Evidence map›Paper›PMID 36813928›Full record

ArticleJournal of neurology2023

Bevacizumab in real-life patients with recurrent glioblastoma: benefit or futility?

Cristina Smolenschi, Elie Rassy, Johan Pallud, Edouard Dezamis, Razvan Copaciu, Fabrice Parker, Gabriel Garcia, Naima Lezghed, Emeline Colomba, Mohamed Khettab and 9 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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 at 3 institutions in 1 country.

Cristina SmolenschiMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France. cristina.smolenschi@gustaveroussy.fr.ORCID http://orcid.org/0000-0002-7568-6196
Elie RassyMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Johan PalludSaint Anne Hospital Center, 75014, Paris, France.
Edouard DezamisSaint Anne Hospital Center, 75014, Paris, France.
Razvan CopaciuBicetre Hospital AP-HP-Kremlin, 94270, Bicetre, France.
Fabrice ParkerBicetre Hospital AP-HP-Kremlin, 94270, Bicetre, France.
Gabriel GarciaMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Naima LezghedMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Emeline ColombaMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Mohamed KhettabMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Sami AmmariMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Mohamed FekhiMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Larisa MartanovschiMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Lina BenadhouBicetre Hospital AP-HP-Kremlin, 94270, Bicetre, France.
Steven KnafoBicetre Hospital AP-HP-Kremlin, 94270, Bicetre, France.
David GuyonMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Bianca CheaibMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Frederic DhermainMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Sarah Naomie DumontMedical Oncology Department, Gustave Roussy, 94805, Villejuif, France.
Institut Gustave Roussy · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Sainte-Anne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAngiogenesis plays a key role in glioblastoma, but most anti-angiogenic therapy trials have failed to change the poor outcome of this disease. Despite this, and because bevacizumab is known to alleviate symptoms, it is used in daily practice. We aimed to assess the real-life benefit in terms of overall survival, time to treatment failure, objective response, and clinical benefit in patients with recurrent glioblastoma treated with bevacizumab.

methodsThis was a monocentric, retrospective study including patients treated between 2006 and 2016 in our institution.

results202 patients were included. The median duration of bevacizumab treatment was 6 months. Median time to treatment failure was 6.8 months (95%CI 5.3-8.2) and median overall survival was 23.7 months (95%CI 20.6-26.8). Fifty percent of patients had a radiological response at first MRI evaluation, and 56% experienced symptom amelioration. Grade 1/2 hypertension (n = 34, 17%) and grade one proteinuria (n = 20, 10%) were the most common side effects.

conclusionsThis study reports a clinical benefit and an acceptable toxicity profile in patients with recurrent glioblastoma treated with bevacizumab. As the panel of therapies is still very limited for these tumors, this work supports the use of bevacizumab as a therapeutic option.

Indexed as

Brain NeoplasmsGlioblastomaAngiogenesis InhibitorsBevacizumabHumansMedical FutilityNeoplasm Recurrence, LocalRetrospective StudiesAngiogenesis InhibitorsBevacizumabBevacizumabGlioblastomaOverall survivalPatientsQuality of life

Identifiers

PMID36813928
OpenAlexW4321502467

What Socratic holds

Textmetadata
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.