Evidence map›Paper›PMID 34841235›Full record

ArticleEClinicalMedicine2021

Efficacy and safety of MIL60 compared with bevacizumab in advanced or recurrent non-squamous non-small cell lung cancer: a phase 3 randomized, double-blind study.

Rui Wan, Xiaorong Dong, Qun Chen, Yan Yu, Shujun Yang, Xiaochun Zhang, Guojun Zhang, Yueyin Pan, Sanyuan Sun, Chengzhi Zhou and 45 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03196986 (Efficacy and Safety of First-line mil60 Plus Paclitaxel/Carboplatin Versus Bevacizumab Plus Paclitaxel/Carboplatin in Patients With Advanced and Recurrent Non-squamous Non-small Cell Lung Cancer), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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.

NCT03196986 phase3completednot on this map

Efficacy and Safety of First-line mil60 Plus Paclitaxel/Carboplatin Versus Bevacizumab Plus Paclitaxel/Carboplatin in Patients With Advanced and Recurrent Non-squamous Non-small Cell Lung Cancer: a Randomized, Double-blind, Phase 3 Study

TypeinterventionalSponsorBeijing Mabworks Biotech Co., Ltd.Ran2017 to 2021Enrolled517ConditionsNon-small Cell Lung CancerArmsmil60, Bevacizumab
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

55 authors at 20 institutions in 1 country.

Rui WanState Key Laboratory of Molecular Oncology, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xiaorong DongCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qun ChenMedical Oncology, Fuzhou pulmonary Hospital of Fujian, Fuzhou, China.
Yan YuMedical Oncology, Harbin Medical University Cancer Hospital, Harbin, China.
Shujun YangDepartment of Internal Medicine, Henan Cancer Hospital & Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Xiaochun ZhangCancer Precision Medicine Center, The Affiliated Hospital of Qingdao University, Qingdao, China.
Guojun ZhangRespiratory Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yueyin PanDepartment of Oncology Chemotherapy, the First Affiliated Hospital of USTC (Anhui Provincial Hospital), Hefei, China.
Sanyuan SunOncology, Xuzhou Central Hospital, Xuzhou, China.
Chengzhi ZhouPulonary and Critical Care Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Wei HongMedical Oncology, Zhejiang Cancer Hospital, Hangzhou, China.
Hui ZhaoRespiratory, The Second Hospital of Anhui Medical University, Hefei, China.
Lei YangDepartment of Respiratory Oncology, Gansu Provincial Cancer Hospital, Lanzhou, China.
Linian HuangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China.
Rong WuDepartment of Internal Oncology II, Shengjing Hospital of China Medical University, Liaoning, China.
Aimin ZangInternal Medicine-Oncology, Affiliated Hospital of Hebei, Baoding, China.
Rui MaMedical Oncology Department of Thoracic Cancer (II), Liaoning Cancer Hospital & Institute, Shenyang, China.
Lin WuThoracic Medicine Department II, Hunan Cancer Hospital, Changsha, China.
Dongqing LvRespiratory, Taizhou Hospital of Zhejiang Province, Taizhou, China.
Xiuhua FuDepartment of Respiratory and Critical Care Medicine, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Jianguo HanOncology, Chifeng Municipal Hospital, Chifeng, China.
Wenxin LiOncology, Inner Mongolia People's Hospital, Hohhot, China.
Jianchun DuanState Key Laboratory of Molecular Oncology, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Kai WangRespiratory, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Ou JiangDepartment of Oncology, The Second People's Hospital of Neijiang, Neijiang, China.
Yinglan ChenMedical Oncology, Jiangxi Province Cancer Hospital, Nanchang, China.
Zhongliang GuoDepartment of Respiratory Medicine, Shanghai East Hospital, Shanghai, China.
Hongjun GaoDepartment of pulmonary oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China.
Juyi WenDepartment of Radiation Oncology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Shubin WangMedical Oncology, Peking University Shenzhen Hospital, Shenzhen, China.
Enfeng ZhaoThree and Four Departments of Radiotherapy and Chemotherapy, Cangzhou Hospital of Integrated Traditional Chinese and Western of Hebei Province, Cangzhou, China.
Gaofeng LiThoracic surgery, Yunnan Cancer Hospital, Kunming, China.
Lu YueOncology, Qingdao Municipal Hospital, Qingdao, China.
Li LiangOncology, Peking University Third Hospital, Beijing, China.
Aiping ZengDepartment of Chemotherapy, Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China.
Xiaoshan WangOncology, Sichuan Provincial People's Hospital, Chengdu, China.
Yuxi ZhuDepartment of Oncology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Hongming PanOncology Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Zhaoxia DaiDepartment of Thoracic Medical Oncology II, The Second Hospital of Dalian Medical University, Dalian, China.
Weineng FengHead and Neck/Thoracic Medical Oncology, The First People's Hospital of Foshan, Foshan, China.
Guofang ZhaoDepartment of Cardiothoracic Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No.2 Hospital), Ningbo, China.
Chuan LinOncology, Yibin Second People's Hospital, Yibin, China.
Chong LiDepartment of Respiratory Medicine, The First People's Hospital of Changzhou, Changzhou, China.
Na LiDepartment of Oncology, Suining Central Hospital, Suining, China.
Yangyi BaoDepartment of Oncology, The First People's Hospital of Hefei, Hefei, China.
Yinyin LiFirst Department of Oncology, Shenyang Chest Hospital, Shenyang, China.
Yanjun SuDepartment of Pulmonary Oncology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, China.
Min ZhaoOncology, Hebei Chest Hospital, Shijiazhuang, China.
Haohui FangRespiratory, Anhui Chest Hospital, Hefei, China.
Yulong ZhuDepartment of Respiratory, Hospital of Traditional Chinese Medicine of Xinjiang Uygur Autonomous Region, Urumqi, China.
Yu ZhangRespiratory, Nanjing Chest Hospital, Nanjing, China.
Lieming DingBetta pharmaceuticals Co., Ltd., Hangzhou, China.
Yang WangBetta pharmaceuticals Co., Ltd., Hangzhou, China.
Xiaobin YuanBetta pharmaceuticals Co., Ltd., Hangzhou, China.
Jie WangState Key Laboratory of Molecular Oncology, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Betta Pharmaceuticals (China) · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese PLA General Hospital · CNAffiliated Hospital of Hebei University · CNAnhui Provincial Hospital · CNChifeng Municipal Hospital · CNChina Medical University · CNDalian Medical University · CNFirst Affiliated Hospital of Bengbu Medical College · CNFirst Affiliated Hospital of Chongqing Medical University · CNFirst Affiliated Hospital of Guangzhou Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNFirst People's Hospital of Foshan · CNFuzhou Pulmonary Hospital of Fujian · CNGansu Provincial Hospital · CNHefei First People's Hospital · CNHenan Cancer Hospital · CNHospital of Hebei Province · CNHunan Cancer Hospital · CNInner Mongolia Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared the efficacy, safety, and immunogenicity of MIL60 with reference bevacizumab as first-line treatment in patients with advanced or recurrent non-squamous non-small cell lung cancer (NSCLC) in this phase 3, randomized, double-blind study.

