Evidence map›Paper›PMID 32564774›Full record

ArticleBMC medicine2020

Bevacizumab dose adjustment to improve clinical outcomes of glioblastoma.

N García-Romero, I Palacín-Aliana, R Madurga, J Carrión-Navarro, S Esteban-Rubio, B Jiménez, A Collazo, F Pérez-Rodríguez, A Ortiz de Mendivil, C Fernández-Carballal and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.6field-weighted citation impact, top 10% 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, 34 citations in OpenAlex.

  1. Article
  2. Bevacizumab in Pediatric Neuro-Oncology.Current oncology (Toronto, Ont.) · 2025
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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

17 authors at 6 institutions in 1 country.

N García-RomeroFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
I Palacín-AlianaFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
R MadurgaFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
J Carrión-NavarroFaculty of Experimental Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, 28223, Spain.
S Esteban-RubioFormerly: Facultad de Medicina (IMMA), Universidad San Pablo-CEU, Madrid, Spain.
B JiménezFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
A CollazoFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
F Pérez-RodríguezFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
A Ortiz de MendivilFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
C Fernández-CarballalServicio de Neurocirugía, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
S García-DuqueFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
J Diamantopoulos-FernándezFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
C Belda-IniestaFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
R Prat-AcínDepartamento de Neurocirugía, Hospital Universitario la Fe, Valencia, Spain.
P Sánchez-GómezNeuro-oncology Unit, Instituto de Salud Carlos III-UFIEC, Madrid, Spain.
E CalvoFundación de Investigación HM Hospitales, HM Hospitales, Madrid, Spain.
A Ayuso-SacidoFaculty of Experimental Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, 28223, Spain. ayusosacido@gmail.com.ORCID 0000-0003-3919-5880
HM Hospitales · ESUniversidad Francisco de Vitoria · ESUniversidad San Pablo CEU · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari i Politècnic La Fe · ESInstituto de Salud Carlos III · ES

Funding

Fondo de Investigaciones Sanitarias PI17-01489Instituto de Salud Carlos III CP11/00147Ministerio de Economía y Competitividad-FEDERER RTC-2016-4990-1
6 · The paper itself

Abstract

backgroundGlioblastoma (GBM) is one of the most aggressive and vascularized brain tumors in adults, with a median survival of 20.9 months. In newly diagnosed and recurrent GBM, bevacizumab demonstrated an increase in progression-free survival, but not in overall survival.

methodsWe conducted an in silico analysis of VEGF expression, in a cohort of 1082 glioma patients. Then, to determine whether appropriate bevacizumab dose adjustment could increase the anti-angiogenic response, we used in vitro and in vivo GBM models. Additionally, we analyzed VEGFA expression in tissue, serum, and plasma in a cohort of GBM patients before and during bevacizumab treatment.

resultsWe identified that 20% of primary GBM did not express VEGFA suggesting that these patients would probably not respond to bevacizumab therapy as we proved in vitro and in vivo. We found that a specific dose of bevacizumab calculated based on VEGFA expression levels increases the response to treatment in cell culture and serum samples from mice bearing GBM tumors. Additionally, in a cohort of GBM patients, we observed a correlation of VEGFA levels in serum, but not in plasma, with bevacizumab treatment performance.

conclusionsOur data suggest that bevacizumab dose adjustment could improve clinical outcomes in Glioblastoma treatment.

Indexed as

AdultAngiogenesis InhibitorsAnimalsBevacizumabBrain NeoplasmsCell Line, TumorCohort StudiesDisease Models, AnimalFemaleGlioblastomaHumansMaleMiceMice, NudeAngiogenesis InhibitorsBevacizumabAngiogenesisBevacizumabGlioblastomaNeovasculogenesisVEGFA

Identifiers

PMID32564774
PMCPMC7310142
OpenAlexW3035883462

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.