Evidence map›Paper›PMID 30271167›Full record

ArticleOncoTargets and therapy2018

Long-term response to first-line bevacizumab-based therapy in patients with metastatic breast cancer: results of the observational "LORENA" study.

Andrés Redondo, Manuel Ramos Vázquez, Luis Manso, Miguel J Gil Gil, Isabel Garau Llinas, Elisa García-Garre, César A Rodríguez, José Ignacio Chacón, Guillermo López-Vivanco

Abstract read
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Article in OncoTargets and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

9 authors.

Andrés RedondoClinical Oncology Department, Hospital Universitario La Paz, Madrid, Spain, andres.redondos@uam.es.
Manuel Ramos VázquezCentro Oncológico de Galicia, A Coruña, Spain.
Luis MansoMedical Oncology Service, Hospital Universitario 12 de Octubre, Madrid, Spain.
Miguel J Gil GilInstitut Catala d'Oncologia - L'Hospitalet, Barcelona, Spain.
Isabel Garau LlinasHospital Son Llatzer, Palma de Mallorca, Spain.
Elisa García-GarreHematology and Medical Oncology Department, University Hospital Morales Meseguer, Murcia, Spain.
César A RodríguezOncology Department, Hospital Universitario de Salamanca-IBSAL, Salamanca, Spain.
José Ignacio ChacónMedical Oncology Department, Hospital Virgen de la Salud, Toledo, Spain.
Guillermo López-VivancoDepartment of Medical Oncology, Hospital Universitario Cruces, Barakaldo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRandomized controlled trials of the first-line combination of bevacizumab and chemotherapy in patients with metastatic breast cancer (MBC) have shown improvements in tumor response and progression-free survival (PFS).

objectiveThe aim of this ambispective, observational study (LORENA) was to describe the clinical characteristics of long-term responders to bevacizumab-based therapy. PATIENTS AND

methodsThis study consisted of a retrospective and a prospective phase. During the retrospective phase, patients with HER2-negative MBC who were treated with bevacizumab-based first-line therapy were included. During the prospective phase, patients with PFS of ≥12 months were treated according to routine clinical practice procedures. Overall survival (OS) and PFS were estimated using the Kaplan-Meier method. Univariate and multivariate analyses of prognostic factors were performed.

resultsIn total, 148 women were included (median age: 50 years; range: 29-81 years). The mean duration of exposure to bevacizumab was 18 months. The majority of patients experienced objective response (complete: 23%; partial: 57%). Median PFS was 22.7 months and median OS was 58.2 months. In multivariate analyses, patients receiving maintenance hormonal therapy (MHT) had longer PFS (

conclusionThe results of this study suggest, that among long-term responders, first-line bevacizumab-based therapy is more effective in patients who had not been previously treated with taxanes, and that MHT provides additional therapeutic benefits by extending PFS and OS.

Indexed as

bevacizumabmaintenance hormonal therapymetastatic breast cancerreal-worldtaxane

Identifiers

PMID30271167
PMCPMC6149976

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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.