Evidence map›Paper›PMID 31427883›Full record

ArticleSarcoma2019

Targeting Sporadic and Neurofibromatosis Type 1 (NF1) Related Refractory Malignant Peripheral Nerve Sheath Tumors (MPNST) in a Phase II Study of Everolimus in Combination with Bevacizumab (SARC016).

Brigitte C Widemann, Yao Lu, Denise Reinke, Scott H Okuno, Christian F Meyer, Gregory M Cote, Rashmi Chugh, Mohammed M Milhem, Angela C Hirbe, AeRang Kim and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Sarcoma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 74 citations in OpenAlex.

  1. SARC031: A Phase II Trial of Selumetinib and Sirolimus for Patients with Unresectable or Metastatic Malignant Peripheral Nerve Sheath Tumors (MPNST).Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  2. Trial
  3. Trial
  4. Review
  5. MTA-Cooperative PRMT5 Inhibitors Are Efficacious in MTAP-Deleted Malignant Peripheral Nerve Sheath Tumor Models.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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  14. [Analysis of clinical features, treatment methods, and prognostic influence factors in patients with malignant peripheral nerve sheath tumor].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  15. Review
  16. Review
  17. Review
  18. Contemporary Approach to Neurofibromatosis Type 1-Associated Malignant Peripheral Nerve Sheath Tumors.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2024
    Review
  19. Article
  20. 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

18 authors at 12 institutions in 1 country.

Brigitte C WidemannNational Cancer Institute, Center for Cancer Research, Pediatric Oncology Branch, 10 Center Drive, Building 10, Room 1-3752, Bethesda, MD 20892, USA.ORCID https://orcid.org/0000-0002-9198-7175
Yao LuSARC Statistics, Weill Cornell Medicine Healthcare and Policy Research, 402 East 67th Street, New York, NY 10065, USA.
Denise ReinkeSARC, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105, USA.
Scott H OkunoMayo Clinic, 200 First St, SW, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0002-1297-6946
Christian F MeyerJohns Hopkins Hospital, 1650 Orleans St., CRB1/Room G89, Baltimore, MD 21231, USA.
Gregory M CoteMassachusetts General Hospital Cancer Center, Harvard Medical School, 10 North Grove Street, POB-2, Boston, MA 02114, USA.
Rashmi ChughUniversity of Michigan, 1500 E. Medical Center Dr, SPC 5912, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-4633-6971
Mohammed M MilhemUniversity of Iowa, 200 Hawkins Drive, C32 GH, Iowa, IA 52242, USA.ORCID https://orcid.org/0000-0003-4663-6824
Angela C HirbeWashington University of St. Louis, 660 S, Euclid Ave, St. Louis, MO 63110, USA.ORCID https://orcid.org/0000-0003-1719-0771
AeRang KimChildren's National Medical Center, 111 Michigan Ave, NW, Washington, DC 20010, USA.ORCID https://orcid.org/0000-0002-7813-5568
Brian TurpinCincinnati Children's Hospital, 3333 Burnet Ave, Cincinnati, OH 45229, USA.
Joseph G PresseyCincinnati Children's Hospital Medical Center, University of Alabama, 1600 7th Avenue South, Lowder 512, Birmingham, AL 35233, USA.
Eva DombiNational Cancer Institute, Center for Cancer Research, Pediatric Oncology Branch, 10 Center Drive, Building 10, Room 1-3752, Bethesda, MD 20892, USA.
Nalini JayaprakashNational Cancer Institute, Center for Cancer Research, Pediatric Oncology Branch, 10 Center Drive, Building 10, Room 1-3752, Bethesda, MD 20892, USA.
Lee J HelmanNational Cancer Institute, Center for Cancer Research, Pediatric Oncology Branch, 10 Center Drive, Building 10, Room 1-3752, Bethesda, MD 20892, USA.
Ndidi OnwudiweSARC, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105, USA.
Karen CichowskiBrigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
John P PerentesisCincinnati Children's Hospital, 3333 Burnet Ave, Cincinnati, OH 45229, USA.
National Cancer Institute · USCincinnati Children's Hospital Medical Center · USSarcoma Alliance for Research through Collaboration · USBrigham and Women's Hospital · USChildren's National · USCornell University · USHarvard University · USJohns Hopkins Hospital · USMayo Clinic · USUniversity of Iowa · USUniversity of Michigan · USWashington University in St. Louis · US

Funding

Elucidating the Regulation and Function of the NF1 tumor suppressorR01CA111754 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI KAREN M CICHOWSKI · 2005 to 2026
$7.4M
Developing a translational pipeline for NF1-mutant malignanciesU01CA202943 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CICHOWSKI, KAREN M, WIDEMANN, BRIGITTE · 2016 to 2019
$1.4M
NCI NIH HHS R01 CA111754NCI NIH HHS U01 CA202943
6 · The paper itself

Abstract

purposeThere are no known effective medical treatments for refractory MPNST. Inactivation of the NF1 tumor suppressor in MPNST results in upregulation of mTOR (mammalian target of rapamycin) signaling and angiogenesis, which contributes to disease progression. We conducted a phase II study for patients (pts) with refractory MPNST combining everolimus (10 mg PO once daily) with bevacizumab (10 mg/kg IV every 2 weeks) to determine the clinical benefit rate (CBR) (complete response, partial response (PR), or stable disease (SD) ≥ 4 months). PATIENTS AND

methodsPatients ≥18 years old with chemotherapy refractory sporadic or NF1 MPNST were eligible. Tumor response was assessed after every 2 cycles (the WHO criteria). A two-stage design targeting a 25% CBR was used: if ≥ 1/15 pts in stage 1 responded, enrollment would be expanded by 10 pts, and if ≥ 4/25 patients had clinical benefit, the combination would be considered active.

resultsTwenty-five pts, 17 with NF1 and 8 with sporadic MPNST, enrolled. One of 15 pts in stage 1 had clinical benefit. Of 10 additional pts enrolled, 2 had clinical benefit. The median number of completed cycles was 3 (range 1-16). Adverse events were similar to those known for this combination.

conclusionWith a CBR of 12% (3/25), the combination of everolimus and bevacizumab did not reach the study's target response rate and is not considered active in refractory MPNST.

Identifiers

PMID31427883
PMCPMC6681622
OpenAlexW2963484212

What OpenQuestion holds

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Registered trials

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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.