Evidence map›Paper›PMID 35075138›Full record

Trial reportScientific reports2022

VEGF-A, VEGFR1 and VEGFR2 single nucleotide polymorphisms and outcomes from the AGITG MAX trial of capecitabine, bevacizumab and mitomycin C in metastatic colorectal cancer.

Fiona Chionh, Val Gebski, Sheren J Al-Obaidi, Jennifer K Mooi, Maressa A Bruhn, Chee K Lee, Anderly C Chüeh, David S Williams, Andrew J Weickhardt, Kate Wilson and 6 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Exploring the potential role of miR-124 in angiogenesis in colorectal cancer.Journal of cancer research and clinical oncology · 2026
    Article
  2. Association ofInternational journal of molecular sciences · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

16 authors at 5 institutions in 2 countries.

Fiona ChionhOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Val GebskiNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, 2006, Australia.
Sheren J Al-ObaidiOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Jennifer K MooiOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Maressa A BruhnHaematology-Oncology Department, Basil Hetzel Institute, The Queen Elizabeth Hospital, Woodville, SA, 5001, Australia.
Chee K LeeNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, 2006, Australia.
Anderly C ChüehOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
David S WilliamsOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Andrew J WeickhardtOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
Kate WilsonNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, 2006, Australia.
Andrew M ScottOlivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia.
John SimesNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, 2006, Australia.
Jennifer E HardinghamHaematology-Oncology Department, Basil Hetzel Institute, The Queen Elizabeth Hospital, Woodville, SA, 5001, Australia.
Timothy J PriceHaematology-Oncology Department, Basil Hetzel Institute, The Queen Elizabeth Hospital, Woodville, SA, 5001, Australia.
John M Mariadason *Olivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia. john.mariadason@onjcri.org.au.ORCID 0000-0001-9123-7684
Niall C Tebbutt *Olivia Newton-John Cancer Research Institute, Heidelberg, VIC, 3084, Australia. niall.tebbutt@austin.org.au.ORCID 0000-0003-2613-5168
Olivia Newton-John Cancer Wellness & Research Centre · AUThe University of Sydney · AUBasil Hetzel Institute · AUThe University of Melbourne · AULa Trobe University · AU

Funding

National Health and Medical Research Council 1017737National Health and Medical Research Council 1048088
6 · The paper itself

Abstract

The phase III MAX clinical trial randomised patients with metastatic colorectal cancer (mCRC) to receive first-line capecitabine chemotherapy alone or in combination with the anti-VEGF-A antibody bevacizumab (± mitomycin C). We utilised this cohort to examine whether single nucleotide polymorphisms (SNPs) in VEGF-A, VEGFR1, and VEGFR2 are predictive of efficacy outcomes with bevacizumab or the development of hypertension. Genomic DNA extracted from archival FFPE tissue for 325 patients (69% of the MAX trial population) was used to genotype 16 candidate SNPs in VEGF-A, VEGFR1, and VEGFR2, which were analysed for associations with efficacy outcomes and hypertension. The VEGF-A rs25648 'CC' genotype was prognostic for improved PFS (HR 0.65, 95% CI 0.49 to 0.85; P = 0.002) and OS (HR 0.70, 95% CI 0.52 to 0.94; P = 0.019). The VEGF-A rs699947 'AA' genotype was prognostic for shorter PFS (HR 1.32, 95% CI 1.002 to 1.74; P = 0.048). None of the analysed SNPs were predictive of bevacizumab efficacy outcomes. VEGFR2 rs11133360 'TT' was associated with a lower risk of grade ≥ 3 hypertension (P = 0.028). SNPs in VEGF-A, VEGFR1 and VEGFR2 did not predict bevacizumab benefit. However, VEGF-A rs25648 and rs699947 were identified as novel prognostic biomarkers and VEGFR2 rs11133360 was associated with less grade ≥ 3 hypertension.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAustraliaCarcinomaColorectal NeoplasmsFemaleHumansHypertensionMaleMiddle AgedPharmacogenomic VariantsPolymorphism, Single NucleotideReceptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor AAntineoplastic AgentsReceptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID35075138
PMCPMC8786898
OpenAlexW4206945430

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.