Evidence map›Paper›PMID 33963476›Full record

Trial reportJournal of neuro-oncology2021

A phase I/II study of bevacizumab, irinotecan and erlotinib in children with progressive diffuse intrinsic pontine glioma.

Fatma E El-Khouly, Sophie E M Veldhuijzen van Zanten, Marc H A Jansen, Dewi P Bakker, Esther Sanchez Aliaga, N Harry Hendrikse, W Peter Vandertop, Dannis G van Vuurden, Gertjan J L Kaspers

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Bevacizumab in Pediatric Neuro-Oncology.Current oncology (Toronto, Ont.) · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Radiotherapy and radio-sensitization in H3CNS neuroscience & therapeutics · 2023
    Review
  13. Review
  14. Review
  15. Pediatric Diffuse Midline Gliomas: An Unfinished Puzzle.Diagnostics (Basel, Switzerland) · 2022
    Review
  16. Review
  17. Review
  18. Article
  19. 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

9 authors at 4 institutions in 1 country.

Fatma E El-Khouly *Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Pediatric Oncology, Amsterdam, The Netherlands. f.el-khouly@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-1451-8516
Sophie E M Veldhuijzen van Zanten *Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Pediatric Oncology, Amsterdam, The Netherlands.
Marc H A JansenEmma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Pediatric Oncology, Amsterdam, The Netherlands.
Dewi P BakkerEmma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Child Neurology, Amsterdam, The Netherlands.
Esther Sanchez AliagaAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Radiology & Nuclear Medicine, Amsterdam, The Netherlands.
N Harry HendrikseAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Radiology & Nuclear Medicine, Amsterdam, The Netherlands.
W Peter VandertopAmsterdam UMC, Neurosurgical Center Amsterdam, Amsterdam, The Netherlands.
Dannis G van Vuurden *Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Pediatric Oncology, Amsterdam, The Netherlands.
Gertjan J L Kaspers *Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Pediatric Oncology, Amsterdam, The Netherlands.
Emma Kinderziekenhuis · NLAmsterdam University Medical Centers · NLAmsterdam Neuroscience · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study investigates the safety, tolerability, and preliminary efficacy of combined treatment with VEGF inhibitor bevacizumab, topoisomerase I inhibitor irinotecan, and EGFR inhibitor erlotinib in children with progressive diffuse intrinsic pontine glioma (DIPG).

methodsBiweekly bevacizumab (10 mg/kg) and irinotecan (125 mg/m

resultsBetween November 2011 and March 2018, nine patients with disease progression after initial radiotherapy were enrolled. Median PFS at start of the study was 7.3 months (range 3.5-10.0). In the first dose cohort, one patient experienced a DLT (grade III acute diarrhea), resulting in enrollment of three additional patients in this cohort. No additional DLTs were observed in consecutive patients receiving up to a maximum dose of 85 mg/m

conclusionsDaily erlotinib is safe and well tolerated in doses up to 85 mg/m

Indexed as

Brain Stem NeoplasmsDiffuse Intrinsic Pontine GliomaAntineoplastic Combined Chemotherapy ProtocolsAstrocytomaBevacizumabChildDisease ProgressionErlotinib HydrochlorideHumansIrinotecanQuality of LifeBevacizumabErlotinib HydrochlorideIrinotecanBevacizumabDiffuse intrinsic pontine glioma (DIPG)ErlotinibIrinotecanTargeted therapy

Identifiers

PMID33963476
PMCPMC8211596
OpenAlexW3159486059

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.