Evidence map›Paper›PMID 39477433›Full record

ArticleIn vivo (Athens, Greece)

Neoadjuvant Chemotherapy With the Angiogenesis Inhibitor Bevacizumab for Locally Advanced Cervical Cancer.

Sunhwa Baek, Ka-Won Noh, Yue Zhao, Birgid Schoemig-Markiefka, Dominik Ratiu, Christian Domroese, Michael Mallmann, Peter Mallmann, Henryk Pilch

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

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 synthesis or guideline pooled it.

  1. Pooled it
  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

9 authors.

Sunhwa BaekDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany; sunhwa.baek@uk-koeln.de.
Ka-Won NohInstitute for Pathology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Yue ZhaoDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Birgid Schoemig-MarkiefkaInstitute for Pathology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Dominik RatiuDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Christian DomroeseDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Michael MallmannDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Peter MallmannDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Henryk PilchDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimWe hypothesized that adding bevacizumab to platinum-based neoadjuvant chemotherapy - whose efficacy for patients with recurrent or metastatic cervical cancer has already been proven - could optimize the therapy regimen, leading to improved response rates and survival outcomes. PATIENTS AND

methodsForty patients with histologically confirmed cervical cancer with FIGO stage IB3-IVA who received platinum-based neoadjuvant treatment between March 2008 and January 2019 in the Department of Obstetrics and Gynecology of University Hospital Cologne were analyzed. Twenty patients were treated with additional bevacizumab. The comparative cohort consisted of 18 patients treated with neoadjuvant chemotherapy alone. The response rates and clinical outcomes, including progression-free survival and overall survival, were evaluated.

resultsNeoadjuvant chemotherapy combined with bevacizumab significantly improved the response rate (p=0.046). The survival analysis showed that patients treated without bevacizumab had better progression-free survival up to FIGO stage IVA than patients treated with bevacizumab. However, overall survival was similar for both cohorts. For patients with advanced tumor stage, including FIGO IVB, progression-free survival and overall survival improved with the addition of bevacizumab. Pathological complete remission was a statistically significant prognostic factor for progression-free survival (p=0.039) but did not significantly affect overall survival (p=0.098).

conclusionWhile bevacizumab did not demonstrate a significant improvement in overall survival rates, it was associated with a notable reduction in tumor size and showed a trend towards improved clinical response rates. These findings suggest that bevacizumab may have potential in optimizing the neoadjuvant treatment approach.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabNeoadjuvant TherapyNeoplasm StagingUterine Cervical NeoplasmsAdultAgedAngiogenesis InhibitorsFemaleHumansMiddle AgedPrognosisTreatment OutcomeAngiogenesis InhibitorsBevacizumabAdvanced cervical cancerangiogenesis inhibitorbevacizumabneoadjuvant chemotherapy

Identifiers

PMID39477433
PMCPMC11535958

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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.