Evidence map›Paper›PMID 34189463›Full record

ArticleBMJ neurology open2021

Proof-of-concept single-arm trial of bevacizumab therapy for brain arteriovenous malformation.

Rachel Muster, Nerissa Ko, Wade Smith, Hua Su, Melissa A Dickey, Jeffrey Nelson, Charles E McCulloch, Patricia K Sneed, Jennifer L Clarke, David A Saloner and 3 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in BMJ neurology open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02314377 (Bevacizumab Therapy for Brain Arteriovenous Malformation), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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.

NCT02314377 phase1completednot on this map

Bevacizumab Therapy for Brain Arteriovenous Malformation

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2019Enrolled2ConditionsBrain Arteriovenous MalformationArmsBevacizumab
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Bevacizumab: The future of chronic subdural hematoma.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Review
  3. Article
  4. Towards precision medicine for brain arteriovenous malformations.The Journal of clinical investigation · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review of treatment and therapeutic targets in brain arteriovenous malformation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Review
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 2 institutions in 1 country.

Rachel MusterSchool of Medicine, UCSF, San Francisco, California, USA.ORCID 0000-0002-4090-5301
Nerissa KoNeurology, UCSF, San Francisco, California, USA.
Wade SmithNeurology, UCSF, San Francisco, California, USA.
Hua SuAnesthesia and Perioperative Care, UCSF, San Francisco, California, USA.
Melissa A DickeyRadiology and Biomedical Imaging, UCSF, San Francisco, California, USA.
Jeffrey NelsonAnesthesia and Perioperative Care, UCSF, San Francisco, California, USA.
Charles E McCullochBiostatistics and Epidemiology, UCSF, San Francisco, California, USA.
Patricia K SneedRadiation Oncology, UCSF, San Francisco, California, USA.
Jennifer L ClarkeNeurology, UCSF, San Francisco, California, USA.
David A SalonerRadiology and Biomedical Imaging, UCSF, San Francisco, California, USA.
Laura EisenmengerRadiology, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0001-6764-4239
Helen KimAnesthesia and Perioperative Care, UCSF, San Francisco, California, USA.
Daniel L CookeRadiology and Biomedical Imaging, UCSF, San Francisco, California, USA.
University of California, San Francisco · USUniversity of Wisconsin–Madison · US

Funding

Uncover the Pathogenesis of Brain Arteriovenous MalformationR01NS027713 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SU, HUA · 1990 to 2023
$8.6M
Reduction of Brain AVM Severity through Inhibition of Pathogenic AngiogenesisR01NS112819 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SU, HUA · 2020 to 2024
$2.9M
Cell type-specific influences on HHT pathogenesisR01HL122774 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SU, HUA · 2015 to 2018
$1.6M
NHLBI NIH HHS R01 HL122774NINDS NIH HHS R01 NS027713NINDS NIH HHS R01 NS112819
6 · The paper itself

Abstract

Brain arteriovenous malformations (bAVMs) are relatively rare, although their potential for secondary intracranial haemorrhage (ICH) makes their diagnosis and management essential to the community. Currently, invasive therapies (surgical resection, stereotactic radiosurgery and endovascular embolisation) are the only interventions that offer a reduction in ICH risk. There is no designated medical therapy for bAVM, although there is growing animal and human evidence supporting a role for bevacizumab to reduce the size of AVMs. In this single-arm pilot study, two patients with large bAVMs (deemed unresectable by an interdisciplinary team) received bevacizumab 5 mg/kg every 2 weeks for 12 weeks. Due to limitations of external funding, the intended sample size of 10 participants was not reached. Primary outcome measure was change in bAVM volume from baseline at 26 and 52 weeks. No change in bAVM volume was observed 26 or 52 weeks after bevacizumab treatment. No clinically important adverse events were observed during the 52-week study period. There were no observed instances of ICH. Sera vascular endothelial growth factor levels were reduced at 26 weeks and returned to baseline at 52 weeks. This pilot study is the first to test bevacizumab for patients with bAVMs. Bevacizumab therapy was well tolerated in both subjects. No radiographic changes were observed over the 52-week study period. Subsequent larger clinical trials are in order to assess for dose-dependent efficacy and rarer adverse drug effects. Trial registration number: NCT02314377.

Indexed as

cerebrovascularneurosurgerypharmacologystroke

Identifiers

PMID34189463
PMCPMC8204171
OpenAlexW3136032010

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.