Evidence map›Paper›PMID 35173881›Full record

ArticleAmerican journal of translational research2022

Efficacy and mechanism of osimertinib combined with bevacizumab in the treatment of postoperative EGFR positive stage II-IIIA lung adenocarcinoma.

Jian Bao, Zhengsheng Wu, Congjun Zhang, Mingjun Zhang, Yi Wang, Hongxia Li, Xiang Sun, Junfeng Gao, Lei Ge, Yuzhi Li and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Jian BaoDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Zhengsheng WuDepartment of Pathological, Anhui Medical University Hefei, Anhui Province, China.
Congjun ZhangDepartment of Oncology, First Affiliated Hospital of Anhui Medical University Hefei, Anhui Province, China.
Mingjun ZhangDepartment of Oncology, Second Affiliated Hospital of Anhui Medical University Hefei, Anhui Province, China.
Yi WangDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Hongxia LiDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Xiang SunDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Junfeng GaoDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Lei GeDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Yuzhi LiDepartment of Oncology, Hefei First People's Hospital Hefei, Anhui Province, China.
Hao WangDepartment of Pathological, Anhui Medical University Hefei, Anhui Province, China.
Qianying GuoDepartment of Pathological, Anhui Medical University Hefei, Anhui Province, China.
Hefei First People's Hospital · CNAnhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the efficacy and mechanism of osimertinib combined with bevacizumab in treating postoperative epidermal growth factor receptor (EGFR) positive stage II-IIIA lung adenocarcinoma.

methodsIn this retrospective study, one hundred and thirty patients with postoperative EGFR positive stage II-IIIA lung adenocarcinoma were divided into two groups according to different treatment methods. Patients treated with osimertinib alone were included in the single group (65 patients). Patients treated with bevacizumab on the basis of the single group were included in the joint group (65 patients). The short-term efficacy, side effects and survival results of the two groups were counted. The changes of serum vascular endothelial growth factor, serum tumor markers and life quality before and after the treatment were observed.

resultsThe ORR (66.15%) and DCR (86.15%) in the joint group were significantly higher than those in the single group (47.69% and 70.77%) (both P<0.05). The serum levels of VEGFA, VEGFB, VEGFC, BFGF, HDGF, SDF-1, CEA, CA153, CYFRA21-1 and CA199 in the joint group were lower than those in the single group after the treatment (all P<0.05). No significant difference was shown in the incidence of adverse reactions such as rash, diarrhea, constipation, albuminuria, hypertension and interstitial pneumonia between the joint group and the single group (all P>0.05). After the treatment, the ZPS score of the joint group was lower than that of the single group, and the KPS score was higher than that of the single group (both P<0.05). There was no significant difference in the two-year median DFS and the one or two-year DFS rate between the joint group and the single group (all P>0.05).

conclusionOsimertinib combined with bevacizumab in the treatment of postoperative EGFR positive stage II-IIIA lung adenocarcinoma has evident short-term efficacy and mild side effects, which is helpful in improving the disease control rate and life quality. The mechanism may be related to the regulation of serum CEA, CA153, CYFRA21-1, CA199 levels and inhibition of VEGFA, VEGFB, VEGFC, BFGF, HDGF, and SDF-1 levels.

Indexed as

bevacizumabefficacyEGFR mutationlung adenocarcinomaosimertinibstage II-IIIAtumor markervascular endothelial growth factor

Identifiers

PMID35173881
PMCPMC8829594
OpenAlexW4213391895

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Registered trials

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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.