Evidence map›Paper›PMID 40985322›Full record

ArticleBritish journal of clinical pharmacology2026

Availability, use, efficacy and safety of bevacizumab in European hereditary haemorrhagic telangiectasia centres.

Pernille D Haahr, Anette D Kjeldsen, Annette D Fialla, Anne-Emmanuelle Fargeton, Alexandre Guilhem, Elisabetta Buscarini, Freya Droege, Guido Manfredi, Hans-Jurgen Mager, Jean-Christophe Saurin and 9 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of clinical pharmacology, 2026. 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

19 authors.

Pernille D HaahrVASCERN HHT Reference Centre and ENT Department, Odense University Hospital, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0009-0009-2562-127X
Anette D KjeldsenVASCERN HHT Reference Centre and ENT Department, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Annette D FiallaVASCERN HHT Reference Centre and Gastroenterology and Hepatology Department, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Anne-Emmanuelle FargetonVASCERN HHT Reference Centre and Genetic Department, Hospices Civils de Lyon, Lyon, France.
Alexandre GuilhemVASCERN HHT Reference Centre and Genetic Department, Hospices Civils de Lyon, Lyon, France.
Elisabetta BuscariniVASCERN HHT Reference Centre and Gastroenterology Department, ASST Maggiore Hospital, Crema, Italy.
Freya DroegeVASCERN HHT Reference Centre and ENT Department, Essen University Hospital, Essen, Germany.
Guido ManfrediVASCERN HHT Reference Centre and Gastroenterology Department, ASST Maggiore Hospital, Crema, Italy.
Hans-Jurgen MagerVASCERN HHT Reference Centre and Respiratory Department, St Antonius Hospital, Nieuwegein, The Netherlands.
Jean-Christophe SaurinVASCERN HHT Reference Centre and Genetic Department, Hospices Civils de Lyon, Lyon, France.
Jens KjeldsenVASCERN HHT Reference Centre and Gastroenterology and Hepatology Department, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Josefien HesselsVASCERN HHT Reference Centre and Respiratory Department, St Antonius Hospital, Nieuwegein, The Netherlands.
Marco C PostVASCERN HHT Reference Centre and Cardiology Department, St Antonius Hospital, Nieuwegein, The Netherlands.
Robert MandicVASCERN HHT Reference Centre and ENT Department, Interdisciplinary Centre for Vascular Anomalies Marburg, University Hospital Marburg, Philipps-Universität Marburg, Germany.
Sanne BoermanVASCERN HHT Reference Centre and Respiratory Department, St Antonius Hospital, Nieuwegein, The Netherlands.
Stefan Kasper-VirchowVASCERN HHT Reference Centre and Department of Medical Oncology, Essen University Hospital, Essen, Germany.
Sören MöllerVASCERN HHT Reference Centre, OPEN and Department of Public Health, University of Southern Denmark, Odense, Denmark.
Urban GeisthoffVASCERN HHT Reference Centre and ENT Department, Interdisciplinary Centre for Vascular Anomalies Marburg, University Hospital Marburg, Philipps-Universität Marburg, Germany.
Sophie Dupuis-GirodVASCERN HHT Reference Centre and Genetic Department, Hospices Civils de Lyon, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBevacizumab, a vascular endothelial growth factor inhibitor, is used off-label for treatment of severe anaemia related to epistaxis, gastrointestinal bleeding and/or severe hepatic arteriovenous malformations (HAVM) and right-sided cardiac failure in patients with hereditary haemorrhagic telangiectasia (HHT).

aimTo report the experience of treatment with bevacizumab within European Reference Network for Rare Multisystemic Vascular Diseases (VASCERN) centres.

methodA retrospective analysis of the usage, availability, efficacy and safety in HHT patients treated with bevacizumab in European VASCERN centres.

resultsA total of 151 patients received treatment with bevacizumab in European VASCERN centres. Most patients were treated in Denmark, France and the Netherlands. There was an improvement in haemoglobin with a mean increase of 2.9 g/dL (95% confidence interval 2.4, 3.6) and significant reduction in the number of red blood cell transfusions. Cardiac output was measured and improved in 85% of patients treated for high output cardiac failure in relation to severe HAVM. No severe adverse events were recorded, but 70 patients experienced at least one adverse event.

conclusionAlthough this is a retrospective study, we demonstrated convincing efficacy of bevacizumab in the treatment of patients with HHT, with a good risk-benefit balance.

Indexed as

Angiogenesis InhibitorsAntibodies, Monoclonal, HumanizedTelangiectasia, Hereditary HemorrhagicAdultAgedAged, 80 and overBevacizumabEuropeFemaleHumansMaleMiddle AgedOff-Label UseRetrospective StudiesTreatment OutcomeYoung AdultAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabbevacizumabhereditary haemorrhagic telangiectasiaVASCERN

Identifiers

PMID40985322
PMCPMC12850601

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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.