Evidence map›Paper›PMID 37702588›Full record

Trial reportEndocrine-related cancer2023

A phase II study of bevacizumab and temsirolimus in advanced extra-pancreatic neuroendocrine tumors.

Sonia M Abuzakhm, Vineeth Sukrithan, Briant Fruth, Rui Qin, Jonathan Strosberg, Timothy J Hobday, Thomas Semrad, Diane Reidy-Lagunes, Hedy Lee Kindler, George P Kim and 6 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Endocrine-related cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01010126 (A Phase 2 Trial of Temsirolimus and Bevacizumab in Patients With Endometrial, Ovarian, Hepatocellular Carcinoma, Carcinoid or Islet Cell Cancer), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 14% 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.

NCT01010126 phase2completednot on this map

A Phase 2 Trial of Temsirolimus and Bevacizumab in Patients With Endometrial, Ovarian, Hepatocellular Carcinoma, Carcinoid or Islet Cell Cancer

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2009 to 2017Enrolled252ConditionsAdult Hepatocellular Carcinoma, Advanced Adult Hepatocellular Carcinoma, Endometrial Serous Adenocarcinoma, Localized Non-Resectable Adult Liver CarcinomaArmsBevacizumab, Temsirolimus
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  3. Article
  4. Article
  5. Review
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  7. Review
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

16 authors at 13 institutions in 2 countries.

Sonia M AbuzakhmOhioHealth, Columbus, Ohio, USA.
Vineeth SukrithanThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA.ORCID 0000-0002-5878-9900
Briant FruthMayo Clinic, Rochester, Minnesota, USA.
Rui QinJanssen Pharmaceuticals, Raritan, New Jersey, USA.
Jonathan StrosbergH. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, USA.ORCID 0000-0001-8405-218X
Timothy J HobdayMayo Clinic, Rochester, Minnesota, USA.
Thomas SemradTahoe Forest Cancer Center, Truckee, California, USA.
Diane Reidy-LagunesMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Hedy Lee KindlerUniversity of Chicago Medical Center, Chicago, Illinois, USA.
George P KimGeorge Washington University Cancer Center, Washington, DC, USA.
Jennifer J KnoxPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Andreas KaubischMontefiore Medical Center, Bronx, New York, USA.
Miguel Villalona-CaleroCity of Hope, Duarte, California, USA.
Helen ChenCTEP National Cancer Institute, Bethesda, Maryland, USA.
Charles ErlichmanMayo Clinic, Rochester, Minnesota, USA.
Manisha H ShahThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA.
Mayo Clinic · USThe Ohio State University · USCity of Hope · USGeorge Washington University · USJanssen (United States) · USMemorial Sloan Kettering Cancer Center · USMoffitt Cancer Center · USMontefiore Medical Center · USNational Cancer Institute · USOhioHealth · USPrincess Margaret Cancer Centre · CATahoe Forest Hospital · USUniversity of Chicago Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS HHSN261201100032CNCI NIH HHS HHSN261201100038CNCI NIH HHS HHSN261201100070CNCI NIH HHS HHSN261201100071CNCI NIH HHS HHSN261201100099CNCI NIH HHS HHSN261201100100CNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

We assessed the efficacy and safety of combining bevacizumab with temsirolimus in patients with advanced extra-pancreatic neuroendocrine tumors. This NCI-sponsored multicenter, open-label, phase II study (NCT01010126) enrolled patients with advanced, recurrent, or metastatic extra-pancreatic neuroendocrine tumors. All patients were treated with temsirolimus and bevacizumab until disease progression or unacceptable toxicity. Temsirolimus 25 mg was administered i.v. on days 1, 8, 15, and 22 and bevacizumab 10 mg/kg i.v. on days 1 and 15 of a 4-week cycle. Discontinuation of temsirolimus or bevacizumab did not require discontinuation of the other agent. The primary endpoints were objective response rate and 6-month progression-free survival rate. Fifty-nine patients were enrolled in this study, and 54 were evaluated for efficacy and adverse events. While median progression-free survival was 7.1 months, the median duration of treatment with temsirolimus was 3.9 months and that with bevacizumab was 3.5 months. The objective response rate of combination therapy was 2%, and 6-month progression-free survival was 48%. The most frequently reported grade 3-4 adverse events included fatigue (13%), hypertension (13%), and bleeding (13%). Close to 54% of the patients discontinued treatment due to adverse events, refusal of further treatment, or treatment delays. Three deaths occurred in the study, of which two were due to treatment-related bowel perforations. Given the minimal efficacy and increased toxicity seen with the combination of bevacizumab and temsirolimus, we do not recommend the use of this regimen in patients with advanced extra-pancreatic neuroendocrine tumors.

Indexed as

Neoplasms, Second PrimaryNeuroendocrine TumorsPancreatic NeoplasmsBevacizumabCombined Modality TherapyHumansSirolimusBevacizumabSirolimustemsirolimusbevacizumabcarcinoidmTOR inhibitorneuroendocrinetemsirolimus

Identifiers

PMID37702588
PMCPMC10585708
OpenAlexW4386705026

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.