Evidence map›Paper›PMID 40110057›Full record

ArticleNeuro-oncology practice2025

Health-related quality of life in patients with progressive glioblastoma treated with combined bevacizumab and lomustine versus lomustine only: Secondary outcome of the randomized phase III EORTC 26101 study.

Linda Dirven, Abigirl Machingura, Martin J van den Bent, Corneel Coens, Andrew Bottomley, Alba A Brandes, Julien Domont, Ahmed Idbaih, Johan A F Koekkoek, Jaap C Reijneveld and 3 more

Abstract read
In one paragraph

Article in Neuro-oncology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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.

Linda DirvenDepartment of Neurology, Haaglanden Medical Center, The Hague, The Netherlands.ORCID https://orcid.org/0000-0001-9157-9895
Abigirl MachinguraQuality of Life Department, European Organization for Research and Treatment of Cancer, Brussels, Belgium.
Martin J van den BentThe Brain Tumor Center, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5710-5127
Corneel CoensQuality of Life Department, European Organization for Research and Treatment of Cancer, Brussels, Belgium.
Andrew BottomleyQuality of Life Department, European Organization for Research and Treatment of Cancer, Brussels, Belgium.
Alba A BrandesDepartment of Medical Oncology, AUSL-IRCCS Scienze Neurologiche, Bologna, Italy.
Julien DomontInstitut Gustave Roussy, Villejuif, France.
Ahmed IdbaihSorbonne Université, AP-HP, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Hôpitaux Universitaires La Pitié Salpêtrière - Charles Foix, Service de Neuro-Oncologie, F-75013, Paris, France.ORCID https://orcid.org/0000-0001-5290-1204
Johan A F KoekkoekDepartment of Neurology, Haaglanden Medical Center, The Hague, The Netherlands.ORCID https://orcid.org/0000-0002-3648-9616
Jaap C ReijneveldDepartment of Neurology and Brain Tumour Center Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Michael PlattenUMM, Mannheim, Heidelberg University and CCU Neuroimmunology, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-4746-887X
Wolfgang WickGerman Consortium of Translational Cancer Research (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-6171-634X
Martin J B TaphoornDepartment of Neurology, Haaglanden Medical Center, The Hague, The Netherlands.ORCID https://orcid.org/0000-0001-9949-4722

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Progression-free survival, but not overall survival, was prolonged with bevacizumab and lomustine compared to lomustine only in the randomized phase 3 European Organization for Research and Treatment of Cancer (EORTC) 26101 study. Objective: To evaluate the impact of treatment on health-related quality of life (HRQoL) in progressive glioblastoma patients participating in the EORTC 26101 study. Methods: Patients with progressive glioblastoma, after standard radio-chemotherapy, were 2:1 randomized to either BEV/LOM or LOM. HRQoL was a secondary trial outcome and assessed using the EORTC QLQ-C30 and QLQ-BN20 questionnaires at baseline, and subsequently every 12 weeks. Predefined scales for analysis were global health status (GH), physical functioning, social functioning (SF), motor dysfunction, and communication deficit. The primary endpoint was HRQoL during the last assessment up to week 36. Moreover, time to HRQoL deterioration (TTD) and HRQoL deterioration-free survival (DFS) were calculated. Results: Out of 437 patients, 402 (92%) patients had a baseline HRQoL assessment, which dropped to 66% at week 36. During the last assessment up to week 36, no differences were observed for predefined scales, apart from SF being clinically relevant lower in the combination arm (mean 66.0 versus 81.0, Conclusion: The addition of bevacizumab to lomustine did not negatively affect HRQoL during the progression-free period.

Indexed as

bevacizumabEORTCglioblastomahealth-related quality of lifelomustinepatient-reported outcomerecurrent

Identifiers

PMID40110057
PMCPMC11913650

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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.