Evidence map›Paper›PMID 38893252›Full record

ArticleCancers2024

A Phase II Trial of Bevacizumab in Patients with Recurrent/Progressive Solid Tumor Brain Metastases That Have Progressed Following Whole-Brain Radiation Therapy.

Karan Dixit, Lauren Singer, Sean Aaron Grimm, Rimas V Lukas, Margaret A Schwartz, Alfred Rademaker, Hui Zhang, Masha Kocherginsky, Sofia Chernet, Laura Sharp and 3 more

Abstract read
In one paragraph

Article in Cancers, 2024. 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. Review
  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

13 authors.

Karan DixitDepartment of Neurology, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0003-0403-6054
Lauren SingerDepartment of Neurology, University of Chicago, Chicago, IL 60611, USA.ORCID 0000-0002-2432-8305
Sean Aaron GrimmDepartment of Neuro-Oncology, Rush University, Chicago, IL 60611, USA.
Rimas V LukasDepartment of Neurology, Northwestern University, Chicago, IL 60611, USA.
Margaret A SchwartzDepartment of Neurology, Northwestern University, Chicago, IL 60611, USA.
Alfred RademakerDivision of Biostatistics, Department of Preventive Medicine, Northwestern University, Chicago, IL 60611, USA.
Hui ZhangDivision of Biostatistics, Department of Preventive Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-6825-5649
Masha KocherginskyDivision of Biostatistics, Department of Preventive Medicine, Northwestern University, Chicago, IL 60611, USA.
Sofia ChernetDepartment of Neurology, Northwestern University, Chicago, IL 60611, USA.
Laura SharpDivision of Biostatistics, Department of Preventive Medicine, Northwestern University, Chicago, IL 60611, USA.
Valerie NelsonDepartment of Hematology and Oncology, Northwestern University, Chicago, IL 60611, USA.
Jeffrey J RaizerDepartment of Neurology, Northwestern University, Chicago, IL 60611, USA.
Priya KumthekarDepartment of Neurology, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-5923-0677

Funding

Genentech Investigator initiated trial grant
6 · The paper itself

Abstract

Patients with solid tumor brain metastases that progress after whole-brain radiation have limited options. This prospective trial investigated the efficacy, safety, and tolerability of bevacizumab as salvage therapy in this population. Eligible patients received bevacizumab 10 mg/kg intravenously every 2 weeks until progression. The primary endpoint was radiologic response using Response Assessment in Neuro-Oncology (RANO) criteria. The secondary endpoints were progression-free survival (PFS), overall survival (OS), duration of response, and safety. Quality of life (QOL) was studied using the Functional Assessment of Cancer Therapy-Brain (FACT-Br) scale. Twenty-seven patients were enrolled, with twenty-four having evaluable data for response. The majority of histologies (n = 21, 78%) were breast cancer. The remaining histologies were non-small-cell lung cancer (n = 4, 15%), neuroendocrine cancer (n = 1, 3%), and papillary fallopian serous adenocarcinoma (n = 1, 3%). Eighteen patients had radiologic response, with two patients demonstrating partial response (8.33%) and sixteen patients demonstrating stable disease (66.7%). The median duration of response was 203 days. PFS at 6 months was 46%, median PFS was 5.3 m, and median OS was 9.5 m. Treatment was well tolerated, with six patients experiencing grade 3 lymphopenia and hypertension. There was one grade 3 thromboembolism. QOL was not negatively impacted. Bevacizumab is a safe and feasible salvage treatment with durable response and favorable overall survival for patients with progressive brain metastases after whole-brain radiation.

Indexed as

bevacizumabbrain metastasissurvivalwhole-brain radiotherapy

Identifiers

PMID38893252
PMCPMC11171490

What OpenQuestion holds

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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.