Evidence map›Paper›PMID 31626572›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

Multicenter, Prospective, Phase II and Biomarker Study of High-Dose Bevacizumab as Induction Therapy in Patients With Neurofibromatosis Type 2 and Progressive Vestibular Schwannoma.

Scott R Plotkin, Dan G Duda, Alona Muzikansky, Jeffrey Allen, Jaishri Blakeley, Tena Rosser, Jian L Campian, D Wade Clapp, Michael J Fisher, James Tonsgard and 6 more

Erratum issuedOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
8.8field-weighted citation impact, top 2% 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

77 citing papers in PubMed, 119 citations in OpenAlex.

  1. Trial
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  6. Molecular therapy. Nucleic acids · 2026
    Article
  7. Efficacy and safety of bevacizumab for vestibular schwannomas in neurofibromatosis type-2: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  8. Article
  9. Article
  10. Review
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  12. Integrative Clinical and Molecular Evaluation of Renal Cell Carcinoma with Merlin Protein Deficiency and Biallelic Loss of NF2.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  13. Review
  14. Article
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  19. Review
  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 1 country.

Scott R PlotkinMassachusetts General Hospital, Boston, MA.
Dan G DudaMassachusetts General Hospital, Boston, MA.
Alona MuzikanskyMassachusetts General Hospital, Boston, MA.
Jeffrey AllenNew York University, New York, NY.
Jaishri BlakeleyJohns Hopkins University, Baltimore, MD.
Tena RosserUniversity of Southern California, Los Angeles, CA.
Jian L CampianWashington University, St Louis, MO.
D Wade ClappIndiana University, Indianapolis, IN.
Michael J FisherThe Children's Hospital of Philadelphia, Philadelphia, PA.
James TonsgardUniversity of Chicago, Chicago, IL.
Nicole UllrichBoston Children's Hospital, Boston, MA.
Coretta ThomasUniversity of Alabama, Birmingham, AL.
Gary CutterUniversity of Alabama, Birmingham, AL.
Bruce KorfUniversity of Alabama, Birmingham, AL.
Roger PackerChildren's National Medical Center, Washington, DC.
Matthias A KarajannisNew York University, New York, NY.
Massachusetts General Hospital · USUniversity of Alabama at Birmingham · USNew York University · USBoston Children's Hospital · USChildren's Hospital of Philadelphia · USChildren's National · USIndiana University – Purdue University Indianapolis · USJohns Hopkins University · USUniversity of Chicago · USUniversity of Southern California · USWashington University in St. Louis · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI A. Heather Eliassen · 1985 to 2026
$330.6M
NCI NIH HHS P30 CA006516
6 · The paper itself

Abstract

purposeBevacizumab treatment at 7.5 mg/kg every 3 weeks results in improved hearing in approximately 35%-40% of patients with neurofibromatosis type 2 (NF2) and progressive vestibular schwannomas (VSs). However, the optimal dose is unknown. In this multicenter phase II and biomarker study, we evaluated the efficacy and safety of high-dose bevacizumab in pediatric and adult patients with NF2 with progressive VS. PATIENTS AND

methodsBevacizumab was given for 6 months at 10 mg/kg every 2 weeks, followed by 18 months at 5 mg/kg every 3 weeks. The primary end point was hearing response defined by word recognition score (WRS) at 6 months. Secondary end points included toxicity, radiographic response, quality of life (QOL), and plasma biomarkers.

resultsTwenty-two participants with NF2 (median age, 23 years) with progressive hearing loss in the target ear (median baseline WRS, 53%) were enrolled. Nine (41%) of 22 participants achieved a hearing response at 6 months (1 of 7 children and 8 of 15 adults;

conclusionHigh-dose bevacizumab seems to be no more effective than standard-dose bevacizumab for treatment of patients with NF2 with hearing loss. In contrast to adults, pediatric participants did not experience tumor shrinkage. However, adult and pediatric participants reported similar improvement in QOL during induction. Novel approaches using bevacizumab should be considered for children with NF2.

Indexed as

AdolescentAdultAngiogenesis InhibitorsBevacizumabBiomarkers, TumorChildDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansInduction ChemotherapyMaleMiddle AgedNeurofibromatosis 2Neuroma, AcousticPrognosisAngiogenesis InhibitorsBevacizumabBiomarkers, Tumor

Identifiers

PMID31626572
PMCPMC7098833
OpenAlexW2981209726

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.