Evidence map›Paper›PMID 32114513›Full record

Trial reportInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society2020

Patient-reported outcomes at discontinuation of anti-angiogenesis therapy in the randomized trial of chemotherapy with bevacizumab for advanced cervical cancer: an NRG Oncology Group study.

Dana Chase, Helen Q Huang, Bradley J Monk, Lois Michelle Ramondetta, Richard T Penson, Karen Gil, Lisa M Landrum, Mario Leitao, Ana Oaknin, Warner K Huh and 8 more

Erratum issuedOpen access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in International journal of gynecological cancer : official journal of the International Gynecological Cancer Society, 2020. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 51% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Treatment advances across the cervical cancer spectrum.Nature reviews. Clinical oncology · 2025
    Review
  4. Advances in cervical cancer: current insights and future directions.Cancer communications (London, England) · 2025
    Review
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 17 institutions in 2 countries.

Dana ChaseArizona Oncology, Paradise Valley, California, USA dana.chase@usoncology.com.
Helen Q HuangNRG Oncology Statistics and Data Management Center, Roswell Park Cancer Institute, Buffalo, New York, USA.
Bradley J MonkOb Gyn/Gyn Onc, Creighton University School of Medicine at St Josephs Hospital and Medical Center, Phoenix, Arizona, USA.
Lois Michelle RamondettaGynecologic Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Richard T PensonDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Karen GilPsychology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Lisa M LandrumUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Mario LeitaoMemorial Sloan-Kettering Cancer Center, New York, New York, USA.
Ana OakninVall d' Hebron Institute of Oncology, University Hospital, Barcelona, Spain.
Warner K HuhUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Heather L PulaskiGynecological Oncology, University of Cincinnati, Cincinnati, Ohio, USA.
Katina RobisonWomen and Infants Hospital of Rhode Island, Providence, Rhode Island, USA.
Saketh R GuntupalliGynecologic Oncology, University of Colorado Cancer Center, Aurora, Colorado, USA.
Debra RichardsonUT Southwestern Medical, Dallas, Texas, USA.
Ritu SalaniOb/Gyn, Ohio State University, Columbus, Ohio, USA.
Michael W SillNRG Oncology Statistics and Data Management Center, Roswell Park Cancer Institute, Buffalo, New York, USA.
Lari B WenzelUniversity of California Irvine School of Medicine, Irvine, California, USA.
Krishnansu Sujata TewariUniversity of California Irvine School of Medicine, Orange, California, USA.
University of California, Irvine · USArizona Oncology · USMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USNRG Oncology · USRoswell Park Comprehensive Cancer Center · USSouthwestern Medical Center · USSt. Joseph's Hospital · USThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USUniversity of Colorado Cancer Center · USUniversity of North Carolina at Chapel Hill · USUniversity of Oklahoma Health Sciences Center · USVall d'Hebron Institute of OncologyWomen & Infants Hospital of Rhode Island · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
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 Mei-Yin C Polley · 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
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCI National Clinical Trials Network - Lead Academic Participating SiteUG1CA233324 · NCI · UNIVERSITY OF COLORADO DENVER · PI ANTHONY D ELIAS · 2019 to 2026
$5.2M
NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233290NCI NIH HHS UG1 CA233324
6 · The paper itself

Abstract

introductionTo describe patient-reported outcomes and toxicities at time of treatment discontinuation secondary to progression or toxicities in advanced/recurrent cervical cancer patients receiving chemotherapy with bevacizumab.

methodsSummarize toxicity, grade, and health-related quality of life within 1 month of treatment discontinuation for women receiving chemotherapy with bevacizumab in GOG240.

resultsOf the 227 patients who received chemotherapy with bevacizumab, 148 discontinued study protocol treatment (90 for disease progression and 58 for toxicity). The median survival time from treatment discontinuation to death was 7.9 months (95% CI 5.0 to 9.0) for those who progressed versus 12.1 months (95% CI 8.9 to 23.2) for those who discontinued therapy due to toxicities. The most common grade 3 or higher toxicities included hematologic, gastrointestinal, and pain. Some 57% (84/148) of patients completed quality of life assessment within 1 month of treatment discontinuation. Those patients who discontinued treatment due to progression had a mean decline in the FACT-Cx TOI of 3.2 points versus 2.2 in patients who discontinued therapy due to toxicity. This was a 9.9 point greater decline in the FACT-Cx TOI scores than those who discontinued treatment due to progression (95% CI 2.8 to 17.0, p=0.007). The decline in quality of life was due to worsening physical and functional well-being. Those who discontinued treatment due to toxicities had worse neurotoxicity and pain. DISCUSSION: Patients who discontinued chemotherapy with bevacizumab for toxicity experienced longer post-protocol survival but significantly greater declination in quality of life than those with progression. Future trial design should include supportive care interventions that optimize physiologic function and performance status for salvage therapies.

Indexed as

Withholding TreatmentAdultAgedAngiogenesis InhibitorsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCisplatinFemaleHumansMiddle AgedPaclitaxelPatient Reported Outcome MeasuresQuality of LifeTopotecanUterine Cervical NeoplasmsAngiogenesis InhibitorsBevacizumabCisplatinPaclitaxelTopotecancervical cancergynecologyquality of life (PRO)/palliative care

Identifiers

PMID32114513
PMCPMC7780262
OpenAlexW3007104647

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.