Evidence map›Paper›PMID 33914256›Full record

Trial reportBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2021

Efficacy, Safety and Immunogenicity of MB02 (Bevacizumab Biosimilar) versus Reference Bevacizumab in Advanced Non-Small Cell Lung Cancer: A Randomized, Double-Blind, Phase III Study (STELLA).

Dmytro Trukhin, Elena Poddubskaya, Zoran Andric, Tamta Makharadze, Ravi Shankar Bellala, Chaiyut Charoentum, Eduardo P Yañez Ruiz, Andrea Fulop, Irfhan Ali Hyder Ali, Kostas Syrigos and 10 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03296163 (A Randomized, Multicenter, Multinational, Double-Blind Study to Assess the Efficacy and Safety of MB02), which is not on this map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 11% 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.

NCT03296163 phase3completednot on this map

A Randomized, Multicenter, Multinational, Double-Blind Study to Assess the Efficacy and Safety of MB02 (Bevacizumab Biosimilar Drug) Versus Avastin® in Combination With Carboplatin and Paclitaxel for the Treatment of Subjects With Stage IIIB/IV Non-squamous Non-Small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsormAbxience Research S.L.Ran2018 to 2020Enrolled627ConditionsNon-small Cell Lung CancerArmsMB02 (Bevacizumab Biosimilar Drug), EU-approved Avastin®, Carboplatin, Paclitaxel
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Biosimilar monoclonal antibodies for cancer treatment in adults.The Cochrane database of systematic reviews · 2024
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  4. Comparative Safety Profiles of Oncology Biosimilars: A Systematic Review and Network Meta-analysis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
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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

20 authors at 12 institutions in 12 countries.

Dmytro TrukhinDay Patient Facility of Dispensary and Policlinic Department, Odessa Regional Oncological Dispensary, Odessa, Ukraine.
Elena PoddubskayaVitaMed, LLC, Moscow, Russia.
Zoran AndricClinical Hospital Center, Bezanijska kosa Bezanijska kosa bb, Beograd, Serbia.
Tamta MakharadzeLtd High Technology Hospital Medcenter, Batumi, Adjara, Georgia.
Ravi Shankar BellalaQueens NRI Hospital, Visakahapatnam, India.
Chaiyut CharoentumMaharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, Muang, Chiang Mai, Thailand.
Eduardo P Yañez RuizOncology-Hematology Unit. Department of Internal Medicine. School of Medicine, Clinical Research Center SIM, University of the Frontera, Temuco, Chile.
Andrea FulopOrszagos Koranyi Pulmonologiai Intezet, VI. Tudobelosztaly, Budapest, Hungary.
Irfhan Ali Hyder AliRespiratory Department, Hospital Pulau Pinang, George Town, Pinang, Malaysia.
Kostas SyrigosDepartment of Internal Medicine, Sotiria General Hospital for Chest Diseases, Athens, Greece.
Nuran KatgiDr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Health Sciences University, Izmir, Yenisehir, Turkey.
Yamil Alonso Lopez ChukenHospital Universitario "Dr. Jose Eleuterio Gonzalez" (Centro Universitario contra el Cancer), Monterrey, Nuevo Leon, Mexico.
Ilieva RumyanaPlovid Department of Medical Oncology, Multiprofile Hospital for Active Treatment Central Onco Hospital OOD, Plovdiv, Bulgaria.
Jasmin Reyes-IgamaBaguio General Hospital and Medical Center. Baguio city, Benguet, Philippines.
Rita de Cassia CostamilanFundacao Universidade de Caxias do Sul, Instituto de Pesquisas Clinicas para Estudos Multicentricos, IPCEM, Caxias do Sul, Brazil.
Ana Del Campo GarcíamAbxience Research S.L., Madrid, Spain. ana.delcampo@mabxience.com.ORCID http://orcid.org/0000-0003-2709-5583
Amalia FlorezmAbxience Research S.L., Madrid, Spain.
Alexandra ParavisinimAbxience Research S.L., Madrid, Spain.
Susana MillanmAbxience Research S.L., Madrid, Spain.
STELLA Investigators
Universidade de Caxias do Sul · BRHospital Pulau Pinang · MYHospital Universitario Dr José Eleuterio Gonzalez · MXIxion (Spain) · ESMaharaj Nakorn Chiang Mai Hospital · THNational Institute of Emergency Medicine "Pirogov" · BGOrszágos Korányi Tbc és Pulmonológiai Intézet · HUSağlık Bilimleri Üniversitesi · TRSotiria General Hospital · GRUniversidad de La Frontera · CLUniversity Hospital Medical Center Bezanijska kosa · RSUniversity of Baguio · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMB02 (bevacizumab biosimilar) showed similar structural, functional, and pharmacokinetic properties to reference bevacizumab (Avastin

objectivesTo confirm clinical similarity between MB02 and EU-bevacizumab, a comparability study was undertaken in the first-line treatment of stage IIIB/IV non-squamous non-small cell lung cancer (NSCLC). PATIENTS AND

methodsThis multinational, double-blind, randomized, phase III study (STELLA) compared MB02 or EU-bevacizumab (15 mg/kg) administered with chemotherapy (paclitaxel 200 mg/m

resultsA total of 627 subjects were randomized 1:1 to MB02 (n = 315) or EU-bevacizumab (n = 312). ORR, assessed by the IRC at Week 18, was comparable in MB02 (40.3%) and EU-bevacizumab (44.6%) groups. ORR risk ratio of 0.910 (90% CI 0.780 to 1.060; 95% CI 0.758 to 1.092) and ORR risk difference of -4.02 (90% CI -10.51 to 2.47; 95% CI -11.76 to 3.71) were within the similarity predefined margins. There were no significant differences between MB02 and EU-bevacizumab groups in median PFS (36.0 vs 37.3 weeks, respectively; HR 1.187; 95% CI 0.98 to 1.44) and median OS (not achieved; HR 1.108; 95% CI: 0.83 to 1.49) at the end of study. The safety profile of MB02 and EU-bevacizumab regarding nature, frequency and severity of the adverse events (AE) was comparable. The most frequent grade ≥3 investigational-product-related AEs were hypertension and anemia, with a difference between treatment groups of <5%. Anti-drug antibodies (ADA) and neutralizing ADA (NAb) incidence were similar in both treatment groups.

conclusionMB02 demonstrated similar efficacy to EU-bevacizumab, in combination with carboplatin and paclitaxel, in subjects with advanced non-squamous NSCLC, with comparable safety and immunogenicity profiles. CLINICAL

trial registrationEudraCT No. 2017-001769-26; ClinicalTrials.gov: NCT03296163.

Indexed as

Biosimilar PharmaceuticalsCarcinoma, Non-Small-Cell LungLung NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarboplatinHumansPaclitaxelTreatment OutcomeBevacizumabBiosimilar PharmaceuticalsCarboplatinPaclitaxel

Identifiers

PMID33914256
PMCPMC8295170
OpenAlexW3157965485

What OpenQuestion holds

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LicenceCC BY-NC
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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.