Evidence map›Paper›PMID 36826160›Full record

ArticleClinics and practice2023

Bevacizumab-Induced Thrombotic Microangiopathy (TMA) in Metastatic Lung Adenocarcinoma Patients Receiving Nivolumab Combined with Bevacizumab, Carboplatin and Paclitaxel: Two Case Reports.

Ping-Chih Hsu, Tai-Di Chen, Tsung-Yu Tsai, Cheng-Ta Yang

Abstract readCase Reports
In one paragraph

Article in Clinics and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Ping-Chih HsuDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-0173-7509
Tai-Di ChenDepartment of Medicine, College of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan.ORCID 0000-0002-4231-7677
Tsung-Yu TsaiDepartment of Pathology, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Cheng-Ta YangDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-1846-1027

Funding

Linkou Chang Gung Memorial Hospital CMRPG3G1661Taiwan Ministry of Science and Technology 110-2628-B-182A-019Taiwan Ministry of Science and Technology 111-2628-B-182A-003
6 · The paper itself

Abstract

Anti-programmed death-1 (PD-1)/programmed death ligand 1 (PD-L1) immune checkpoint inhibitors (ICIs), combined with bevacizumab and platinum-based chemotherapy, have shown promising efficacy in treating metastatic non-squamous cell lung cancer in phase 3 clinical trials. However, drug-induced nephrotoxicity is an uncommon but threatening adverse effect when using this combination therapy, and should be evaluated and managed carefully. Here, we present two patients experiencing late-onset asymptomatic heavy proteinuria during the clinical trial. Kidney biopsies performed finally identified bevacizumab-induced thrombotic microangiopathy (TMA), and the proteinuria was decreased after discontinuing bevacizumab permanently. Our report suggests that a kidney biopsy is needed for those receiving ICIs in combination with bevacizumab and chemotherapy and experiencing nephrotoxicity such as heavy proteinuria.

Indexed as

ant-PD-1bevacizumabimmunotherapynivolumabnon-small cell lung cancerproteinuriathrombotic microangiopathy (TMA)

Identifiers

PMID36826160
PMCPMC9955069

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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.