Evidence map›Paper›PMID 31409486›Full record

Trial reportGynecologic oncology2019

Measurements of adiposity as prognostic biomarkers for survival with anti-angiogenic treatment in epithelial ovarian cancer: An NRG Oncology/Gynecologic Oncology Group ancillary data analysis of GOG 218.

K N Slaughter Wade, M F Brady, T Thai, Y Wang, B Zheng, R Salani, K S Tewari, H J Gray, J N Bakkum-Gamez, R A Burger and 2 more

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Developing global image feature analysis models to predict cancer risk and prognosis.Visual computing for industry, biomedicine, and art · 2019
    Article
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

12 authors at 10 institutions in 1 country.

K N Slaughter WadeThe University of Oklahoma, Oklahoma City, OK, USA. Electronic address: Katrina.wade@ochsner.org.
M F BradyNRG Oncology Statistical and Data Center, Roswell Park Cancer Institute, University of Buffalo, Buffalo, NY, USA. Electronic address: BradyM@NRGOncology.org.
T ThaiThe University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. Electronic address: Theresa-thai@ouhsc.edu.
Y WangThe University of Oklahoma, Norman, OK, USA. Electronic address: Yunzhi.Wang-1@ou.edu.
B ZhengThe University of Oklahoma, Norman, OK, USA. Electronic address: bin.Zheng-1@ou.edu.
R SalaniThe Ohio State University, James Cancer Hospital, Columbus, OH, USA. Electronic address: ritu.salani@osumc.edu.
K S TewariUC Irvine Medical Center, Orange, CA, USA. Electronic address: ktewari@uci.edu.
H J GrayUniversity of Washington Medical Center, Seattle, WA, USA. Electronic address: hgray@uw.edu.
J N Bakkum-GamezMayo Clinic, Rochester, MN, USA. Electronic address: bakkum.jamie@mayo.edu.
R A BurgerUniversity of Pennsylvania, Philadelphia, PA, USA. Electronic address: burgerr@uphs.upenn.edu.
K N MooreThe University of Oklahoma, Oklahoma City, OK, USA. Electronic address: Kathleen-moore@ouhsc.edu.
M A BookmanUS Oncology Research and Arizona Oncology, Tucson, AZ, USA. Electronic address: Michael.a.bookman@kp.org.
Oklahoma City University · USUniversity of Oklahoma · USArizona Oncology · USMayo Clinic in Arizona · USRoswell Park Comprehensive Cancer Center · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of California, Irvine · USUniversity of Oklahoma Health Sciences Center · USUniversity of Pennsylvania Health System · USUniversity of Washington Medical Center · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
A Lead Academic Participating Site in Oklahoma for the Design and Conduct of NCTN Clinical TrialsUG1CA233193 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Muhammad Furqan · 2019 to 2026
$13.7M
OSU as a Network Lead Academic Participating Site for the NCI NCTNUG1CA233331 · NCI · OHIO STATE UNIVERSITY · PI John L. Hays, Dwight H. Owen · 2019 to 2026
$8.9M
Network Lead Academic Participating Site Grant from the Roswell Park Cancer InstituteUG1CA233191 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI LELE, SHASHIKANT, LEVINE, ELLIS G · 2019 to 2025
$3.1M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233191NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233331
6 · The paper itself

Abstract

objectiveAdiposity has been hypothesized to interfere with the activity of bevacizumab (BEV), an anti-angiogenic agent. Measurements of adiposity, BMI, surface fat area (SFA), and visceral fat area (VFA) were investigated as prognostic of oncologic outcomes among patients treated with chemotherapy, with or without BEV, on GOG 218, a prospective phase III trial.

methodPretreatment computed tomography (CT) for 1538 GOG 218 participants were analyzed. Proportional hazards models assessed association between adiposity and overall survival (OS) adjusted for other prognostic factors. The predictive value of adiposity as a function of BEV treatment was assessed in 1019 patients randomized to either chemotherapy (CT) + placebo (P) → P or CT + BEV → BEV.

resultsAfter adjusting for prognostic factors, SFA was not associated with the overall hazard of death (p = 0.981). There was a non-significant 0.1% (p = 0.062) increase in hazard of death associated with a unit increase in VFA. When comparing the treatment HRs for patients who did and did not receive BEV, there was no association with SFA (p = 0.890) or VFA (p = 0.106). A non-significant 0.8% increase in the hazard of death with unit increase in BMI (p = 0.086) was observed. BMI values were not predictive of a longer survival for patients with BEV vs placebo (p = 0.606).

conclusionMeasures of adiposity strongly correlated to one another but were not predictive of efficacy for BEV. VFA is a weak prognostic factor.

Indexed as

Adipose TissueAdiposityAdultAgedAged, 80 and overAngiogenesis InhibitorsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, Ovarian EpithelialFemaleHumansMiddle AgedObesityOvarian NeoplasmsPrognosisProgression-Free SurvivalAngiogenesis InhibitorsBevacizumabAdiposityEpithelial ovarian cancerNRGPrognostic biomarkers

Identifiers

PMID31409486
PMCPMC7048388
OpenAlexW2968270410

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.