Evidence map›Paper›PMID 36344654›Full record

Trial reportInternational journal of clinical oncology2022

A randomized phase II trial of bevacizumab vs. bevacizumab and erlotinib as first-line consolidation after carboplatin, paclitaxel, and bevacizumab in newly diagnosed patients with mullerian tumors.

Susana Campos, Ursula Matulonis, Suzanne Berlin, Neil Horowitz, Joyce Liu, Carolyn Krasner, Lee Hang, Corrine Zarwan, William Barry, Tina Colella and 5 more

Abstract readRandomized Controlled TrialClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in International journal of clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 78% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

15 authors at 6 institutions in 1 country.

Susana CamposGynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, YC1420, Boston, MA, 02215, USA. Susana_Campos@dfci.harvard.edu.ORCID http://orcid.org/0000-0001-9672-473X
Ursula MatulonisGynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, YC1420, Boston, MA, 02215, USA.
Suzanne BerlinHematology Oncology, Lahey Health, 6 Tsienneto Rd Suite 101LL, Derry, NH, 03038, USA.
Neil HorowitzGynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, YC1420, Boston, MA, 02215, USA.
Joyce LiuGynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, YC1420, Boston, MA, 02215, USA.
Carolyn KrasnerGillette Center for Women's Cancers, Massachusetts General Hospital, 32 Fruit Street, Boston, MA, 02114, USA.
Lee HangGillette Center for Women's Cancers, Massachusetts General Hospital, 32 Fruit Street, Boston, MA, 02114, USA.
Corrine Zarwan, 41 Burlington Mail Road, Burlington, MA, 01805, USA.
William BarryGynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, YC1420, Boston, MA, 02215, USA.
Tina ColellaGillette Center for Women's Cancers, Massachusetts General Hospital, 32 Fruit Street, Boston, MA, 02114, USA.
Christen WhalenGynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Ave, DA117, Boston, MA, 02215, USA.
Melina ShoniObstetrics and Gynecology, Boston Medical Center, 88 Newton St. #2118, Boston, MA, 02118, USA.
Christine LundquistPACE Center-Clinical Research, Tufts Medical Center, 800 Washington St., Box 63, Boston, MA, 02111, USA.
Michael J BirrerWomen's Cancer Clinic-Gynecology, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Cancer Institute, 449 Jack Stephens Drive, Little Rock, AR, 72205, USA.
Richard PensonGillette Center for Women's Cancers, Massachusetts General Hospital, 32 Fruit Street, Boston, MA, 02114, USA.
Dana-Farber Cancer Institute · USMassachusetts General Hospital · USBoston Medical Center · USBurlington College · USCancer Clinic · USTufts Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of paclitaxel to platinum remains the backbone of therapy in patients with advanced Mullerian tumors. In patients with newly diagnosed Mullerian tumors, we investigated the progression-free survival benefit of bevacizumab and bevacizumab and erlotinib as consolidation therapy post-induction therapy.

methodsSixty patients were enrolled in a phase II trial of carboplatin, paclitaxel, and bevacizumab (induction therapy). After the completion induction therapy, patients were stratified by response (≥ SD) and then randomized (1:1) to either bevacizumab (A) or bevacizumab and erlotinib (AE.) The primary endpoint was PFS. Secondary endpoints included the response rate of induction and consolidation therapy and toxicity profile of each consolidative arm. Each consolidative arm was compared to the historical control GOG 111.

resultsForty-eight patients advanced to the consolidative phase of the trial. Twelve patients were removed in the induction phase, the majority for toxicity. The most common toxicity (grade ≥ 3) was diarrhea (20%: arm AE; 0%: arm A). One patient in the AE arm had a fatal cardiac arrest deemed unrelated to the study treatment. No gastrointestinal perforations were reported. The median PFS in the AE and A arm was 18.9 months (p < 0.0001) and 13.3 months (p: ns), respectively. The overall rate of grade 3/4 toxicities in the AE arm was 72% and in the A arm 30%. Six patients remain free of disease 10 years after enrollment.

conclusionCombinatorial consolidation therapy with AE was associated with an improved progression-free survival in patients with Mullerian tumors.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabNeoplasmsCarboplatinErlotinib HydrochlorideHumansPaclitaxelBevacizumabCarboplatinErlotinib HydrochloridePaclitaxelBevacizumabConsolidation therapyErlotinibMullerian adenocarcinomaVascular endothelial growth factor

Identifiers

PMID36344654
OpenAlexW4308394240

What OpenQuestion holds

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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.