Evidence map›Paper›PMID 38190578›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Bevacizumab, Irinotecan, or Topotecan Added to Temozolomide for Children With Relapsed and Refractory Neuroblastoma: Results of the ITCC-SIOPEN BEACON-Neuroblastoma Trial.

Lucas Moreno, Rebekah Weston, Cormac Owens, Dominique Valteau-Couanet, Marion Gambart, Victoria Castel, C Michel Zwaan, Karsten Nysom, Nicolas Gerber, Aurora Castellano and 38 more

Open access · hybridAbstract 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Guideline
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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

48 authors at 20 institutions in 10 countries.

Lucas MorenoVall d'Hebron University Hospital, Barcelona, Spain.ORCID 0000-0002-0708-1670
Rebekah WestonUniversity of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-7884-1884
Cormac OwensChildren's Hospital Ireland, Dublin, Ireland.
Dominique Valteau-CouanetInstitut Gustave Roussy, Paris, France.
Marion GambartHôpital des Enfants, Bordeaux, France.ORCID 0000-0002-4364-5170
Victoria CastelHospital Universitario La Fe, Valencia, Spain.ORCID 0000-0002-3792-0615
C Michel ZwaanPrincess Maxima Center, Utrecht, the Netherlands.ORCID 0000-0001-6892-8268
Karsten NysomRigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-2935-0058
Nicolas GerberUniversitats-Kinderspital, Zurich, Switzerland.ORCID 0000-0002-1783-631X
Aurora CastellanoBambino Gesù Children's Hospital, Rome, Italy.
Genevieve LaureysUniversity Hospital Gent, Gent, Belgium.
Ruth LadensteinSt Anna Kinderspital, Vienna, Austria.ORCID 0000-0001-6548-3873
Jochen RösslerInselspital, Universitätsspital Bern, Bern, Switzerland.
Guy MakinCentral Manchester and Manchester Children's University Hospitals NHS Trust, Manchester, United Kingdom.ORCID 0000-0003-3513-3957
Dermot MurphyNHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Bruce MorlandBirmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom.
Sucheta VaidyaThe Royal Marsden NHS Foundation Trust & Institute for Cancer Research, London, United Kingdom.ORCID 0000-0003-2980-9316
Estelle ThebaudHôpital Mère-Enfant, Nantes, France.
Natasha van EijkelenburgPrincess Maxima Center, Utrecht, the Netherlands.ORCID 0000-0002-0526-3737
Deborah A TweddleThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, United Kingdom.ORCID 0000-0003-2208-3970
Giuseppe BaroneGreat Ormond Street Hospital, London, United Kingdom.ORCID 0000-0003-3264-1913
Julie TandonnetHôpital des Enfants, Hémato-Oncologie, Bordeaux, France.ORCID 0009-0009-4037-4297
Nadege CorradiniCentre Léon Bérard, Lyon, France.ORCID 0000-0002-1942-1222
Pascal ChastagnerHôpital d'Enfants, Nancy, France.ORCID 0000-0002-9134-5797
Catherine PaillardHôpital de Hautepierre, Strasbourg, France.ORCID 0000-0003-1662-5446
Francisco J BautistaPrincess Maxima Center, Utrecht, the Netherlands.ORCID 0000-0002-0421-8862
Soledad Gallego MelconVall d'Hebron University Hospital, Barcelona, Spain.ORCID 0000-0002-4712-9624
Bram De WildeUniversity Hospital Gent, Gent, Belgium.ORCID 0000-0003-0213-1322
Lynley MarshallThe Royal Marsden NHS Foundation Trust & Institute for Cancer Research, London, United Kingdom.
Juliet GrayUniversity Hospital Southampton, Southampton, United Kingdom.
Susan A BurchillSt James University Hospital, Leeds, United Kingdom.ORCID 0000-0002-1034-3723
Gudrun SchleiermacherInstitute Curie, Paris, France.ORCID 0000-0002-0133-5879
Louis CheslerThe Royal Marsden NHS Foundation Trust & Institute for Cancer Research, London, United Kingdom.
Andrew PeetBirmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0002-4846-5152
Martin O LeachThe Royal Marsden NHS Foundation Trust & Institute for Cancer Research, London, United Kingdom.
Kieran McHughGreat Ormond Street Hospital, London, United Kingdom.
Roisin HayesChildren's Hospital Ireland, Dublin, Ireland.
Neil JeromeThe Royal Marsden NHS Foundation Trust & Institute for Cancer Research, London, United Kingdom.ORCID 0000-0002-9556-5930
Hubert CaronRoche, Basel, Switzerland.
Jennifer LaidlerUniversity of Birmingham, Birmingham, United Kingdom.
Nicola FenwickUniversity of Birmingham, Birmingham, United Kingdom.
Grace HoltUniversity of Birmingham, Birmingham, United Kingdom.
Veronica MorozUniversity of Birmingham, Birmingham, United Kingdom.
Pamela KearnsUniversity of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-2756-5813
Simon GatesUniversity of Birmingham, Birmingham, United Kingdom.
Andrew D J PearsonThe Royal Marsden NHS Foundation Trust & Institute for Cancer Research, London, United Kingdom.ORCID 0000-0002-8738-5913
Keith WheatleyUniversity of Birmingham, Birmingham, United Kingdom.
Innovative Therapies for Children with Cancer (ITCC) and European Association for Neuroblastoma Research (SIOPEN)
University of Birmingham · GBRoyal Marsden NHS Foundation Trust · GBPrincess Máxima Center · NLGhent University Hospital · BEGreat Ormond Street Hospital · GBBambino Gesù Children's Hospital · ITChildren's Health Ireland at Crumlin · IEHôpital d'Enfants · FRHôpital des Enfants · FRNHS Greater Glasgow and Clyde · GBRigshospitalet · DKUniversity Hospital Southampton NHS Foundation Trust · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBCentre Léon Bérard · FRHôpital Mère-Enfant · FRInstitut Curie · FRInstitut Gustave Roussy · FRNewcastle upon Tyne Hospitals NHS Foundation Trust · GBSt Anna Children's Hospital · ATUniversity Children's Hospital Zurich · CH

