Evidence map›Paper›PMID 29221287›Full record

ArticleJournal of thoracic disease2017

Anti-cancer activity of dose-fractioned mPE +/- bevacizumab regimen is paralleled by immune-modulation in advanced squamous NSLC patients.

Pierpaolo Pastina, Valerio Nardone, Stefania Croci, Giuseppe Battaglia, Francesca Vanni, Cristiana Bellan, Marcella Barbarino, Veronica Ricci, Susan Costantini, Francesca Capone and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

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  11. MicroRNA-939 Directly TargetsOncoTargets and therapy · 2020
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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

22 authors at 5 institutions in 2 countries.

Pierpaolo PastinaRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Valerio NardoneRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Stefania CrociRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Giuseppe BattagliaRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Francesca VanniRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Cristiana BellanPathology Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Marcella BarbarinoPathology Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Veronica RicciRadiology Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Susan CostantiniCROM, Istituto Nazionale Tumori "Fondazione G. Pascale", IRCCS, Napoli, Italy.
Francesca CaponeCROM, Istituto Nazionale Tumori "Fondazione G. Pascale", IRCCS, Napoli, Italy.
Cirino BottaDepartment of Experimental and Clinical Medicine, Magna Graecia University, Salvatore Venuta University Campus, Catanzaro, Italy.
Mayra Rachele ZaroneDepartment of Biochemistry, Biophysics and General Pathology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gabriella MissoDepartment of Biochemistry, Biophysics and General Pathology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Mariarosaria BoccellinoDepartment of Biochemistry, Biophysics and General Pathology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Michele CaragliaDepartment of Biochemistry, Biophysics and General Pathology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonio GiordanoPathology Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Piero PaladiniUnit of Thoracic Surgery, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Pierfrancesco TassoneDepartment of Experimental and Clinical Medicine, Magna Graecia University, Salvatore Venuta University Campus, Catanzaro, Italy.
Pierosandro TagliaferriDepartment of Experimental and Clinical Medicine, Magna Graecia University, Salvatore Venuta University Campus, Catanzaro, Italy.
Maria Grazia CusiMicrobiology and Virology Unit, Department of Medical Biotechnology, Siena University, Siena, Italy.
Luigi PirtoliRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
Pierpaolo CorrealeRadiotherapy Unit, Department of Medicine, Surgery, and Neuroscience, Siena University, Siena, Italy.
University of Siena · ITTemple University · USUniversity of Campania "Luigi Vanvitelli" · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResults from the BEVA2007 trial, suggest that the metronomic chemotherapy regimen with dose-fractioned cisplatin and oral etoposide (mPE) +/- bevacizumab, a monoclonal antibody to the vascular endothelial growth factor (VEGF), shows anti-angiogenic and immunological effects and is a safe and active treatment for metastatic non-small cell lung cancer (mNSCLC) patients. We carried out a retrospective analysis aimed to evaluate the antitumor effects of this treatment in a subset of patients with squamous histology.

methodsRetrospective analysis was carried out in a subset of 31 patients with squamous histology enrolled in the study between September 2007 and September 2015. All of the patients received chemotherapy with cisplatin (30 mg/sqm, days 1-3q21) and oral etoposide (50 mg, days 1-15q21) (mPE) and 14 of them also received bevacizumab 5 mg/kg on the day 3q21 (mPEBev regimen).

resultsThis treatment showed a disease control rate of 71% with a mean progression free survival (PFS) and overall survival (OS) of 13.6 and 17 months respectively. After 4 treatment courses, 6 patients showing a remarkable tumor shrinkage, underwent to radical surgery, attaining a significant advantage in term of survival (P=0.048). Kaplan-Meier and log-rank test identified the longest survival in patients presenting low baseline levels in neutrophil-to-lymphocyte ratio (NLR) (P=0.05), interleukin (IL) 17A (P=0.036), regulatory-T-cells (T

conclusionsThese results suggest that the mPE +/- bevacizumab regimen is feasible and should be tested in comparative trials in advanced squamous-NSCLC (sqNSCLC). Moreover, its immune-biological effects strongly suggest the investigation in sequential combinations with immune check-point inhibitors.

Indexed as

bevacizumabcisplatinetoposideMetronomic chemotherapysquamous-NSCLC (sqNSCLC)

Identifiers

PMID29221287
PMCPMC5708460
OpenAlexW2753337590

What OpenQuestion holds

Textmetadata
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.