Evidence map›Paper›PMID 29649040›Full record

Trial reportOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2018

Improvement in Patient-reported Hearing After Treatment With Bevacizumab in People With Neurofibromatosis Type 2.

Victoria Huang, Amanda L Bergner, Chris Halpin, Vanessa L Merker, Monica R Sheridan, Brigitte C Widemann, Jaishri O Blakeley, Scott R Plotkin

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Trial
  3. [BMJ open · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Schwannomas of Brain and Spinal Cord.Advances in experimental medicine and biology · 2023
    Article
  9. Review
  10. Review
  11. Article
  12. Surgery of the lateral skull base: a 50-year endeavour.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2019
    Review
  13. Review
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

8 authors at 3 institutions in 1 country.

Victoria HuangDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland.
Amanda L BergnerDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland.
Chris HalpinDepartment of Neurology and Cancer Center, Massachusetts General Hospital, Boston, Massachusetts.
Vanessa L MerkerDepartment of Neurology and Cancer Center, Massachusetts General Hospital, Boston, Massachusetts.
Monica R SheridanDepartment of Neurology and Cancer Center, Massachusetts General Hospital, Boston, Massachusetts.
Brigitte C WidemannNational Cancer Institute, Bethesda, Maryland.
Jaishri O BlakeleyDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland.
Scott R PlotkinDepartment of Neurology and Cancer Center, Massachusetts General Hospital, Boston, Massachusetts.
Massachusetts General Hospital · USJohns Hopkins University · USNational Cancer Institute · US

Funding

Therapies for patients with rare tumors and genetic tumor predispositionZIASC010354 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2009 to 2025
$19.2M
Therapy for NF1-Related Tumors and other Genetic Tumor Predisposition SyndromesZIABC010801 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2009 to 2020
$13.8M
Program in Cancer Research Outcomes Training (PCORT)R25CA092203 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI GAZELLE, G SCOTT · 2002 to 2016
$8.2M
Training in Oncology Population Sciences (TOPS)T32CA092203 · NCI · DANA-FARBER CANCER INST · PI Nancy L Keating, JENNIFER W MACK · 2018 to 2026
$3.7M
Development of Therapies for Neurofibromatosis Type 1 Related Tumors and other GZ01BC010801 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2007 to 2008
$1.4M
Intramural NIH HHS Z01 BC010801NCI NIH HHS R25 CA092203NCI NIH HHS T32 CA092203
6 · The paper itself

Abstract

objectiveAssess patient-reported outcomes (PRO) for hearing and tinnitus relative to clinical hearing assessment in people with neurofibromatosis 2 (NF2) associated hearing loss. STUDY

designProspective, open label, phase-II clinical trial with PRO administered pre-, post-, and after treatment.

settingThree tertiary referral centers. PATIENTS: Fourteen patients with NF2, median age of 30 years (range, 14-79 yr) and progressive hearing loss (median baseline word recognition score, 60%; range, 13-82%). Half of these patients achieved objective hearing response (word recognition score improved beyond the 95% critical difference versus baseline).

interventionBevacizumab 7.5 mg/kg was administered every 3 weeks for 48 weeks, followed by surveillance for 24 weeks off-drug.

main outcome measuresSpeech, spatial, and qualities of hearing scale (SSQ) and tinnitus reaction questionnaire (TRQ) to assess hearing difficulties in life situations and tinnitus related distress.

resultsPatient-reported speech understanding and auditory quality improved with bevacizumab treatment and were significantly correlated with word recognition scores, but not pure tone threshold average. There was no change in spatial perception after treatment. Reduction in tinnitus distress after treatment with bevacizumab did not reach statistical significance.

conclusionParticipants had reductions in hearing difficulty during treatment with bevacizumab, suggesting that patients subjectively experience hearing-related benefit mirroring clinical hearing assessments. We suspect the lack of significant reduction in tinnitus distress is related to small sample size and low intensity of distress in our sample. These data highlight the usefulness of PRO measures to assess benefits of treatment in the setting of NF2-associated hearing loss.

Indexed as

AdolescentAdultAgedAntineoplastic Agents, ImmunologicalBevacizumabFemaleHearingHearing LossHumansMaleMiddle AgedNeurofibromatosis 2Neuroma, AcousticPatient Reported Outcome MeasuresProspective StudiesSurveys and QuestionnairesAntineoplastic Agents, ImmunologicalBevacizumab

Identifiers

PMID29649040
PMCPMC6642810
OpenAlexW2798106111

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.