Evidence map›Paper›PMID 31385992›Full record

ArticleNeuro-oncology practice2017

Prolonged survival after bevacizumab rechallenge in glioblastoma patients with previous response to bevacizumab

Carmen Balaña, Anna Estival, Estela Pineda, Juan Sepúlveda, Carles Mesía, Sonia Del Barco, Miguel Gil-Gil, Max Hardy, Alberto Indacoechea, Andrés Felipe Cardona

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  7. Receptor-Targeted Glial Brain Tumor Therapies.International journal of molecular sciences · 2018
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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

10 authors at 6 institutions in 1 country.

Carmen BalañaMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Anna EstivalMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Estela PinedaMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Juan SepúlvedaMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Carles MesíaMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Sonia Del BarcoMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Miguel Gil-GilMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Max HardyMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Alberto IndacoecheaMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Andrés Felipe CardonaMedical Oncology Service, Catalan Institute of Oncology, Hospital Universitari Germans Trias i Pujol, IGTP, Badalona 08916, Spain (C.B., A.E., M.H., A.I.); Medical Oncology Service, Hospital Clinic, Barcelona 08036, Spain (E.P.); Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid 28041, Spain (J.S.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Duran i Reynals - IDIBELL, Hospitalet de Llobregat 08907, Spain (C.M., M.G.-G.); Medical Oncology Service, Catalan Institute of Oncology, Hospital Trueta, Girona 17007, Spain (S.d.B.); Clinical and Translational Oncology Group, Institute of Oncology, Clínica del Country, Bogotá, Bogotá c. 318, Colombia (A.F.C.).
Duran i Reynals Hospital · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitario 12 De Octubre · ESInstitut d'Investigació Biomédica de Bellvitge · ESHospital Universitari Germans Trias i Pujol · ESInstitut Català d'Oncologia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of bevacizumab for recurrent glioblastoma is controversial. Here we show data on patients who responded to bevacizumab, then stopped bevacizumab for any reason other than progression and were rechallenged with bevacizumab at the time of subsequent progression.

methodsThis retrospective study included 28 patients, classified in 2 cohorts: those for whom the first exposure to bevacizumab (BEV-1) was first-line treatment for newly diagnosed glioblastoma (Bev-F;

resultsAll patients received standard radiotherapy plus temozolomide. Bev-F patients also received concomitant bevacizumab. All 28 patients received a total of 57 treatment lines with bevacizumab (12 first-line and 45 second- or further-line). Twenty-nine lines were rechallenges (BEV-2 [

conclusionThis is the largest study to examine the impact of a bevacizumab rechallenge in glioblastoma patients who had responded to previous bevacizumab treatment but who stopped before progression. Our findings indicate that these patients can attain a second response or clinical benefit from re-introduction of bevacizumab. The potential benefit from intermittent versus continuous treatment warrants comparison in clinical trials.

Indexed as

bevacizumabglioblastomarechallengeresistancesurvival

Identifiers

PMID31385992
PMCPMC6655406
OpenAlexW2291241951

What OpenQuestion holds

Textmetadata
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.