Evidence map›Paper›PMID 33541735›Full record

ArticleGynecologic oncology2021

Mutated p53 portends improvement in outcomes when bevacizumab is combined with chemotherapy in advanced/recurrent endometrial cancer: An NRG Oncology study.

Kimberly K Leslie, Virginia L Filiaci, Adrianne R Mallen, Kristina W Thiel, Eric J Devor, Katherine Moxley, Debra Richardson, David Mutch, Angeles Alvarez Secord, Krishnansu S Tewari and 12 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00977574 (A Three Arm Randomized Phase II Study of Paclitaxel/Carboplatin/Bevacizumab), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 1% 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.

NCT00977574 phase2active not recruitingnot on this map

A Three Arm Randomized Phase II Study of Paclitaxel/Carboplatin/Bevacizumab (NSC #704865), Paclitaxel/Carboplatin/Temsirolimus (NSC #683864) and Ixabepilone (NSC #710428)/Carboplatin/Bevacizumab as Initial Therapy for Measurable Stage III or IVA, Stage IVB, or Recurrent Endometrial Cancer

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2009 to 2027Enrolled349ConditionsEndometrial Adenocarcinoma, Endometrial Adenosquamous Carcinoma, Endometrial Clear Cell Adenocarcinoma, Endometrial Serous AdenocarcinomaArmsBevacizumab, Carboplatin, Ixabepilone, Laboratory Biomarker Analysis, Paclitaxel
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Impact of TP53 somatic mutations on prognosis in endometrial cancer: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  4. Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
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  16. Updates and controversies in the management of uterine serous carcinoma and uterine carcinosarcoma.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 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

22 authors at 17 institutions in 1 country.

Kimberly K LeslieDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242, USA; Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA. Electronic address: Kimberly-leslie@uiowa.edu.
Virginia L FiliaciNRG Oncology, Clinical Trial Development Division, Biostatistics & Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA. Electronic address: FiliaciV@NRGOncology.org.
Adrianne R MallenDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242, USA.
Kristina W ThielDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242, USA. Electronic address: kristina-thiel@uiowa.edu.
Eric J DevorDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242, USA; Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA. Electronic address: eric-devor@uiowa.edu.
Katherine MoxleyStephenson Cancer Center Gynecologic Cancers Clinic, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA. Electronic address: Katherine-moxley@ouhsc.edu.
Debra RichardsonStephenson Cancer Center Gynecologic Cancers Clinic, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA.
David MutchSiteman Cancer Center, Washington University School of Medicine, St. Louis, MO 63108, USA. Electronic address: mutchd@wustl.edu.
Angeles Alvarez SecordDuke University Institute, Duke University Health System, Durham, NC 27710, USA. Electronic address: angeles.secord@duke.edu.
Krishnansu S TewariUniversity of California Irvine Medical Center, Irvine, CA 92868, USA. Electronic address: ktewari@uci.edu.
Megan E McDonaldDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242, USA. Electronic address: megan-e-mcdonald@uiowa.edu.
Cara MathewsWomen and Infants Hospital in Rhode Island/The Warren Alpert Medical School of Brown University, Providence, RI 02905, USA. Electronic address: cmathews@wihri.org.
Casey CosgroveJames Cancer Hospital and Solove Research Institute, Obstetrics and Gynecology, Ohio State University Medical Center, Columbus, OH 43210, USA. Electronic address: casey.cosgrove@osumc.edu.
Summer DewdneyGynecology, Rush University Medical Center, Chicago, IL 60612, USA. Electronic address: Summer_Dewdney@rush.edu.
Yovanni CasablancaGynecology, Walter Reed National Military Medical Center, Bethesda, MD 20814, USA. Electronic address: yovanni.casablanca.mil@mail.mil.
Amanda JacksonGynecologic Oncology Center, University of Cincinnati Cancer Institute, Cincinnati, OH 45219, USA. Electronic address: jacks2a6@uc.mail.uc.edu.
Peter G RoseCleveland Clinic Foundation and Case Western Reserve University, Cleveland, OH 44195, USA. Electronic address: rosep@ccf.org.
XunClare ZhouDepartment of Gynecology, Hospital of Central Connecticut, New Britain, CT 06451, USA. Electronic address: XunClare.Zhou@hhchealth.org.
Michael McHaleDepartment of Gynecology, University of California San Diego, La Jolla, CA 92037, USA. Electronic address: mtmchale@health.ucsd.edu.
Heather LankesBiopathology Center, The Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA. Electronic address: LankesH@NRGOncology.org.
Douglas A LevineGynecologic Oncology, NYU Langone Health, 240 E 38th St 19th Floor, New York, NY 10016, USA. Electronic address: Douglas.Levine@nyumc.org.
Carol AghajanianMemorial Sloan Kettering Cancer and Weill Cornell Medical Center, 1275 York Ave, New York, NY 10065, USA. Electronic address: aghajanc@mskcc.org.
University of Iowa · USUniversity of Oklahoma Health Sciences Center · USCase Western Reserve University · USCornell University · USDuke University Health System · USGynecologic Oncology Group · USNationwide Children's Hospital · USRoswell Park Comprehensive Cancer Center · USRush University Medical Center · USThe Hospital of Central Connecticut · USThe Ohio State University Wexner Medical Center · USUniversity of California, Irvine Medical Center · USUniversity of California, San Diego · USUniversity of Cincinnati · USWalter Reed National Military Medical Center · USWashington University in St. Louis · USWomen & 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 James J. Dignam · 2014 to 2026
$146.4M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
WOMEN'S CANCERS RESEARCH PROGRAMP30CA118100 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Yolanda Sanchez · 2005 to 2026
$57.1M
NRG Oncology Biospecimen BankU24CA196067 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Tanner J. Freeman, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$42.6M
University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
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
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
Targeted Therapy for Endometrial CancerR01CA099908 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI LESLIE, KIMBERLY K. · 2002 to 2023
$5.8M
UM LAPs -UG1 GrantUG1CA233160 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANNE F SCHOTT · 2019 to 2026
$5.4M
ARRA NIH HHS 3 U10 CA027469NCATS NIH HHS UL1 TR001412NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA086862NCI NIH HHS P30 CA118100NCI NIH HHS R01 CA099908NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA196067NCI NIH HHS UG1 CA233160NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

