Evidence map›Paper›PMID 33256829›Full record

Trial reportBreast cancer research : BCR2020

Phase II trial of carboplatin and bevacizumab in patients with breast cancer brain metastases.

Jose Pablo Leone, Kyrre E Emblem, Michelle Weitz, Rebecca S Gelman, Bryan P Schneider, Rachel A Freedman, Jerry Younger, Marco C Pinho, A Gregory Sorensen, Elizabeth R Gerstner and 8 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Breast cancer research : BCR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01004172 (Phase II Trial of Carboplatin and Bevacizumab for Progressive Breast Cancer Brain Metastases), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT01004172 phase2completednot on this map

Phase II Trial of Carboplatin and Bevacizumab for Progressive Breast Cancer Brain Metastases

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2009 to 2017Enrolled38ConditionsMetastatic Breast Cancer, Breast Cancer, Progressive Breast CancerArmscarboplatin, bevacizumab, herceptin
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. SEOM-GEICAM-SOLTI clinical guidelines in advanced breast cancer (UPDATE 2025).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Guideline
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Review
  10. Chinese Society of Clinical Oncology breast cancer expert consensus on the diagnosis and treatment of breast cancer brain metastasis (2025).Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  11. Review
  12. Article
  13. Review
  14. Central Nervous System Metastases in Breast Cancer.Current treatment options in oncology · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

18 authors at 6 institutions in 2 countries.

Jose Pablo LeoneDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Kyrre E EmblemDepartment of Diagnostic Physics, Oslo University Hospital, Oslo, Norway.
Michelle WeitzDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Rebecca S GelmanDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Bryan P SchneiderIndiana University School of Medicine, Indianapolis, IN, USA.
Rachel A FreedmanDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Jerry YoungerMassachusetts General Hospital, Boston, MA, USA.
Marco C PinhoUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
A Gregory SorensenIMRIS Inc., Minnetonka, MN, USA.
Elizabeth R GerstnerMassachusetts General Hospital, Boston, MA, USA.
Gordon HarrisMassachusetts General Hospital, Boston, MA, USA.
Ian E KropDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Daniel MorgansternDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Jessica SohlDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Jiani HuDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Elizabeth KasparianDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Eric P WinerDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA.
Nancy U LinDana-Farber Cancer Institute, Dana-Farber/Brigham & Women's Cancer Center, 450 Brookline Avenue, Boston, MA, 02215, USA. nlin@partners.org.ORCID 0000-0003-2263-5413
Dana-Farber Cancer Institute · USMassachusetts General Hospital · USIMRIS (United States) · USIndiana University School of MedicineOslo University Hospital · NOThe University of Texas Southwestern Medical Center · US

Funding

Norwegian Cancer Society 6817564South-Eastern Norway Regional Health Authority 2013069South-Eastern Norway Regional Health Authority 2016102
6 · The paper itself

Abstract

backgroundWe aimed to examine the safety and efficacy of bevacizumab and carboplatin in patients with breast cancer brain metastases.

methodsWe enrolled patients with breast cancer and > 1 measurable new or progressive brain metastasis. Patients received bevacizumab 15 mg/kg intravenously (IV) on cycle 1 day 1 and carboplatin IV AUC = 5 on cycle 1 day 8. Patients with HER2-positive disease also received trastuzumab. In subsequent cycles, all drugs were administered on day 1 of each cycle. Contrast-enhanced brain MRI was performed at baseline, 24-96 h after the first bevacizumab dose (day + 1), and every 2 cycles. The primary endpoint was objective response rate in the central nervous system (CNS ORR) by composite criteria. Associations between germline VEGF single nucleotide polymorphisms (rs699947, rs2019063, rs1570360, rs833061) and progression-free survival (PFS) and overall survival (OS) were explored, as were associations between early (day + 1) MRI changes and outcomes.

resultsThirty-eight patients were enrolled (29 HER2-positive, 9 HER2-negative); all were evaluable for response. The CNS ORR was 63% (95% CI, 46-78). Median PFS was 5.62 months and median OS was 14.10 months. As compared with an Eastern Cooperative Oncology Group performance status (ECOG PS) of 0, patients with ECOG PS 1-2 had significantly worse PFS and OS (all P < 0.01). No significant associations between VEGF genotypes or early MRI changes and clinical outcomes were observed.

conclusionsThe combination of bevacizumab and carboplatin results in a high rate of durable objective response in patients with brain metastases from breast cancer. This regimen warrants further investigation.

trial registrationNCT01004172 . Registered 28 October 2009.

Indexed as

AdultAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBrainBrain NeoplasmsBreastBreast NeoplasmsCarboplatinFemaleGenotyping TechniquesHumansKaplan-Meier EstimateMagnetic Resonance ImagingMiddle AgedPolymorphism, Single NucleotideProgression-Free SurvivalBevacizumabCarboplatinTrastuzumabVascular Endothelial Growth Factor AVEGFA protein, humanBevacizumabBrain metastasesBreast cancer

Identifiers

PMID33256829
PMCPMC7706261
OpenAlexW3110064224

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.