Evidence map›Paper›PMID 32715420›Full record

Observational studyBreast cancer (Tokyo, Japan)2021

Prospective observational study of bevacizumab combined with paclitaxel as first- or second-line chemotherapy for locally advanced or metastatic breast cancer: the JBCRG-C05 (B-SHARE) study.

Yutaka Yamamoto, Hiroyasu Yamashiro, Uhi Toh, Naoto Kondo, Rikiya Nakamura, Masahiro Kashiwaba, Masato Takahashi, Koichiro Tsugawa, Takashi Ishikawa, Takahiro Nakayama and 10 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Breast cancer (Tokyo, Japan), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. Article
  9. 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

20 authors at 17 institutions in 1 country.

Yutaka YamamotoDepartment of Breast and Endocrine Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. yyamamoto@kumamoto-u.ac.jp.ORCID http://orcid.org/0000-0001-6147-6828
Hiroyasu YamashiroDepartment of Breast Surgery, Tenri Yorozu Hospital, Nara, Japan.
Uhi TohDepartment of Surgery, Kurume University School of Medicine, Fukuoka, Japan.
Naoto KondoDepartment of Breast Oncology, Aichi Cancer Center Hospital, Aichi, Japan.
Rikiya NakamuraDivision of Breast Surgery, Chiba Cancer Center, Chiba, Japan.
Masahiro KashiwabaDepartment of Breast Surgery, Sagara Hospital, Kagoshima, Japan.
Masato TakahashiDepartment of Breast Surgery, NHO Hokkaido Cancer Center, Hokkaido, Japan.
Koichiro TsugawaDepartment of Breast Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
Takashi IshikawaDepartment of Breast Surgery, Tokyo Medical University, Tokyo, Japan.
Takahiro NakayamaDepartment of Breast Surgery, Osaka International Cancer Institute, Osaka, Japan.
Shoichiro OhtaniDepartment of Breast Surgery, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Toshimi TakanoDepartment of Medical Oncology, Toranomon Hospital, Tokyo, Japan.
Tomomi FujisawaDepartment of Breast Oncology, Gunma Prefectural Cancer Center, Gunma, Japan.
Tatsuya ToyamaDepartment of Breast Surgery, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
Hidetoshi KawaguchiDepartment of Breast Surgery, Matsuyama Red Cross Hospital, Ehime, Japan.
Kojiro MashinoDepartment of Surgery (Breast Surgery), Oita Prefectural Hospital, Oita, Japan.
Yuichi TaninoDepartment of Breast and Endocrine Surgery, Kobe University Hospital, Hyogo, Japan.
Satoshi MoritaDepartment of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Masakazu ToiDepartment of Breast Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shinji OhnoBreast Oncology Center, Cancer Institute Hospital, Tokyo, Japan.
Kyoto University · JPNagoya City University · JPChiba Cancer Center · JPGunma Prefectural Cardiovascular Center · JPHiroshima City Asa Citizens Hospital · JPKobe University Hospital · JPKumamoto University · JPKurume University · JPMatsuyama Red Cross Hospital · JPNational Sagamihara Hospital · JPOita Prefectural Hospital · JPOsaka International Cancer Institute · JPSt. Marianna University School of Medicine · JPTenri Hospital · JPThe Cancer Institute Hospital · JPTokyo Medical University · JPToranomon Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effectiveness and safety of bevacizumab-paclitaxel combination therapy as first- or second-line chemotherapy for HER2-negative locally advanced or metastatic breast cancer in daily clinical practice.

methodsIn this prospective multicenter observational study, bevacizumab-paclitaxel was administered at the discretion of attending physicians. Cohorts A and B had hormone receptor-positive and triple-negative breast cancer (TNBC), respectively. Primary endpoint was overall survival (OS). Multivariate analyses were conducted to identify prognostic factors.

resultsBetween November 2012 and October 2014, 767 patients were enrolled from 155 institutions across Japan. Effectiveness was analyzed in 754 eligible patients (cohort A, 539; cohort B, 215) and safety in 750 treated patients (median observation period, 19.7 months). Median OS (95% CI) was 21.7 (19.8-23.6) months in eligible patients; 25.2 (22.4-27.4) months and 13.2 (11.3-16.6) months in cohorts A and B, respectively; and 24.4 (21.9-27.2) months and 17.6 (15.2-20.0) months in patients receiving first- and second-line therapy, respectively. Factors affecting OS (hazard ratio 95% CI) were TNBC (1.75, 1.44-2.14), second-line therapy (1.35, 1.13-1.63), ECOG performance status ≥ 1 (1.28, 1.04-1.57), taxane-based chemotherapy (0.65, 0.49-0.86), cancer-related symptoms (0.56, 0.46-0.68), and visceral metastasis (0.52, 0.40-0.66). Incidences of grade ≥ 3 AEs hypertension, neutropenia, peripheral neuropathy, proteinuria, and bleeding were 35.7%, 27.2%, 7.2%, 3.7%, and 0.3%, respectively.

conclusionsIn Japanese clinical practice, combined bevacizumab-paclitaxel was as effective as in previous studies. Factors that independently predicted poor prognosis in the present study are consistent with those identified previously.

trial registrationTrial no. UMIN000009086.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkers, TumorBreastBreast NeoplasmsDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoplasm Recurrence, LocalPaclitaxelPrognosisBevacizumabBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesPaclitaxelReceptors, EstrogenReceptors, ProgesteroneBevacizumabFirst lineLocally advanced breast cancerMetastatic breast cancerOverall survivalPaclitaxelSecond line

Identifiers

PMID32715420
PMCPMC7796874
OpenAlexW3044385821

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LicenceCC BY
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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.