Evidence map›Paper›PMID 38872480›Full record

Trial reportJournal of gynecologic oncology2024

First-line bevacizumab plus chemotherapy in Chinese patients with stage III/IV epithelial ovarian cancer, fallopian tube cancer or primary peritoneal cancer: a phase III randomized controlled trial.

Xiaohua Wu, Jihong Liu, Ruifang An, Rutie Yin, Yu Zhang, Huaijun Zhou, Aiqin He, Li Wang, Jieqing Zhang, Ziling Liu and 9 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of gynecologic oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03635489 (A Phase III Trial of Carboplatin and Paclitaxel Plus Placebo Versus Carboplatin Paclitaxel Plus Concurrent and Extended Bevacizumab in Chinese Women With Newly Diagnosed, Previously Untreated, Stage III or Stage IV Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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.

NCT03635489 phase3completednot on this map

A Phase III Trial of Carboplatin and Paclitaxel Plus Placebo Versus Carboplatin Paclitaxel Plus Concurrent and Extended Bevacizumab in Chinese Women With Newly Diagnosed, Previously Untreated, Stage III or Stage IV Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

TypeinterventionalSponsorHoffmann-La RocheRan2018 to 2023Enrolled100ConditionsOvarian Cancer, Fallopian Tube Cancer, Primary Peritoneal CancerArmsPaclitaxel, Bevacizumab, Carboplatin, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

19 authors.

Xiaohua WuFudan University Shanghai Cancer Center, Shanghai, China. wu.xh@fudan.edu.cn.ORCID 0000-0001-7692-7863
Jihong LiuSun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0000-0003-3464-2901
Ruifang AnFirst Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID 0000-0001-6501-1016
Rutie YinDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.ORCID 0000-0002-9221-6727
Yu ZhangXiangya Hospital Central South University, Changsha, China.ORCID 0000-0003-3474-422X
Huaijun ZhouNanjing Drum Tower Hospital, Nanjing, China.ORCID 0000-0002-6994-2747
Aiqin HeNantong Tumor Hospital, Nantong, China.ORCID 0009-0002-8955-1441
Li WangAffiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.ORCID 0000-0003-0588-5234
Jieqing ZhangGuangxi Medical University Affiliated Tumor Hospital & Oncology Medical College, Nanning, China.ORCID 0009-0004-6770-9775
Ziling LiuThe First Hospital of Jilin University, Changchun, China.ORCID 0000-0003-0582-7579
Wei DuanBeijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.ORCID 0009-0009-2135-7977
Jianqing ZhuCancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China.ORCID 0000-0001-5736-7397
Ge LouHarbin Medical University Cancer Hospital, Harbin, China.ORCID 0000-0001-6617-4482
Guilin ChenFujian Cancer Hospital, Fuzhou, China.ORCID 0009-0007-9627-918X
Ying ChengJilin Cancer Hospital, Changchun, China.ORCID 0000-0001-9908-597X
Fengxia XueTianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0001-9694-0061
Sonja NickF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID 0009-0008-6048-0436
Haiyan WangRoche Product Development, Shanghai, China.ORCID 0009-0008-7384-557X
Donghang LiRoche Product Development, Shanghai, China.ORCID 0009-0001-2961-7202

Funding

F. Hoffmann-La Roche
6 · The paper itself

Abstract

objectiveFirst-line bevacizumab plus carboplatin and paclitaxel (CP) is approved for stage III/IV ovarian cancer treatment following initial surgical resection, based on global phase III GOG-0218 and ICON7 trials. This study evaluated the efficacy and safety of bevacizumab + CP as first-line ovarian cancer therapy in Chinese patients.

methodsPatients with newly diagnosed, International Federation of Gynecology and Obstetrics (FIGO) stage III/IV epithelial ovarian, fallopian tube, or primary peritoneal cancer post-primary surgery were randomized 1:1 to receive 6 cycles of CP with bevacizumab/placebo, followed by bevacizumab/placebo maintenance until unacceptable toxicity or disease progression. Primary endpoint was investigator-assessed progression-free survival (PFS). Stratification factors were FIGO stage and debulking status (stage III optimally debulked vs stage III suboptimally debulked vs stage IV) and Eastern Cooperative Oncology Group performance status (0 vs 1 or 2).

resultsOf randomized patients, 51 received bevacizumab + CP and 49 received placebo + CP. Median PFS was 22.6 months with bevacizumab + CP (95% confidence interval [CI]=18.6, not estimable) and 12.3 months (95% CI=9.5, 15.0) with placebo + CP (stratified hazard ratio=0.30; 95% CI=0.17, 0.53). Treatment-related grade 3/4 adverse events occurred in 46 of 49 (94%) patients receiving bevacizumab + CP, and 34 of 50 (68%) receiving placebo + CP.

conclusionBevacizumab + CP showed clinically meaningful improvement in PFS vs placebo + CP, consistent with GOG-0218 results. Safety data were aligned with the known bevacizumab safety profile. These results support first-line bevacizumab + CP therapy in Chinese patients with ovarian cancer.

trial registrationClinicalTrials.gov Identifier: NCT03635489.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabCarboplatinCarcinoma, Ovarian EpithelialFallopian Tube NeoplasmsNeoplasm StagingOvarian NeoplasmsPaclitaxelPeritoneal NeoplasmsProgression-Free SurvivalAdultAgedChinaEast Asian PeopleFemaleHumansBevacizumabCarboplatinPaclitaxelBevacizumabChemotherapyChineseOvarian Cancer

Identifiers

PMID38872480
PMCPMC11390243

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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.