Evidence map›Paper›PMID 32154928›Full record

Trial reportCancer2020

NRG/RTOG 1122: A phase 2, double-blinded, placebo-controlled study of bevacizumab with and without trebananib in patients with recurrent glioblastoma or gliosarcoma.

Eudocia Q Lee, Peixin Zhang, Patrick Y Wen, Elizabeth R Gerstner, David A Reardon, Kenneth D Aldape, John F deGroot, Edward Pan, Jeffrey J Raizer, Lyndon J Kim and 9 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
3.1field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  13. Targeting of endothelial cells in brain tumours.Clinical and translational medicine · 2023
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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

19 authors at 17 institutions in 2 countries.

Eudocia Q LeeDana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts.ORCID 0000-0003-3355-5179
Peixin ZhangNRG Oncology Statistics and Data Management Center, American College of Radiology, Philadelphia, Pennsylvania.
Patrick Y WenDana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts.
Elizabeth R GerstnerMassachusetts General Hospital, Boston, Massachusetts.
David A ReardonDana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts.ORCID 0000-0001-6674-0157
Kenneth D AldapeToronto General Hospital, Toronto, Ontario, Canada.
John F deGrootThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Edward PanUniversity of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-2676-1639
Jeffrey J RaizerNorthwestern University, Evanston, Illinois.
Lyndon J KimThomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Steven J ChmuraUniversity of Chicago Comprehensive Cancer Center, Chicago, Illinois.
H Ian RobinsUniversity of Wisconsin Hospital and Clinics, Madison, Wisconsin.
Jennifer M ConnellyFroedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin.
James D BattisteUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
John L VillanoUniversity of Kentucky, Lexington, Kentucky.ORCID 0000-0001-5583-0093
Naveed WagleUniversity of Southern California, Los Angeles, California.
Ryan T MerrellNorth Shore University Health System, Evanston, Illinois.
Merideth M WendlandThe US Oncology Network-Willamette Valley Cancer Institute, Eugene, Oregon.
Minesh P MehtaBaptist Hospital of Miami, Miami, Florida.
Dana-Farber Brigham Cancer Center · USAmerican College of Radiology · USBaptist Hospital of Miami · USFroedtert Hospital · USMassachusetts General Hospital · USNorthShore University HealthSystem · USNorthwestern University · USThe University of Texas MD Anderson Cancer Center · USThe University of Texas Southwestern Medical Center · USThomas Jefferson University Hospital · USToronto General Hospital · CAUniversity of Chicago · USUniversity of Kentucky · USUniversity of Oklahoma Health Sciences Center · USUniversity of Southern California · USUW Health University Hospital · USWillamette Valley Cancer Institute and Research Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
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
UT Southwestern NCI National Clinical Trials Network (NCTN) LAPS - Supplemental Funds YR4UG1CA233302 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI David Eric Gerber · 2019 to 2026
$6.4M
National Clinical Trials Network Research at the University of WisconsinUG1CA233277 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Lisa M Barroilhet, Andrew M. Baschnagel · 2019 to 2026
$4.9M
NCI NIH HHS P30 CA016672NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233277NCI NIH HHS UG1 CA233302
6 · The paper itself

Abstract

backgroundTargeting vascular endothelial growth factor (VEGF) alone does not improve overall survival (OS) in recurrent glioblastoma (rGBM). The angiopoiein (Ang)-TIE2 system may play a role in tumor survival under VEGF inhibition. We conducted a phase 2, double-blinded, placebo-controlled trial of bevacizumab plus trebananib (a novel Fc fusion protein that sequesters Ang1/Ang2) over bevacizumab alone in rGBM.

methodsPatients ≥18 years of age with a Karnofsky performance status ≥70 and GBM or variants in first or second relapse were randomized to bevacizumab 10 mg/kg every 2 weeks plus trebananib 15 mg/kg every week or bevacizumab plus placebo. The primary endpoint was 6-month progression-free survival (PFS).

resultsAfter an initial 6-patient lead-in cohort confirmed the safety of combining bevacizumab and trebananib, 115 eligible patients were randomized to the control (n = 58) or experimental treatment (n = 57). In the control arm, 6-month PFS was 41.1%, median survival time was 11.5 months (95% CI, 8.4-14.2 months), median PFS was 4.8 months (95% CI, 3.8-7.1 months), and radiographic response (RR) was 5.9%. In the experimental arm, 6-month PFS was 22.6%, median survival time was 7.5 months (95% CI, 6.8-10.1 months), median PFS was 4.2 months (95% CI, 3.7-5.6 months), and RR was 4.2%. The rate of severe toxicities was not significantly different between arms.

conclusionThe combination of bevacizumab and trebananib was well tolerated but did not significantly improve 6-month PFS rate, PFS, or OS for patients with rGBM over bevacizumab alone. The shorter PFS in the experimental arm with a hazard ratio of 1.51 (P = .04) suggests that the addition of trebananib to bevacizumab is detrimental.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabDouble-Blind MethodFemaleGlioblastomaGliosarcomaHumansMaleMiddle AgedPlacebosRecombinant Fusion ProteinsTreatment OutcomeBevacizumabPlacebosRecombinant Fusion Proteinstrebananibangiogenesisangiopoietinbevacizumabglioblastomatrebananib

Identifiers

PMID32154928
PMCPMC7245544
OpenAlexW3011495178

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.