Evidence map›Paper›PMID 29671196›Full record

ArticleJournal of neuro-oncology2018

Third-line therapy in recurrent glioblastoma: is it another chance for bevacizumab?

Enrico Franceschi, Giuseppe Lamberti, Alexandro Paccapelo, Monica Di Battista, Giovenzio Genestreti, Santino Minichillo, Antonella Mura, Stefania Bartolini, Raffaele Agati, Alba A Brandes

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 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

10 authors at 2 institutions in 1 country.

Enrico FranceschiDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Giuseppe LambertiDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Alexandro PaccapeloDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Monica Di BattistaDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Giovenzio GenestretiDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Santino MinichilloDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Antonella MuraDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Stefania BartoliniDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy.
Raffaele AgatiDepartment of Neuroradiology, Bellaria Hospital, IRCCS Institute of Neurological Sciences, Bologna, Italy.
Alba A BrandesDepartment of Medical Oncology, Azienda USL, Via Altura 3, 40139, Bologna, Italy. alba.brandes@yahoo.it.ORCID http://orcid.org/0000-0002-2503-9089
Azienda USL di Bologna · ITInstitute of Neurological Sciences · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandard glioblastoma therapy is long-lasting. Among second-line therapy, choices could be bevacizumab and nitrosoureas depending on National Agencies approval. There is no consensus on 3rd line therapy or clinical trials specifically designed for this setting.

methodsWe reviewed our institutional database on all consecutive patients who received 3rd line therapy for glioblastoma.

resultsData on 168 out of 1337 (12.6%) glioblastoma patients who underwent 3rd line therapy treatment were collected. Third line treatments were bevacizumab or chemotherapy (nitrosourea, temozolomide or carboplatin plus etoposide). Median progression free survival was 2.9 months and median survival time was 6.6 months from the start of 3rd line therapy. Bevacizumab significantly improved progression-free survival (4.7 vs. 2.6 months, p = .020) and survival from 3rd line start (8.0 vs. 6.0 months, p = .014) in respect to chemotherapy. Toxicity of grade ≥ 3 occurred in 13.7% of patients. In multivariate analysis, survival in 3rd line treatment depends on MGMT methylation (p = .006) and treatment with Bevacizumab (p = .011).

conclusionsThird line therapy in selected glioblastoma patients may be feasible and well tolerated. Bevacizumab improved outcome in 3rd line in respect to chemotherapy.

Indexed as

AcetanilidesAdultAgedAntineoplastic Agents, ImmunologicalBevacizumabBiomarkers, TumorBrain NeoplasmsDNA MethylationDNA Modification MethylasesDNA Repair EnzymesFemaleFollow-Up StudiesGlioblastomaHumansMaleMiddle AgedAcetanilidesAntineoplastic Agents, ImmunologicalBevacizumabBiomarkers, TumorDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanN-1-benzyl-2,3-dihydro-1H-pyrrolo(2,3-b)quinolin-4-yl-2-phenylacetamidePyrrolesQuinolinesTumor Suppressor ProteinsBevacizumabBrain neoplasmsGlioblastomaMGMTPrognosis

Identifiers

PMID29671196
OpenAlexW2799695779

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.