Evidence map›Paper›PMID 36260832›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

NRG Oncology/RTOG1205: A Randomized Phase II Trial of Concurrent Bevacizumab and Reirradiation Versus Bevacizumab Alone as Treatment for Recurrent Glioblastoma.

Christina I Tsien, Stephanie L Pugh, Adam P Dicker, Jeffrey J Raizer, Martha M Matuszak, Enrico C Lallana, Jiayi Huang, Ozer Algan, Nimisha Deb, Lorraine Portelance and 7 more

Open access · greenAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 7 pooled it
26.6field-weighted citation impact, top 1% 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

136 citing papers in PubMed, 7 syntheses or guidelines pooled it, 186 citations in OpenAlex.

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  7. Prospective randomized clinical studies involving reirradiation: update of a systematic review.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
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  17. Mechanisms, Microenvironments, and Models: Understanding Therapeutic Resistance in Glioblastoma.International journal of radiation oncology, biology, physics · 2026
    Review
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76 more citing papers are in PubMed but not listed here.

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

17 authors at 16 institutions in 1 country.

Christina I TsienJohns Hopkins School of Medicine, Baltimore, MD.ORCID 0000-0002-5458-5732
Stephanie L PughNRG Oncology Statistics and Data Management Center, Philadelphia, PA.
Adam P DickerThomas Jefferson University, Philadelphia, PA.ORCID 0000-0003-0733-3337
Jeffrey J RaizerNorthwestern University, Chicago, IL.
Martha M MatuszakUniversity of Michigan, Ann Arbor, MI.
Enrico C LallanaKaiser Permanente Sacramento Medical Center, Sacramento, CA.
Jiayi HuangWashington University School of Medicine in St Louis-Siteman Cancer Center, St. Louis, MO.ORCID 0000-0002-5153-506X
Ozer AlganUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK.
Nimisha DebSt Luke's University Hospital & Health Network accruals Thomas Jefferson University Hospital, Bethlehem, PA.
Lorraine PortelanceUniversity of Miami Miller School of Medicine-Sylvester Comprehensive Cancer Center, Miami, FL.
John L VillanoUniversity of Kentucky/Markey Cancer Center, Lexington, KY.ORCID 0000-0001-5583-0093
John T HammNorton Hospital Pavilion and Medical Campus, Louisville, KY.
Kevin S OhDana-Farber/Harvard Cancer Center, Boston, MA.
Arif N AliThe Hope Center accruals Emory University/Winship Cancer Institute, Dalton, GA.ORCID 0000-0003-3860-1242
Michelle M KimUniversity of Michigan Comprehensive Cancer Center, Ann Arbor, MI.
Scott M LindhorstMedical University of South Carolina Minority Underserved NCORP, Charleston, SC.ORCID 0000-0002-1585-4450
Minesh P MehtaMiami Cancer Institute, Miami, FL.ORCID 0000-0002-4812-5713
University of Michigan · USDana-Farber/Harvard Cancer Center · USEmory University · USJohns Hopkins University · USKaiser Permanente Sacramento Medical Center · USMedical University of South Carolina · USMiami Heart Research Institute · USNorthwestern University · USNorton Hospital · USNRG Oncology · USSt. Luke's University Health Network · USThomas Jefferson University · USUniversity of Kentucky · USUniversity of Miami · USUniversity of Oklahoma Health Sciences Center · USWashington University in St. Louis · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
UM LAPs -UG1 GrantUG1CA233160 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANNE F SCHOTT · 2019 to 2026
$5.4M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233160NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

purposeTo assess whether reirradiation (re-RT) and concurrent bevacizumab (BEV) improve overall survival (OS) and/or progression-free survival (PFS), compared with BEV alone in recurrent glioblastoma (GBM). The primary objective was OS, and secondary objectives included PFS, response rate, and treatment adverse events (AEs) including delayed CNS toxicities.

methodsNRG Oncology/RTOG1205 is a prospective, phase II, randomized trial of re-RT and BEV versus BEV alone. Stratification factors included age, resection, and Karnofsky performance status (KPS). Patients with recurrent GBM with imaging evidence of tumor progression ≥ 6 months from completion of prior chemo-RT were eligible. Patients were randomly assigned 1:1 to re-RT, 35 Gy in 10 fractions, with concurrent BEV IV 10 mg/kg once in every 2 weeks or BEV alone until progression.

resultsFrom December 2012 to April 2016, 182 patients were randomly assigned, of whom 170 were eligible. Patient characteristics were well balanced between arms. The median follow-up for censored patients was 12.8 months. There was no improvement in OS for BEV + RT, hazard ratio, 0.98; 80% CI, 0.79 to 1.23;

conclusionTo our knowledge, NRG Oncology/RTOG1205 is the first prospective, randomized multi-institutional study to evaluate the safety and efficacy of re-RT in recurrent GBM using modern RT techniques. Overall, re-RT was shown to be safe and well tolerated. BEV + RT demonstrated a clinically meaningful improvement in PFS, specifically the 6-month PFS rate but no difference in OS.

Indexed as

Brain NeoplasmsGlioblastomaRe-IrradiationAntineoplastic Combined Chemotherapy ProtocolsBevacizumabHumansProspective StudiesBevacizumab

Identifiers

PMID36260832
PMCPMC9940937
OpenAlexW4306829859

What OpenQuestion holds

Textmetadata
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.