Evidence map›Paper›PMID 33888155›Full record

ArticleJournal of medical case reports2021

Complete pathological response to olaparib and bevacizumab in advanced cervical cancer following chemoradiation in a BRCA1 mutation carrier: a case report.

Rosa Montero-Macias, Meriem Koual, Céline Crespel, Marie Aude Le Frére-Belda, Hélène Blons Hélène, Huyen-Thu Nguyen-Xuan, Simon Garinet, Géraldine Perkins, Vincent Balay, Catherine Durdux and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Rosa Montero-Macias *Department of Gynaecologic and Breast Oncological Surgery, European Georges-Pompidou Hospital, APHP. Centre, 20, rue Leblanc, 75908, Paris Cedex 15, France.
Meriem Koual *Department of Gynaecologic and Breast Oncological Surgery, European Georges-Pompidou Hospital, APHP. Centre, 20, rue Leblanc, 75908, Paris Cedex 15, France. anne-sophie.bats@aphp.fr.ORCID http://orcid.org/0000-0002-4318-7894
Céline CrespelFaculty of Medicine, Paris University, Paris, France.
Marie Aude Le Frére-BeldaDepartment of Pathology, European Georges-Pompidou Hospital, APHP. Centre, Paris, France.
Hélène Blons HélèneFaculty of Medicine, Paris University, Paris, France.
Huyen-Thu Nguyen-XuanDepartment of Gynaecologic and Breast Oncological Surgery, European Georges-Pompidou Hospital, APHP. Centre, 20, rue Leblanc, 75908, Paris Cedex 15, France.
Simon GarinetFaculty of Medicine, Paris University, Paris, France.
Géraldine PerkinsCentre Universitaire des Saints-Pères, INSERM UMR-S 1147, Université de Paris, Paris, France.
Vincent BalayDepartment of Gynaecologic and Breast Oncological Surgery, European Georges-Pompidou Hospital, APHP. Centre, 20, rue Leblanc, 75908, Paris Cedex 15, France.
Catherine DurduxFaculty of Medicine, Paris University, Paris, France.
Marie FlorinFaculty of Medicine, Paris University, Paris, France.
Hélène PéréFaculty of Medicine, Paris University, Paris, France.
Anne-Sophie BatsDepartment of Gynaecologic and Breast Oncological Surgery, European Georges-Pompidou Hospital, APHP. Centre, 20, rue Leblanc, 75908, Paris Cedex 15, France.
Inserm · FRUniversité Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHomologous recombination deficiency is a marker of response to poly(ADP-ribose) polymerase inhibitors in different cancer types including ovary, prostate, and pancreatic cancer. To date, no report about poly(ADP-ribose) polymerase inhibitors has been published on cervical cancer. CASE PRESENTATION: Here we present the case of a patient with cervical cancer treated in this setting. A 49-year-old woman diagnosed with International Federation of Obstetricians and Gynecologists stage 2018 IIIC2 locally advanced undifferentiated cervical cancer received first-line chemoradiotherapy followed by carboplatin, paclitaxel, and bevacizumab with partial response. Because of a family history of cancers, the patient was tested and found positive for a pathogenic BRCA1 germline and somatic mutation, which motivated bevacizumab plus olaparib maintenance treatment. A simple hysterectomy was performed after 2 years stable disease; pathological report showed complete pathological response, and 12 months follow-up showed no recurrence.

conclusionPoly(ADP-ribose) polymerase inhibitors could be an alternative maintenance treatment for patients with persistent advanced cervical cancer previously treated with platinum, especially when familial history of cancers is reported. Clinical trials using poly(ADP-ribose) polymerase inhibitors for advanced cervical cancer are warranted.

Indexed as

Ovarian NeoplasmsUterine Cervical NeoplasmsBevacizumabBRCA1 ProteinChemoradiotherapyFemaleHumansMiddle AgedMutationNeoplasm Recurrence, LocalPhthalazinesPiperazinesBevacizumabBRCA1 ProteinBRCA1 protein, humanolaparibPhthalazinesPiperazinesAdvanced cervical cancerBRCA1OlaparibPARP inhibitorPrecision oncology

Identifiers

PMID33888155
PMCPMC8063354
OpenAlexW3153044129

What OpenQuestion holds

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LicenceCC BY
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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.