Evidence map›Paper›PMID 30030657›Full record

Observational studyInternational journal of clinical oncology2019

Bevacizumab combined with platinum-taxane chemotherapy as first-line treatment for advanced ovarian cancer: a prospective observational study of safety and efficacy in Japanese patients (JGOG3022 trial).

Shinichi Komiyama, Kazuyoshi Kato, Yuki Inokuchi, Hirokuni Takano, Takashi Matsumoto, Atsushi Hongo, Mikiko Asai-Sato, Atsushi Arakawa, Shoji Kamiura, Tsutomu Tabata and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International journal of clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
8.0field-weighted citation impact, top 2% 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, 70 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

12 authors at 11 institutions in 1 country.

Shinichi KomiyamaDepartment of Gynecology, Toho University Ohashi Medical Center, 2-17-6, Meguro-ku, Tokyo, 153-8515, Japan. shinkomiyama@gmail.com.ORCID http://orcid.org/0000-0003-0420-5700
Kazuyoshi KatoDepartment of Gynecology, Cancer Institute Hospital, Tokyo, Japan.
Yuki InokuchiDepartment of Biostatistics, Kitasato Academic Research Organization, Kitasato University, Tokyo, Japan.
Hirokuni TakanoDepartment of Obstetrics and Gynecology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
Takashi MatsumotoDepartment of Obstetrics and Gynecology, Ehime University School of Medicine, Matsuyama, Japan.
Atsushi HongoDepartment of Obstetrics and Gynecology 2, Kawasaki Medical School, Okayama, Japan.
Mikiko Asai-SatoDepartment of Obstetrics and Gynecology, Yokohama City University School of Medicine, Yokohama, Japan.
Atsushi ArakawaDepartment of Obstetrics and Gynecology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Shoji KamiuraDepartment of Gynecologic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Tsutomu TabataDepartment of Obstetrics and Gynecology, Mie University Faculty of Medicine, Tsu, Japan.
Nobuhiro TakeshimaDepartment of Gynecology, Cancer Institute Hospital, Tokyo, Japan.
Toru SugiyamaDepartment of Obstetrics and Gynecology, Iwate Medical University, Morioka, Japan.
The Cancer Institute Hospital · JPEhime University · JPIwate Medical University · JPJikei University Kashiwa hospital · JPKawasaki Medical School · JPKitasato University · JPMie University · JPNagoya City University · JPOsaka International Cancer Institute · JPToho University · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis was the first large-scale prospective observational Japanese study evaluating the safety and efficacy of bevacizumab combined with paclitaxel and carboplatin for newly diagnosed advanced ovarian cancer.

methodsPatients were prospectively enrolled in the primary analysis cohort if they had Stage III or IV epithelial ovarian/fallopian tube/primary peritoneal cancer and were scheduled to receive paclitaxel plus carboplatin every 3 weeks in Cycles 1-6 and bevacizumab every 3 weeks in Cycles 2-22. Primary endpoints were bevacizumab-specific adverse events and adverse events ≥ Grade 3. Secondary endpoints were progression-free survival (PFS) and the response rate.

resultsAmong 346 patients enrolled, 293 patients formed the primary analysis cohort. Regarding bevacizumab-specific adverse events ≥ grade 3, incidence rates of thromboembolic events (1.4%), gastrointestinal perforation (0.3%), fistula (0.7%), wound dehiscence (0%), and bleeding (0%) were very low. While incidence rates of hypertension (23.2%) and proteinuria (12.6%) were high, all such events were tolerable. No patient with prior bowel resection developed perforation or fistula. Median PFS was 16.3 months (95% CI 14.5-18.9). The response rate was 77.5% (95% CI 67.4-85.7). The response rate was 63.6% in patients with clear cell carcinoma, which tended to be better than previously reported. The median platinum-free interval was 11.5 months, and the platinum-resistant recurrence rate was 24.5%.

conclusionsCombining bevacizumab with chemotherapy was tolerable and efficacy was acceptable in Japanese patients with advanced epithelial ovarian cancer. Bevacizumab seems to reduce platinum-resistant recurrence and is promising for clear cell carcinoma.

Indexed as

Adenocarcinoma, Clear CellAdenocarcinoma, MucinousAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarboplatinCystadenocarcinoma, SerousDocetaxelEndometrial NeoplasmsFemaleHumansJapanMiddle AgedNeoplasm Recurrence, LocalBevacizumabCarboplatinDocetaxelPaclitaxelAdvanced epithelial ovarian cancerBevacizumabFirst-line chemotherapyPaclitaxel plus carboplatinPlatinum-free interval

Identifiers

PMID30030657
PMCPMC6326987
OpenAlexW2883598628

What OpenQuestion holds

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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.