Evidence map›Paper›PMID 29190827›Full record

Observational studyPloS one2017

Intra-venous bevacizumab in hereditary hemorrhagic telangiectasia (HHT): A retrospective study of 46 patients.

Alexandre Guilhem, Anne-Emmanuelle Fargeton, Anne-Claire Simon, Pierre Duffau, Jean-Robert Harle, Christian Lavigne, Marie-France Carette, Olivier Bletry, Pierre Kaminsky, Vanessa Leguy and 7 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
5.2field-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

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Efficacy of bevacizumab in hereditary hemorrhagic telangiectasia: a systematic review and network meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Hereditary haemorrhagic telangiectasia.Nature reviews. Disease primers · 2025
    Review
  11. Article
  12. Potential and emerging therapeutics for HHT.Hematology. American Society of Hematology. Education Program · 2024
    Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. AnExperimental and therapeutic medicine · 2022
    Article
  18. Article
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  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

17 authors at 13 institutions in 1 country.

Alexandre GuilhemMédecine Interne - Maladies Multi-Organiques, Hôpital Saint Eloi, Montpellier, France.ORCID http://orcid.org/0000-0003-4085-8784
Anne-Emmanuelle FargetonService de Génétique - Centre de Référence National Maladie de Rendu-Osler, Hôpital Femme-Mère-Enfant, Bron, France.
Anne-Claire SimonService de Pneumologie, CHU de Poitiers, Poitiers, France.
Pierre DuffauService de Médecine Interne et Immunologie Clinique, Hôpital Saint-André, Bordeaux, France.
Jean-Robert HarleDépartement de Médecine Interne, Hôpital de la Timone, Marseille, France.
Christian LavigneMédecine Interne et Maladies Vasculaires, CHU d'Angers, Angers, France.
Marie-France CaretteService de Radiologie, Hôpital Tenon, Paris, France.
Olivier BletryService de Médecine Interne, Hôpital Foch, Suresnes, France.
Pierre KaminskyService de Médecine Interne, Hôpital de Brabois, Vandoeuvre-lès-Nancy, France.
Vanessa LeguyService de Médecine Interne et Immunologie Clinique, Hôpital François Mitterrand, Dijon, France.
Nathalie LerolleService de Médecine Interne, Hôpital Bicêtre, Paris, France.
Dominique RouxService de Médecine, Centre hospitalier, Ambert, France.
Marc LambertService de Médecine Interne, Hôpital Huriez, Lille, France.
Thierry ChinetService de Pneumologie, Hôpital Ambroise Paré, Boulogne-Billancourt, France.
Delphine BonnetService de Médecine Interne du Pôle digestif, CHU Purpan, Toulouse, France.
Sophie Dupuis-GirodService de Génétique - Centre de Référence National Maladie de Rendu-Osler, Hôpital Femme-Mère-Enfant, Bron, France.
Sophie RivièreMédecine Interne - Maladies Multi-Organiques, Hôpital Saint Eloi, Montpellier, France.
Hôpital Femme Mère Enfant · FRHôpital Saint Eloi · FRBicêtre Hospital · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Poitiers · FRHôpital Ambroise-Paré · FRHôpital Claude Huriez · FRHôpital de la Timone · FRHôpital Foch · FRHôpital Purpan · FRHôpital Saint-André · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBevacizumab, an anti-VEGF monoclonal antibody, has recently emerged as a new option for severe forms of hereditary hemorrhagic telangiectasia (HHT). Its utilization in this orphan disease has rapidly spread despite the lack of randomized trials and international guidelines. The objective of this study is to report the main clinical data (baseline characteristics, dose schedule, efficacy, adverse events and deaths) of HHT patients treated by intravenous bevacizumab in France.

methodsRetrospective observational study of HHT patients treated with bevacizumab for a severe form of the disease in the 14 centers of the French HHT network.

resultsForty-six patients (median age: 68 years) were treated between March 2009 and May 2015. Ten patients were treated for high output cardiac failure, 20 patients for severe hemorrhages and 16 for both indications. The standard protocol (6 infusions of 5mg/kg every 2 weeks) was initially used in 89% of the cases but diverse strategies were subsequently applied. A clinical improvement was noted by the referent physician for 74% of the patients with a median effect's duration of 6 months. Wound healing complications led to 2 amputations. Arthralgia/arthritis and arterial hypertension occurred in 5 patients each. One third of the patients were dead at the time of the final update, coherently with age and the poor prognosis of these highly symptomatic patients.

conclusionIntravenous bevacizumab seems to provide a clinical benefice in severe HHT patients. Precautions concerning wound healing and vascular pathologies must be respected. Prospective double blinded versus placebo trials are needed.

Indexed as

AdultAgedAged, 80 and overBevacizumabFemaleHumansInfusions, IntravenousMaleMiddle AgedRetrospective StudiesTelangiectasia, Hereditary HemorrhagicBevacizumab

Identifiers

PMID29190827
PMCPMC5708634
OpenAlexW2773611494

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.