Evidence map›Paper›PMID 40014785›Full record

ReviewRadiology and oncology2025

Recurrent respiratory papillomatosis: role of bevacizumab and HPV vaccination. A literature review with case presentations.

Silvio Sporeni, Francesca Rifaldi, Irene Lanzetta, Ilaria Imarisio, Benedetta Montagna, Francesco Serra, Francesco Agustoni, Paolo Pedrazzoli, Marco Benazzo, Giulia Bertino

Abstract readReviewCase Reports
In one paragraph

Review in Radiology and oncology, 2025. 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. Comparison of COBioengineering (Basel, Switzerland) · 2026
    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

10 authors.

Silvio Sporeni1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Francesca Rifaldi1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Irene Lanzetta1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Ilaria Imarisio2Department of Oncology, Hospital IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Benedetta Montagna2Department of Oncology, Hospital IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Francesco Serra1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Francesco Agustoni1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Paolo Pedrazzoli1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Marco Benazzo3Department of Otolaryngology, Hospital IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Giulia Bertino3Department of Otolaryngology, Hospital IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecurrent respiratory papillomatosis (RRP) is a condition caused by human papilloma virus (HPV) infection. Curative treatments aren't identifiable, and conservative surgery is often the best option to preserve respiratory functions. To date monoclonal antibodies are considered to be a treatment choice with both good efficacy and safety profile. MATERIALS AND

methodsA web-based search of MEDLINE/PubMed library from 2000 to 2024 of English-language papers was performed to identify articles by using "respiratory or laryngeal papillomatosis" and "HPV respiratory infection, papillomatosis treatment, papillomatosis vaccine immunization, papillomatosis systemic treatment". Furthermore, a manual screening of references from original articles was done to identify additional studies. We selected 34 articles.

resultsSince 2009, the systemic administration of Bevacizumab has been used to treat RRP not responding to surgical treatment. The efficacy of an anti-VEGF monoclonal antibody in RRP lesions can be related to their vascular nature. The major concern is the rebound papilloma growth within the cessation of treatment. An interesting solution could be the concomitant use of immunotherapy to both reduce the burden of residual disease and activate the immune system against the HPV-infected cells.

conclusionsBevacizumab has a safe profile with a short-term local eradication of HPV. Further prospective research with long-term follow-up is needed to better define its safety and results against the disease recurrence. Considering the role of the anti-HPV vaccine, both, in the prophylaxis of the infection and in the adjuvant setting, the actual data underline the need for evaluation of its therapeutic efficacy for the management of RRP.

Indexed as

Angiogenesis InhibitorsBevacizumabPapillomavirus InfectionsPapillomavirus VaccinesRespiratory Tract InfectionsHumansAngiogenesis InhibitorsBevacizumabPapillomavirus Vaccinesmultimodal treatmentoral cavity papillomatosisrespiratory recurrent papillomatosissystemic therapyvaccine immunization

Identifiers

PMID40014785
PMCPMC11867566

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.