Evidence map›Paper›PMID 31290996›Full record

Trial reportCancer2019

A phase 1 and randomized, placebo-controlled phase 2 trial of bevacizumab plus dasatinib in patients with recurrent glioblastoma: Alliance/North Central Cancer Treatment Group N0872.

Evanthia Galanis, S Keith Anderson, Erin L Twohy, Xiomara W Carrero, Jesse G Dixon, David Dinh Tran, Suriya A Jeyapalan, Daniel M Anderson, Timothy J Kaufmann, Ryan W Feathers and 4 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00892177 (Phase I/Randomized Phase II Double Blind Study of Either Dasatinib or Placebo Combined With Bevacizumab in Recurrent Glioblastoma), which is not on this map. Cited by 54 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 7 pooled it
5.7field-weighted citation impact, top 3% 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.

NCT00892177 phase2completednot on this map

Phase I/Randomized Phase II Double Blind Study of Either Dasatinib or Placebo Combined With Bevacizumab in Recurrent Glioblastoma

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2009 to 2019Enrolled144ConditionsGlioblastoma MultiformeArmsbevacizumab, dasatinib, placebo
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 7 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  17. Small Molecule Tyrosine Kinase Inhibitors (TKIs) for Glioblastoma Treatment.International journal of molecular sciences · 2024
    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

14 authors at 6 institutions in 1 country.

Evanthia GalanisDepartment of Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-8014-786X
S Keith AndersonAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
Erin L TwohyAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
Xiomara W CarreroAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
Jesse G DixonAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
David Dinh TranOncology Division, Washington University School of Medicine, St. Louis, Missouri.
Suriya A JeyapalanDepartment of Neurology, Tufts Medical Center, Boston, Massachusetts.
Daniel M AndersonDepartment of Hematology/Oncology, Regions Hospital, St Paul, Minnesota.
Timothy J KaufmannDepartment of Radiology, Mayo Clinic, Rochester, Minnesota.
Ryan W FeathersDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
Caterina GianniniDepartment of Pathology, Mayo Clinic, Rochester, Minnesota.
Jan C BucknerDepartment of Oncology, Mayo Clinic, Rochester, Minnesota.
Panos Z AnastasiadisDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
David SchiffDepartment of Neurology, University of Virginia Medical Center, Charlottesville, Virginia.
Mayo Clinic · USJacksonville College · USRegions Hospital · USTufts Medical Center · USUniversity of Virginia Medical Center · USWashington University in St. Louis · US

