Evidence map›Paper›PMID 30830269›Full record

Trial reportCancer immunology, immunotherapy : CII2019

Absolute numbers of regulatory T cells and neutrophils in corticosteroid-free patients are predictive for response to bevacizumab in recurrent glioblastoma patients.

Véronique Quillien, Antoine F Carpentier, Alain Gey, Tony Avril, Eric Tartour, Floraly Sejalon, Boris Campillo-Gimenez, Elodie Vauleon

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Vitamin D can reduce severity in COVID-19 through regulation of PD-L1.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  11. Article
  12. Review
  13. Regulatory T cells in COVID-19.Aging and disease · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
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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

8 authors at 3 institutions in 1 country.

Véronique QuillienCentre Eugène Marquis, rue bataille Flandres Dunkerque, CS44229, 35042, Rennes, France. v.quillien@rennes.unicancer.fr.ORCID http://orcid.org/0000-0002-1465-3753
Antoine F CarpentierHôpital Saint-Louis, AP-HP, Paris, France.
Alain GeyHôpital Européen Georges Pompidou, Service d'Immunologie Biologique, Paris, France.
Tony AvrilCentre Eugène Marquis, rue bataille Flandres Dunkerque, CS44229, 35042, Rennes, France.
Eric TartourHôpital Européen Georges Pompidou, Service d'Immunologie Biologique, Paris, France.
Floraly SejalonHôpital Saint-Louis, AP-HP, Paris, France.
Boris Campillo-GimenezCentre Eugène Marquis, rue bataille Flandres Dunkerque, CS44229, 35042, Rennes, France.
Elodie VauleonCentre Eugène Marquis, rue bataille Flandres Dunkerque, CS44229, 35042, Rennes, France.
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRDélégation Paris 5 · FR

Funding

Roche angiogenesis and tumour grant
6 · The paper itself

Abstract

Bevacizumab (Bv) remains frequently prescribed in glioblastoma (GBM) patients, especially at recurrence. We conducted a prospective clinical trial with 29 recurrent GBM patients treated with Bv alone with a longitudinal follow-up of different circulating immune cells [complete blood count, myeloid-derived suppressor cells (MDSCs), classical, intermediate, non-classical and Tie2 monocytes, VEGFR1+ and regulatory T cells (Treg)]. We observed a significant increase for leucocytes, neutrophils, eosinophils and classical monocytes and a decrease for the fraction of Treg during the treatment. The best prognostic values for survival under Bv were obtained for basal neutrophils and Treg. Counts below 3.9 G/L for neutrophils and above 0.011 G/L for Treg were associated with an overall survival of 17.5 and 19.9 months, respectively, as compared with 5.4 and 5.6 months, respectively, for counts above and below these cutoffs (p = 0.004 and p < 0.001). No prognostic impact was observed for neutrophils in a retrospective cohort of 26 patients treated with nitrosoureas alone. In another retrospective validation cohort of 61 GBM patients treated at recurrence with a Bv-containing regimen, an interaction was observed between neutrophils and corticosteroid intake. The predictive value of neutrophils on survival under Bv was lost in patients treated with corticosteroids, when steroid-free patients with a low neutrophil count had a particularly long median survival of 3.4 years. These two simply accessible criteria (basal neutrophils and steroid intake) could be used to reserve this relatively costly treatment for patients likely to be the most responsive to Bv and prevent unnecessary side effects in others.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalBevacizumabBrain NeoplasmsFemaleGlioblastomaHumansKaplan-Meier EstimateLeukocyte CountMaleMiddle AgedNeoplasm Recurrence, LocalNeutrophilsProspective StudiesAntineoplastic Agents, ImmunologicalBevacizumabBevacizumabBiomarkerGlioblastomaNeutrophilsRegulatory T cells

Identifiers

PMID30830269
PMCPMC6529384
OpenAlexW2918622468

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.