Evidence map›Paper›PMID 30737173›Full record

Trial reportClinical breast cancer2019

Combined Targeted Therapies for First-line Treatment of Metastatic Triple Negative Breast Cancer-A Phase II Trial of Weekly Nab-Paclitaxel and Bevacizumab Followed by Maintenance Targeted Therapy With Bevacizumab and Erlotinib.

Lynn Symonds, Hannah Linden, Vijayakrishna Gadi, Larissa Korde, Eve Rodler, Julie Gralow, Mary Redman, Kelsey Baker, Quan Vicky Wu, Isaac Jenkins and 7 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical breast cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.1field-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

21 citing papers in PubMed, 36 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

17 authors at 6 institutions in 1 country.

Lynn SymondsDivision of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Hannah LindenDivision of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Vijayakrishna GadiDivision of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Larissa KordeNational Cancer Institute, Rockville, MD.
Eve RodlerDivision of Oncology and Hematology, Department of Internal Medicine, UC Davis Health, Sacramento, CA.
Julie GralowDivision of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Mary RedmanClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Kelsey BakerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Quan Vicky WuClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Isaac JenkinsClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Brenda KurlandUniversity of Pittsburgh, Pittsburgh, PA.
Mitchell GarrisonConfluence Health at Wenatchee Valley, Wenatchee, WA.
Julie SmithConfluence Health at Wenatchee Valley, Wenatchee, WA.
Jeanne AndersonKatmai Oncology Group, Anchorage, AK.
Carol Van HaelstDivision of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Seattle Cancer Care Alliance Network Investigators
Jennifer SpechtDivision of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA. Electronic address: jspecht@uw.edu.
Fred Hutch Cancer Center · USUniversity of Washington Medical Center · USWenatchee Valley College · USNational Cancer Institute · USUC Davis Health System · USUniversity of Pittsburgh · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
FHCRC High-Performance Computing ClusterS10OD020069 · OD · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KOOPERBERG, CHARLES L · 2015 to 2015
$600k
NCI NIH HHS P30 CA015704NCI NIH HHS P30 CA047904NIH HHS S10 OD020069
6 · The paper itself

Abstract

introductionAngiogenesis and epidermal growth factor receptor signaling are potential therapeutic targets in triple negative breast cancer (TNBC). We hypothesized that targeting these critical pathways would prolong progression-free survival with first-line therapy for metastatic TNBC. PATIENTS AND

methodsWe conducted a phase II trial of nab-paclitaxel and bevacizumab, followed by maintenance therapy with bevacizumab and erlotinib, for patients with metastatic TNBC. During induction, the patients received nab-paclitaxel 100 mg/m

resultsA total of 55 evaluable patients were enrolled. The median PFS and OS for the cohort was 9.1 months (95% confidence interval, 7.2-11.1) and 18.1 months (95% confidence interval, 15.6-21.7), respectively. Of the 53 patients with measurable disease, 39 (74%) had experienced a partial response and 10 (19%) had stable disease using the Response Evaluation Criteria In Solid Tumors. The most common toxicities were uncomplicated neutropenia, fatigue, and neuropathy. Decreased circulating tumor cells from baseline to the first assessment correlated with longer PFS and OS.

conclusionNab-paclitaxel and bevacizumab, followed by maintenance targeted therapy with bevacizumab and erlotinib, resulted in PFS similar to that of other trials. Most patients experienced a partial response (74%). Most patients received maintenance therapy (55%), providing a break from cytotoxic chemotherapy.

Indexed as

AdultAgedAged, 80 and overAlbuminsAngiogenesis InhibitorsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabDisease-Free SurvivalDrug Administration ScheduleEndothelial CellsErlotinib HydrochlorideFemaleHumansInduction ChemotherapyMaintenance Chemotherapy130-nm albumin-bound paclitaxelAlbuminsAngiogenesis InhibitorsAntineoplastic AgentsBevacizumabErlotinib HydrochloridePaclitaxelProtein Kinase InhibitorsTubulin ModulatorsCirculating endothelial cellsCirculating tumor cellsErlotinibMetastaticNab-paclitaxel bevacizumabTriple negative breast cancer

Identifiers

PMID30737173
PMCPMC6440867
OpenAlexW2905448867

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.