Evidence map›Paper›PMID 40968753›Full record

Trial reportJournal of gynecologic oncology2025

Atezolizumab, bevacizumab, and platinum chemotherapy in cervical cancer: results of Japanese population from BEATcc.

Munetaka Takekuma, Shin Nishio, Satoshi Yamaguchi, Mayu Yunokawa, Hiroshi Nishio, Koji Nishino, Akira Kurosaki, Shinichiro Minobe, Guillermo Villacampa, Ana Oaknin and 1 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of gynecologic oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03556839 (A Randomized Phase III Trial of Platinum Chemotherapy Plus Paclitaxel With Bevacizumab and Atezolizumab Versus Platinum Chemotherapy Plus Paclitaxel and Bevacizumab in Metastatic), which is not on this 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.

NCT03556839 phase3completednot on this map

A Randomized Phase III Trial of Platinum Chemotherapy Plus Paclitaxel With Bevacizumab and Atezolizumab Versus Platinum Chemotherapy Plus Paclitaxel and Bevacizumab in Metastatic (Stage IVB), Persistent, or Recurrent Carcinoma of the Cervix

TypeinterventionalSponsorGrupo Español de Investigación en Cáncer de OvarioRan2018 to 2025Enrolled410ConditionsCarcinoma of the Cervix, Stage IVBArmsAtezolizumab, Bevacizumab, Cisplatin/Carboplatin, Paclitaxel
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

11 authors.

Munetaka TakekumaDepartment of Gynecology, Shizuoka Cancer Center, Shizuoka, Japan. m.takekuma@scchr.jp.ORCID 0000-0002-0807-1845
Shin NishioDepartment of Obstetrics and Gynecology, Kurume University Hospital, Kurume, Japan.ORCID 0000-0003-2526-630X
Satoshi YamaguchiDepartment of Gynecology, Hyogo Cancer Center, Akashi, Japan.ORCID 0000-0002-8260-6174
Mayu YunokawaDepartment of Gynecology, Cancer Institute Hospital of JFCR, Tokyo, Japan.ORCID 0000-0001-7354-6977
Hiroshi NishioDepartment of Obstetrics and Gynecology, Keio University Hospital, Tokyo, Japan.ORCID 0000-0002-4938-416X
Koji NishinoDepartment of Obstetrics and Gynecology, Niigata University Medical & Dental Hospital, Niigata, Japan.ORCID 0000-0001-6218-8641
Akira KurosakiDepartment of Gynecology, Saitama Medical University International Medical Center, Hidaka, Japan.ORCID 0000-0002-2562-3840
Shinichiro MinobeDepartment of Gynecology, Hokkaido Cancer Center, Sapporo, Japan.ORCID 0000-0002-9493-1935
Guillermo VillacampaOncology Data Science, Vall d'Hebron Institute of Oncology and SOLTI Breast Cancer Research Group, Barcelona, Spain.ORCID 0000-0003-4868-6585
Ana OakninMedical Oncology Service, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-3592-7194
Aikou OkamotoDepartment of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-5079-0464

Funding

Chugai PharmaceuticalRoche
6 · The paper itself

Abstract

objectiveThis study analyzed the efficacy of add-on atezolizumab to standard first-line bevacizumab-containing therapy in 56 Japanese patients with metastatic and recurrent cervical cancer treated across 8 sites under the Japanese Gynecologic Oncology Group between October 2018 and August 2021 in the BEATcc trial.

methodsPatients were randomized to standard arm (standard therapy: cisplatin 50 mg/m² or carboplatin area under the curve of 5, paclitaxel 175 mg/m², and bevacizumab 15 mg/kg) or experimental arm (standard therapy with atezolizumab 1,200 mg).

resultsOf 56 patients, 30 were in experimental arm vs. 26, standard arm (age: 53.2±12.9 vs. 54.7±12.2 years). Median progression-free survival was 15.8 months (95% confidence interval [CI]=10.4-26.1) in experimental arm vs. 11.1 months (8.4-16.5) in standard arm (hazard ratio [HR]=0.51; 95% CI=0.26-1.01). Median overall survival was 34.1 months (23.2-38.6) in the experimental arm vs. 31.6 months (16.4-36.5), standard arm (HR=0.53; 95% CI=0.23-1.21). Objective response rate was 86.7% in experimental arm vs. 84.6%, standard arm. Complete response and partial response, respectively, were 23.3% and 63.3% in experimental arm and 26.9% and 57.7% in standard arm. Grade ≥3 adverse events occurred in 80.0%, experimental arm and 88.5%, standard arm. Gastrointestinal/genitourinary fistula incidence was lower in Japanese patients (1 patient receiving atezolizumab), likely due to stricter inclusion criteria.

conclusionOverall, add-on atezolizumab enhances the efficacy of bevacizumab and chemotherapy in Japanese patients as those in overall BEATcc population and could be considered a new first-line treatment option for metastatic, persistent, or recurrent cervical cancer in Japan.

trial registrationClinicalTrials.gov Identifier: NCT03556839.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsUterine Cervical NeoplasmsAdultAgedAntibodies, Monoclonal, HumanizedBevacizumabCarboplatinCisplatinEast Asian PeopleFemaleHumansJapanMiddle AgedNeoplasm Recurrence, LocalPaclitaxelProgression-Free SurvivalAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabCarboplatinCisplatinPaclitaxelAngiogenesis InhibitorsAtezolizumabBevacizumabCervical CancerImmune Checkpoint InhibitorsJapanese Ethnicity

Identifiers

PMID40968753
PMCPMC12636115

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.