Evidence map›Paper›PMID 29156610›Full record

ArticleInternational journal of molecular sciences2017

Bevacizumab for Patients with Recurrent Multifocal Glioblastomas.

Michael C Burger, Stella Breuer, Hans C Cieplik, Patrick N Harter, Kea Franz, Oliver Bähr, Joachim P Steinbach

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Michael C BurgerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, 60528 Frankfurt, Germany. michael.burger@kgu.de.ORCID 0000-0002-6927-0987
Stella BreuerInstitute of Neuroradiology, Goethe University Hospital, 60528 Frankfurt, Germany. stella.breuer@kgu.de.
Hans C CieplikDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, 60528 Frankfurt, Germany. hans.cieplik@kgu.de.
Patrick N HarterInstitute of Neurology (Edinger Institut), Goethe University Hospital, 60528 Frankfurt, Germany. patrick.harter@kgu.de.
Kea FranzDepartment of Neurosurgery, Goethe University Hospital, 60528 Frankfurt, Germany. kea.franz@kgu.de.
Oliver BährDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, 60528 Frankfurt, Germany. oliver.baehr@med.uni-frankfurt.de.
Joachim P SteinbachDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, 60528 Frankfurt, Germany. joachim.steinbach@med.uni-frankfurt.de.
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with glioblastoma, antiangiogenic therapy with bevacizumab (BEV) has been shown to improve progression-free survival (PFS), but not overall survival (OS). Especially in patients with an unusual infiltrative phenotype as seen in multifocal glioblastoma, the use of BEV therapy is still more controversial. Therefore, we prepared a retrospective case series with 16 patients suffering from a multifocal glioblastoma treated with BEV. We compared these patients to a matched control cohort of 16 patients suffering from glioblastoma with a single lesion treated with BEV. The objective of this study was to evaluate whether the course of disease differs in glioblastoma patients with a multifocal disease pattern compared to those with a single lesion only. Patients were treated with BEV monotherapy or BEV in combination with irinotecan or lomustine (CCNU). Response rates and PFS were similar in both groups. There was a trend for an unfavorable OS in the patient group with multifocal glioblastoma, which was expected due to the generally worse prognosis of multifocal glioblastoma. We investigated whether BEV therapy affects the invasive growth pattern as measured by the appearance of new lesions on magnetic resonance imaging (MRI). Under BEV therapy, there was a trend for a lower frequency of new lesions both in multifocal and solitary glioblastoma. Based on these results, BEV therapy at relapse appears to be justified to no lesser extent in multifocal glioblastoma than in solitary glioblastoma.

Indexed as

AdultAgedAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinDisease-Free SurvivalFemaleGlioblastomaHumansIrinotecanMagnetic Resonance ImagingMaleMiddle AgedNeoplasm Recurrence, LocalAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabCamptothecinIrinotecananti-angiogenic therapybevacizumabglioblastomainfiltrationinvasive growthmultifocal

Identifiers

PMID29156610
PMCPMC5713435
OpenAlexW2770222010

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.