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Collaborations and NCORP Collective ManagementUG1CA189823 · NCI · MAYO CLINIC ROCHESTER · PI Evanthia Galanis, Olwen Hahn · 2014 to 2026
$120.6M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
Metro-Minnesota Community Oncology Research Consortium (MMCORC)UG1CA189863 · NCI · PARK NICOLLET INSTITUTE · PI JOLEEN M HUBBARD, Yan Ji · 2014 to 2026
$43.2M
Heartland Cancer Research NCORPUG1CA189830 · NCI · DECATUR MEMORIAL HOSPITAL · PI Bryan A. Faller · 2014 to 2026
$40.9M
Michigan Cancer Research Consortium NCORPUG1CA189971 · NCI · SAINT JOSEPH MERCY HEALTH SYSTEM · PI Tareq Al baghdadi · 2014 to 2026
$36.6M
Wisconsin NCI Community Oncology Research Program (WiNCORP)UG1CA189956 · NCI · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI ADEDAYO A ONITILO, Kurt Oettel · 2014 to 2026
$32.3M
Delaware Christiana Care NCORPUG1CA189819 · NCI · CHRISTIANA CARE HEALTH SERVICES, INC. · PI GREGORY A MASTERS · 2014 to 2026
$21.6M
Carle Cancer Center NCI Community Oncology Research Progran (NCORP)UG1CA189861 · NCI · CARLE FOUNDATION · PI KENDRITH Martin ROWLAND · 2014 to 2026
$20.4M
The Hawaii NCORPUG1CA189804 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI Jared Acoba, Jeffrey Lee Berenberg · 2014 to 2026
$15.7M
Iowa-Wide Oncology Research Coalition (I-WORC)UG1CA189816 · NCI · IOWA ONCOLOGY RESEARCH ASSOCIATION · PI Seema Harichand, Arshin Sheybani · 2014 to 2026
$14.9M
Nevada Cancer Research Foundation-NCI Community Oncology Research ProgramUG1CA189829 · NCI · SOUTHERN NEVADA CANCER RESEARCH FDN · PI Khawaja Saad Jahangir, Joseph Louis Lasky · 2014 to 2026
$14.7M
NCI NIH HHS U10 CA180790NCI NIH HHS U10 CA180821NCI NIH HHS U10CA180821NCI NIH HHS U10 CA180833NCI NIH HHS U10CA180833NCI NIH HHS U10 CA180854NCI NIH HHS U10 CA180867NCI NIH HHS U10 CA180882NCI NIH HHS U10CA180882NCI NIH HHS UG1 CA189804NCI NIH HHS UG1 CA189805NCI NIH HHS UG1 CA189808NCI NIH HHS UG1 CA189812NCI NIH HHS UG1 CA189816NCI NIH HHS UG1 CA189819NCI NIH HHS UG1 CA189823NCI NIH HHS UG1CA189823NCI NIH HHS UG1 CA189825NCI NIH HHS UG1 CA189829NCI NIH HHS UG1 CA189830NCI NIH HHS UG1 CA189861NCI NIH HHS UG1 CA189863NCI NIH HHS UG1 CA189872NCI NIH HHS UG1 CA189956NCI NIH HHS UG1 CA189957NCI NIH HHS UG1 CA189971NCI NIH HHS UG1 CA233339NINDS NIH HHS R01 NS069753NINDS NIH HHS R01 NS101721
6 · The paper itself

Abstract

backgroundSrc signaling is markedly upregulated in patients with invasive glioblastoma (GBM) after the administration of bevacizumab. The Src family kinase inhibitor dasatinib has been found to effectively block bevacizumab-induced glioma invasion in preclinical models, which led to the hypothesis that combining bevacizumab with dasatinib could increase bevacizumab efficacy in patients with recurrent GBM.

methodsAfter the completion of the phase 1 component, the phase 2 trial (ClinicalTrials.gov identifier NCT00892177) randomized patients with recurrent GBM 2:1 to receive 100 mg of oral dasatinib twice daily (arm A) or placebo (arm B) on days 1 to 14 of each 14-day cycle combined with 10 mg/kg of intravenous bevacizumab on day 1 of each 14-day cycle. The primary endpoint was 6-month progression-free survival (PFS6).

resultsIn the 121 evaluable patients, the PFS6 rate was numerically, but not statistically, higher in arm A versus arm B (28.9% [95% CI, 19.5%-40.0%] vs 18.4% [95% CI, 7.7%-34.4%]; P = .22). Similarly, there was no significant difference in the median overall survival noted between the treatment arms (7.3 months and 7.7 months, respectively; P = .93). The objective response rate was 15.7% in arm A and 26.3% in arm B (P = .52), but with a significantly longer duration in patients treated on arm A (16.3 months vs 2 months). The incidence of grade ≥3 toxicity was comparable between treatment arms, with hematologic toxicities occurring more frequently in arm A versus arm B (15.7% vs 7.9%) (adverse events were assessed as per the National Cancer Institute Common Terminology Criteria for Adverse Events [version 4.0]). Correlative tissue analysis demonstrated an association between pSRC/LYN signaling in patient tumors and outcome.

conclusionsDespite upregulation of Src signaling in patients with GBM, the combination of bevacizumab with dasatinib did not appear to significantly improve the outcomes of patients with recurrent GBM compared with bevacizumab alone.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBrain NeoplasmsDasatinibDrug Administration ScheduleFatigueFemaleGlioblastomaHumansKaplan-Meier EstimateLymphopeniaMaleMiddle AgedNeoplasm Recurrence, LocalBevacizumabDasatinibbevacizumabdasatinibphase 2 trialrecurrent glioblastomaSrc family kinase inhibitors

Identifiers

PMID31290996
PMCPMC6788934
OpenAlexW2956785853

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Registered trials

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.