Evidence map›Paper›PMID 34359732›Full record

ArticleCancers2021

A Novel Combination of Bevacizumab with Chemotherapy Improves Therapeutic Effects for Advanced Biliary Tract Cancer: A Retrospective, Observational Study.

Sung-Nan Pei, Chun-Kai Liao, Yaw-Sen Chen, Cheng-Hao Tseng, Chao-Ming Hung, Chong-Chi Chiu, Meng-Che Hsieh, Yu-Fen Tsai, Hsiu-Yun Liao, Wei-Ching Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

11 authors at 2 institutions in 1 country.

Sung-Nan PeiDepartment of Hematology-Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.
Chun-Kai LiaoDivision of Hematology and Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.ORCID 0000-0002-7497-4444
Yaw-Sen ChenSchool of Medicine, College of Medicine, I-Shou University, Kaohsiung 824, Taiwan.
Cheng-Hao TsengSchool of Medicine, College of Medicine, I-Shou University, Kaohsiung 824, Taiwan.
Chao-Ming HungSchool of Medicine, College of Medicine, I-Shou University, Kaohsiung 824, Taiwan.
Chong-Chi ChiuSchool of Medicine, College of Medicine, I-Shou University, Kaohsiung 824, Taiwan.
Meng-Che HsiehDepartment of Hematology-Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.
Yu-Fen TsaiDepartment of Hematology-Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.
Hsiu-Yun LiaoDepartment of Hematology-Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.
Wei-Ching LiuDepartment of Hematology-Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.
Kun-Ming RauDepartment of Hematology-Oncology, E-Da Cancer Hospital, Kaohsiung 824, Taiwan.ORCID 0000-0002-1209-3043
E-Da Hospital · TWKaohsiung Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary tract cancer (BTC) is a heterogenous collection of biliary tract cancer at different primary sites, and the prognosis of advanced BTC is dismal. Systemic chemotherapy with gemcitabine and cisplatin (GC) has been the reference regimen since 2010. How to improve therapeutic effects of GC regimen is an urgent mission at present.

methodsBevacizumab with a reduced dosage and modified schedule (10 mg/Kg/triweekly, 1 day before GS at the first 2 cycles) was combined with standard GC for patients with advanced BTC. Tumor response was assessed using Response Evaluation Criteria in Solid Tumors version 1.1 every 2 months. Kaplan-Meier curves were estimated for time-to-treatment failure (TTF), progression-free survival (PFS) and overall survival (OS).

resultA total of thirty cases of advanced BTC accepted this treatment, and the overall response rate (ORR) was 50.0%, and the disease control rate was 80.0% for all patients. The median TTF was 5.8 months, the median PFS was 8.4 months, and the median OS was 13.6 months. Most responses were noted at the first evaluation. Adverse effects (AEs) were mostly tolerable.

conclusionsAfter modifying the schedule, adding bevacizumab to a traditional GC regimen could increase the ORR with a shorter time-to-response, a better PFS and OS than GC alone but without the addition of AE. This regimen can be applied to patients with advanced BTC, especially those who are with a big tumor burden and who need a rapid response.

Indexed as

advanced biliary tract cancerbevacizumabgemcitabineresponse ratevascular normalization

Identifiers

PMID34359732
PMCPMC8345065
OpenAlexW3185671398

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.