Evidence map›Paper›PMID 37174026›Full record

ArticleCancers2023

Low-Dose Bevacizumab for the Treatment of Focal Radiation Necrosis of the Brain (fRNB): A Single-Center Case Series.

Jens Tijtgat, Evan Calliauw, Iris Dirven, Manon Vounckx, Randa Kamel, Anne Marie Vanbinst, Hendrik Everaert, Laura Seynaeve, Dirk Van Den Berge, Johnny Duerinck and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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  8. Bevacizumab improved prognosis for advanced EGFR-mutant lung adenocarcinoma with brain metastasis receiving cerebral radiotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  9. Terminally differentiated cytotoxic CD4CNS neuroscience & therapeutics · 2024
    Article
  10. Successful treatment ofFrontiers in medicine · 2024
    Article
  11. 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

11 authors at 1 institution in 1 country.

Jens TijtgatDepartment of Medical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.ORCID 0000-0003-1688-8940
Evan CalliauwDepartment of Medical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Iris DirvenDepartment of Medical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.ORCID 0000-0003-2168-0781
Manon VounckxDepartment of Medical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Randa KamelDepartment of Radiotherapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.ORCID 0000-0002-6505-9359
Anne Marie VanbinstDepartment of Medical Imaging, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Hendrik EveraertDepartment of Nuclear Medicine, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Laura SeynaeveDepartment of Neurology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Dirk Van Den BergeDepartment of Radiotherapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
Johnny DuerinckDepartment of Neurosurgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.ORCID 0000-0001-9869-9806
Bart NeynsDepartment of Medical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.ORCID 0000-0003-0658-5903
Universitair Ziekenhuis Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Focal radiation necrosis of the brain (fRNB) is a late adverse event that can occur following the treatment of benign or malignant brain lesions with stereotactic radiation therapy (SRT) or stereotactic radiosurgery (SRS). Recent studies have shown that the incidence of fRNB is higher in cancer patients who received immune checkpoint inhibitors. The use of bevacizumab (BEV), a monoclonal antibody that targets the vascular endothelial growth factor (VEGF), is an effective treatment for fRNB when given at a dose of 5-7.5 mg/kg every two weeks. In this single-center retrospective case series, we investigated the effectiveness of a low-dose regimen of BEV (400 mg loading dose followed by 100 mg every 4 weeks) in patients diagnosed with fRNB. A total of 13 patients were included in the study; twelve of them experienced improvement in their existing clinical symptoms, and all patients had a decrease in the volume of edema on MRI scans. No clinically significant treatment-related adverse effects were observed. Our preliminary findings suggest that this fixed low-dose regimen of BEV can be a well-tolerated and cost-effective alternative treatment option for patients diagnosed with fRNB, and it is deserving of further investigation.

Indexed as

bevacizumabcase serieslow-dose regimenradiation necrosis of the brainradiotherapystereotactic radiation therapyVEGF inhibitor

Identifiers

PMID37174026
PMCPMC10177060
OpenAlexW4368377804

What OpenQuestion holds

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LicenceCC BY
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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.