.org/0000-0002-1411-0417
Primo N LaraUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
University of Southern California · USCity of Hope · USCity Of Hope National Medical Center · USMoffitt Cancer Center · USThe Barbara Ann Karmanos Cancer Institute · USUC Davis Comprehensive Cancer CenterUniversity of Illinois Chicago · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Laura Marcu · 2002 to 2026
$84.9M
Phase I Molecular and Clinical Pharmacodynamic Trials ETCTNUM1CA186717 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI A. Dimitrios Colevas, Alexey V. Danilov · 2014 to 2026
$19.8M
Phase 2 Clinical Trials Program for Experimental Therapeutics Clinical Trials NetworkUM1CA186686 · NCI · MAYO CLINIC ROCHESTER · PI ADJEI, ALEX A. · 2014 to 2019
$5.3M
NCI NIH HHS P30 CA014089NCI NIH HHS P30 CA033572NCI NIH HHS P30 CA093373NCI NIH HHS UM1 CA186686NCI NIH HHS UM1 CA186717
6 · The paper itself

Abstract

backgroundTargeting the vascular endothelial growth factor (VEGF) pathway has improved outcomes in metastatic renal cell carcinoma (RCC); however, resistance inevitably occurs. CD105 (endoglin) is an angiogenic pathway that is strongly upregulated after VEGF inhibition, potentially contributing to resistance. The authors tested whether TRC105, a monoclonal antibody against endoglin, impacted disease control in patients with previously treated RCC who were receiving bevacizumab.

methodsEligible patients with metastatic RCC who had previously received 1 to 4 prior lines of therapy, including VEGF-targeted agents, were randomized 1:1 to receive bevacizumab 10 mg/kg intravenously every 2 weeks (arm A) or the same plus TRC105 10 mg/kg intravenously every 2 weeks (arm B). The primary endpoint was progression-free survival (PFS) at 12 and 24 weeks. Correlative studies included serum transforming growth factor β (TGFβ) and CD105 levels as well as tissue immunostaining for TGFβ receptors.

resultsFifty-nine patients were enrolled (28 on arm A and 31 on arm B), and 1 patient on each arm had a confirmed partial response. The median PFS for bevacizumab alone was 4.6 months compared with 2.8 for bevacizumab plus TRC105 (P = .09). Grade ≥ 3 toxicities occurred in 16 patients (57%) who received bevacizumab compared with 19 (61%) who received bevacizumab plus TRC105 (P = .9). Baseline serum TGFβ levels below the median (<10.6 ng/mL) were associated with longer median PFS (5.6 vs 2.1 months; P = .014).

conclusionsTRC105 failed to improve PFS when added to bevacizumab. TGFβ warrants further study as a biomarker in RCC. Cancer 2017;123:4566-4573. © 2017 American Cancer Society.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, PapillaryCarcinoma, Renal CellFemaleFollow-Up StudiesHumansKidney NeoplasmsMaleMiddle AgedNeoplasm StagingPrognosisAntibodies, MonoclonalBevacizumabcarotuximabangiogenesisrenal cancertargeted therapytransforming growth factor β (TGFβ)vascular endothelial growth factor (VEGF)

Identifiers

PMID28832978
PMCPMC5726867
OpenAlexW2747395148

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.