Funding

Cancer Research UK 18226
6 · The paper itself

Abstract

purposeOutcomes for children with relapsed and refractory high-risk neuroblastoma (RR-HRNB) remain dismal. The BEACON Neuroblastoma trial (EudraCT 2012-000072-42) evaluated three backbone chemotherapy regimens and the addition of the antiangiogenic agent bevacizumab (B). MATERIALS AND

methodsPatients age 1-21 years with RR-HRNB with adequate organ function and performance status were randomly assigned in a 3 × 2 factorial design to temozolomide (T), irinotecan-temozolomide (IT), or topotecan-temozolomide (TTo) with or without B. The primary end point was best overall response (complete or partial) rate (ORR) during the first six courses, by RECIST or International Neuroblastoma Response Criteria for patients with measurable or evaluable disease, respectively. Safety, progression-free survival (PFS), and overall survival (OS) time were secondary end points.

resultsOne hundred sixty patients with RR-HRNB were included. For B random assignment (n = 160), the ORR was 26% (95% CI, 17 to 37) with B and 18% (95% CI, 10 to 28) without B (risk ratio [RR], 1.52 [95% CI, 0.83 to 2.77];

conclusionThe addition of B met protocol-defined success criteria for ORR and appeared to improve PFS. Within this phase II trial, BIT showed signals of antitumor activity with acceptable tolerability. Future trials will confirm these results in the chemoimmunotherapy era.

Indexed as

NeuroblastomaTopotecanAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBevacizumabChildChild, PreschoolDacarbazineHumansInfantIrinotecanNeoplasm Recurrence, LocalTemozolomideYoung AdultBevacizumabDacarbazineIrinotecanTemozolomideTopotecan

Identifiers

PMID38190578
PMCPMC11003502
OpenAlexW4390658926

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.