Evidence map›Paper›PMID 36225651›Full record

ArticleNeuro-oncology advances

A multi-institutional phase II trial of bevacizumab for recurrent and refractory meningioma.

Priya Kumthekar, Sean Aaron Grimm, Roxanne T Aleman, Marc C Chamberlain, David Schiff, Patrick Y Wen, Fabio Massaiti Iwamoto, Demirkan Besim Gursel, David A Reardon, Benjamin Purow and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  11. Combined SSTR2-targeted Analogue withFrontiers in oncology · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Malignant Meningiomas: From Diagnostics to Treatment.Diagnostics (Basel, Switzerland) · 2025
    Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Priya KumthekarThe Lou and Jean Malnati Brain Tumor Institute, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0001-5923-0677
Sean Aaron GrimmDepartment of Neurology, Rush University Medical Center, Chicago, IL, USA.
Roxanne T AlemanDepartment of Internal Medicine, Advocate Christ Medical Center, Oak Lawn, IL, USA.
Marc C ChamberlainUniversity of Washington, Fred Hutchinson Cancer Research Center, Seattle Cancer Care Alliance, Seattle, WA, USA.
David SchiffUniversity of Virginia School of Medicine, Charlottesville, VA, USA.
Patrick Y WenDana-Farber Cancer Institute, Boston, MA, USA.
Fabio Massaiti IwamotoColumbia Medical Center, New York, NY, USA.
Demirkan Besim GurselNorthwestern University, Chicago, IL, USA.
David A ReardonDana-Farber Cancer Institute, Boston, MA, USA.
Benjamin PurowUniversity of Virginia School of Medicine, Charlottesville, VA, USA.
Masha KocherginskiDepartment of Preventative Medicine, Feinberg College of Medicine at Northwestern University, Chicago, IL, USA.
Irene HelenowskiDepartment of Preventative Medicine, Feinberg College of Medicine at Northwestern University, Chicago, IL, USA.
Jeffrey J RaizerThe Lou and Jean Malnati Brain Tumor Institute, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, USA.
Northwestern University · USHarvard University · USUniversity of Virginia · USAdvocate Christ Medical Center · USColumbia University Irving Medical Center · USRush University Medical Center · USSeattle Cancer Care Alliance · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic therapies for refractory meningiomas are limited with no FDA-approved therapeutics. Vascular endothelial growth factor (VEGF) is a signaling protein associated with neovascularization, peritumoral edema, and meningioma tumorigenesis. Methods: This phase II study investigates the efficacy of bevacizumab (BEV), a VEGF binding monoclonal antibody, in patients with progressive Grade I (G1M), Grade II (G2M), Grade III (G3M) meningioma, and other non-parenchymal tumors including vestibular schwannoma ( Results: Fifty Patients (26 women; median age 54 years; range 23-81), 42 with progressive meningioma were treated: 10 G1M, 20 G2M, and 12 G3M. Prior treatments include surgical resection (41 patients), radiosurgery (24 patients), external beam radiotherapy (28 patients), and chemotherapy (14 patients). Median infusions administered were 16 (range, 2-68). Response was graded using the Macdonald's criteria. PFS-6, median PFS, and mOS were 87%, 22 months, 35 months for G1M; 77%, 23 months, 41 months for G2M; and 46%, 8 months, 12 months for G3M. Best radiographic responses include stable disease (G1M: 100%; G2M: 85%; G3M: 82%); partial response (G1M: 0%; G2M: 5%; G3M: 0%) and progressive disease (G1M: 0%; G2M: 10%; G3M:18%). The most common toxicities were hypertension ( Conclusion: This study showed BEV is well tolerated and appears to be a promising systemic treatment option for patients with recurrent and refractory meningiomas.

Indexed as

anti-angiogenicbevacizumabdural tumorshemangiopericytomahigh-grade meningiomameningiomasolitary fibrous tumor

Identifiers

PMID36225651
PMCPMC9549880
OpenAlexW4294015802

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.