methodsPatients with untreated advanced or recurrent NSCLC were randomized (1:1 ratio) to receive either MIL60 or bevacizumab in combination with paclitaxel/carboplatin. Patients with non-progressive disease continued maintenance single-agent MIL60 until disease progression, or intolerable toxicity. The primary endpoint was the 12-week objective response rates (ORR12) by independent review committee (IRC) using RECIST 1.1. Bioequivalence was established if the ORR ratio located between 0.75 and 1/0.75. The trial was registered with clinicaltrials.gov (NCT03196986).

findingsBetween Aug 23, 2017, and May 8, 2019, 517 patients were randomly assigned to MIL60 group (n=257) and bevacizumab group (n=260). In the full analysis set (FAS) population including all randomized and evaluable patients who received at least one dose of MIL60 or bevacizumab, the ORR12 in MIL60 group and bevacizumab group were 48.6% and 43.1%, respectively. The ORR ratio of these two groups were 1.14 (90% CI 0.97-1.33), which fell within the pre-specified equivalence boundaries (0.75-1/0.75). The median DOR was 5.7 months (95% CI 4.5-6.2) for MIL60 and 5.6 months (95% CI 4.3-6.4) for bevacizumab. No significant difference was noted in median PFS (7.2 vs. 8.1 months; HR 1.01, 95% CI 0.78-1.30, p=0.9606) and OS (19.3 vs. 16.3 months; HR 0.81, 95% CI 0.64-1.02, p=0.0755). Safety and tolerability profiles were similar between the two groups. No patient detected positive for Anti-drug antibody (ADA).

interpretationThe efficacy, safety and immunogenicity of MIL60 were similar with bevacizumab, providing an alternative treatment option for advanced or recurrent non-squamous NSCLC.

fundingThis study was sponsored by Betta Pharmaceutical Co., Ltd.

Indexed as

bevacizumabbiosimilarequivalenceMIL60non-squamous NSCLC

Identifiers

PMID34841235
PMCPMC8606331
OpenAlexW3217601308

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.