backgroundSuccessfully combining targeted agents with chemotherapy is an important future goal for cancer therapy. However, an improvement in patient outcomes requires an enhanced understanding of the tumor biomarkers that predict for drug sensitivity. NRG Oncology/Gynecologic Oncology Group (GOG) Study GOG-86P was one of the first attempts to combine targeted agents (bevacizumab or temsirolimus) with chemotherapy in patients with advanced endometrial cancer. Herein we performed exploratory analyses to examine the relationship between mutations in TP53, the most commonly mutated gene in cancer, with outcomes on GOG-86P.

methodsTP53 mutational status was determined and correlated with progression-free survival (PFS) and overall survival (OS) on GOG-86P.

resultsMutations in TP53 were associated with improved PFS and OS for patients that received bevacizumab as compared to temsirolimus (PFS: HR 0.48, 95% CI 0.31, 0.75; OS: HR: 0.61, 95% CI 0.38, 0.98). By contrast, there was no statistically significant difference in PFS or OS between arms for cases with WT TP53.

conclusionsThis exploratory study suggests that combining chemotherapy with bevacizumab, but not temsirolimus, may enhance PFS and OS for patients whose tumors harbor mutant p53. These data set the stage for larger clinical studies evaluating the potential of TP53 mutational status as a biomarker to guide choice of treatment for endometrial cancer patients. Clintrials.gov: NCT00977574.

Indexed as

MutationAngiogenesis InhibitorsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarboplatinClinical Trials, Phase II as TopicEndometrial NeoplasmsEpothilonesFemaleGenes, p53HumansNeoplasm Recurrence, LocalNeoplasm StagingPaclitaxelProgression-Free SurvivalRandomized Controlled Trials as TopicAngiogenesis InhibitorsBevacizumabCarboplatinEpothilonesixabepilonePaclitaxelSirolimustemsirolimusTP53 protein, humanTumor Suppressor Protein p53BevacizumabChemotherapyEndometrial cancerp53

Identifiers

PMID33541735
PMCPMC7994192
OpenAlexW3128010851

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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.