Evidence map›Paper›PMID 39616250›Full record

ArticleScientific reports2024

Bevacizumab versus aflibercept with FOLFIRI after FOLFOX and bevacizumab in RAS mutant metastatic colon cancer a Turkish oncology group study.

Serhat Sekmek, Sema Nur Ozsan Çelebi, Dogan Bayram, Cihan Erol, Fahriye Tugba Kos, Mehmet Ali Nahit Sendur, Yunus Emre Altıntas, Tugba Tuylu, Sedat Yildirim, Sedat Biter and 16 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Scientific reports, 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. Article
  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

26 authors.

Serhat SekmekDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey. serhatsekmek@gmail.com.ORCID http://orcid.org/0000-0003-4650-248X
Sema Nur Ozsan ÇelebiDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.
Dogan BayramDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.
Cihan ErolDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.
Fahriye Tugba KosDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.
Mehmet Ali Nahit SendurDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.
Yunus Emre AltıntasDepartment of Medical Oncology, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Tugba TuyluDepartment of Medical Oncology, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Sedat YildirimDepartment of Medical Oncology, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Sedat BiterDepartment of Medical Oncology, Cukurova University, Adana, Turkey.
Mehmet Mutlu KıdıDepartment of Medical Oncology, Cukurova University, Adana, Turkey.
Ertugrul BayramDepartment of Medical Oncology, Cukurova University, Adana, Turkey.
Nargiz MajidovaDepartment of Medical Oncology, Marmara University, Istanbul, Turkey.
Ibrahim Vedat BayogluDepartment of Medical Oncology, Marmara University, Istanbul, Turkey.
Mehmetcan AtakDepartment of Medical Oncology, Ankara Etlik City Hospital, Ankara, Turkey.
Kadriye BaskurtDepartment of Medical Oncology, Ankara Etlik City Hospital, Ankara, Turkey.
Sinem AkbasDepartment of Medical Oncology, Koc University, Istanbul, Turkey.
Ali AlkanDepartment of Medical Oncology, Mugla Sıtkı Kocman University Faculty of Medicine, Mugla, Turkey.
Ayberk BayramgilDepartment of Medical Oncology, Umraniye Training and Research Hospital, Istanbul, Turkey.
Ferit AslanDepartment of Medical Oncology, Medicalpark Ankara Batikent Hospital, Ankara, Turkey.
Elif SahinDepartment of Medical Oncology, Kocaeli City Hospital, Kocaeli, Turkey.
Onur Yazdan BalcikDepartment of Medical Oncology, Mardin Training and Research Hospital, Mardin, Turkey.
Ahmet Ziya BayhanDepartment of Medical Oncology, Sivas Numune Hospital, Sivas, Turkey.
Seray SarayDepartment of Medical Oncology, Balikesir Ataturk City Hospital, Balıkesir, Turkey.
Erkan ArpaciDepartment of Medical Oncology, Sakarya Adatip Hospital, Sakarya, Turkey.
Yakup ErgunDepartment of Medical Oncology, Bower Hospital, Diyarbakir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to compare FOLFIRI and bevacizumab with FOLFIRI and aflibercept in terms of overall survival (OS), progression-free survival (PFS) and safety in patients with RAS-mutant metastatic colon cancer who progressed after first-line FOLFOX or XELOX and bevacizumab treatment. This retrospective study included 243 patients from 15 different centres in Turkey. The endpoints of the study were OS, PFS and safety and side effect outcomes. The median age of the patients included in the study was 60 (21-85) years. Of the patients enrolled in the study, 114 patients (46.9%) received aflibercept and 129 patients (53.1%) received bevacizumab. Median OS was 11.2 (95% CI: 9.1-13.2) months in patients receiving FOLFIRI + aflibercept and 14.1 (95% CI: 11.2-17.1) months in patients receiving FOLFIRI + bevacizumab. The median PFS was 5.7 (95% CI: 4.9-6.5) months in the aflibercept arm and 7.7 (95% CI: 7.1-8.3) months in the bevacizumab arm. Grade 3-4 side effects were observed in 58 (50.9%) patients in the aflibercept arm and 33 (25.6%) patients in the bevacizumab arm. As a result of our study, in patients with metastatic RAS-mutant colon cancer who progressed after first-line oxaliplatin-based doublet chemotherapy and bevacizumab, better OS and PFS results were obtained in patients receiving bevacizumab with FOLFIRI compared to patients receiving aflibercept with FOLFIRI. In addition, the side effect profile was more tolerable in the bevacizumab arm.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinColonic NeoplasmsFluorouracilLeucovorinOrganoplatinum CompoundsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedafliberceptBevacizumabCamptothecinFluorouracilLeucovorinOrganoplatinum CompoundsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAfliberceptBevacizumabMetastatic colon cancerReal-life data

Identifiers

PMID39616250
PMCPMC11608356

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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.