Evidence map›Paper›PMID 41894981›Full record

ArticleESMO open2026

Clinical outcomes of trifluridine/tipiracil plus bevacizumab versus trifluridine/tipiracil or regorafenib in metastatic colorectal cancer: a multicenter cohort study.

F Moik, F Huemer, B Doleschal, H Taghizadeh, P Reimann, S M Kostmann, L Wagner, M Abdel Hamid, K C Zimmer, S A Suppé and 12 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in ESMO open, 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. Review
  2. Observational
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

22 authors.

F MoikDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
F HuemerDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University Salzburg, Salzburg, Austria.
B DoleschalDepartment of Internal Medicine I for Hematology With Stem Cell Transplantation, Hemostaseology and Medical Oncology, Ordensklinikum Linz, Linz, Oberösterreich.
H TaghizadehDepartment of Internal Medicine, Universitätsklinikum St. Pölten, Karl Landsteiner University of Health Sciences, St. Pölten, Austria.
P ReimannDepartment of Internal Medicine II, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
S M KostmannDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
L WagnerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
M Abdel HamidDepartment of Internal Medicine V (Hematology and Oncology), Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
K C ZimmerDepartment of Internal Medicine V (Hematology and Oncology), Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
S A SuppéDepartment of Internal Medicine V (Hematology and Oncology), Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
C BachleitnerDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University Salzburg, Salzburg, Austria.
R Schaberl-MoserDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
A AmannDepartment of Internal Medicine V (Hematology and Oncology), Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
D WolfDepartment of Internal Medicine V (Hematology and Oncology), Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
R GreilDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University Salzburg, Salzburg, Austria.
P J JostDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria; BioTechMed-Graz, Graz, Austria.
T WinderDepartment of Internal Medicine II, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
H RumpoldDepartment of Internal Medicine I for Hematology With Stem Cell Transplantation, Hemostaseology and Medical Oncology, Ordensklinikum Linz, Linz, Oberösterreich.
L WeissDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University Salzburg, Salzburg, Austria; Austrian Breast and Colorectal Cancer Study Group (ABCSG), Vienna, Austria.
A GergerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
A SeeberDepartment of Internal Medicine V (Hematology and Oncology), Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria; Department of Oncology, Hematology and Palliative Care, General Hospital of Oberwart, Oberwart, Austria. Electronic address: a.seeber@i-med.ac.at.
J M RiedlDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria; Massachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, USA. Electronic address: jakobmriedl@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with pretreated metastatic colorectal cancer (mCRC), trifluridine/tipiracil (FTD-TPI) + bevacizumab has superior efficacy compared with FTD-TPI alone. However, real-world data on outcomes and comparisons with other established therapies including regorafenib are scarce. Additionally, evidence suggests that molecular alterations, such as KRAS PATIENTS AND

methodsThis retrospective cohort study included 509 patients treated at six Austrian cancer centers between January 2015 and December 2022. The primary outcome was progression-free survival (PFS), with overall survival (OS) and disease control rate (DCR) as secondary outcomes. Between-group differences were analyzed using Cox and logistic regression. A propensity score analysis using inverse probability of treatment weighting (IPTW) was conducted. Flexible parametric models and restricted mean survival time (RMST) analyses were used to account for time-dependent differences in PFS/OS.

resultsIn propensity score analysis, patients treated with FTD-TPI + bevacizumab (n = 130) versus FTD-TPI (n = 227) alone or regorafenib (n = 152) had longer PFS [IPTW-adjusted hazard ratio (HR) 0.68, 95% confidence interval (CI) 0.51-0.92, P = 0.012] and higher DCR (IPTW-adjusted odds ratio 3.35, 95% CI 1.81-6.20, P < 0.001). The IPTW-adjusted HR for OS was 0.80 (95% CI 0.58-1.12, P = 0.203). A modest OS benefit of FTD-TPI + bevacizumab was observed within the first 12 months. In RMST-analysis, OS was 12.1 months (95% CI 11.4-12.8 months) for FTD-TPI + bevacizumab compared with 10.6 months (95% CI 9.9-11.2 months) for the controls (P = 0.003). Outcomes were consistent across key molecular subsets, including KRAS and KRAS

conclusionsIn this large real-world cohort of patients with mCRC, FTD-TPI + bevacizumab was associated with improved PFS and DCR compared with FTD-TPI or regorafenib, with consistent benefit across most molecular subgroups, including KRAS

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabColorectal NeoplasmsPhenylurea CompoundsPyridinesPyrrolidinesThymineAgedAustriaDrug CombinationsFemaleHumansMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesBevacizumabDrug CombinationsPhenylurea CompoundsPyridinesPyrrolidinesregorafenibThymineTrifluridinetrifluridine tipiracil drug combinationUracilFTD–TPIKRASmetastatic colorectal cancerregorafenibtrifluridine/tipiracil + bevacizumab

Identifiers

PMID41894981
PMCPMC13059099

What OpenQuestion holds

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LicenceCC BY
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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.