The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Phase II Trial of the Combination of Bevacizumab and Erlotinib in Patients Who Have Advanced Hepatocellular Carcinoma
Open accessAbstract
Purpose: The study objective was to determine the proportion of patients with hepatocellular carcinoma (HCC) treated with the combination of bevacizumab (B) and erlotinib (E) who were alive and progression free at 16 weeks (16-week progression-free survival [PFS 16]) of continuous therapy. Secondary objectives included response rate, median PFS, survival, and toxicity. Patients and Methods: Patients who had advanced HCC that was not amenable to surgical or regional therapies, up to one prior systemic treatment; Childs-Pugh score A or B liver function; Eastern Cooperative Oncology Group performance status 0, 1, or 2 received B 10 mg/kg every 14 days and E 150 mg orally daily, continuously, for 28-day cycles. Tumor response was evaluated every 2 cycles by using Response Evaluation Criteria in Solid Tumors Group criteria. A total of 40 patients were treated. Results: The primary end point of PFS 16 was 62.5%. Ten patients achieved a partial response for a confirmed overall response rate (intent-to-treat) of 25%. The median PFS event was 39 weeks (95% CI, 26 to 45 weeks; 9.0 months), and the median overall survival was 68 weeks (95% CI, 48 to 78 weeks; 15.65 months). Grades 3 to 4 drug-related toxicity included fatigue (n = 8; 20%), hypertension (n = 6; 15%), diarrhea (n = 4; 10%) elevated transaminases (n = 4; 10%), gastrointestinal hemorrhage (n = 5; 12.5%), wound infection (n = 2; 5%) thrombocytopenia (n = 1; 2.5%), and proteinuria, hyperbilirubinemia, back pain, hyperkalemia, and anorexia (n = 1 each). Conclusion: The combination of B + E in patients who had advanced HCC showed significant, clinically meaningful antitumor activity. B + E warrant additional evaluation in randomized controlled trials.
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Sorafenib in Advanced Hepatocellular Carcinoma
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Cited by
EASL–EORTC Clinical Practice Guidelines: Management of hepatocellular carcinoma
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“Bevacizumab has been evaluated as single agent [336], or in combination with erlotinib [337] or chemotherapy [338].”
BackgroundTargeting angiogenesis: progress with anti-VEGF treatment with large molecules
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Hepatocellular carcinoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up
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Angiogenesis in chronic liver disease and its complications: Angiogenesis in CLD
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Metadata
- Authors
- Thomas, M. B., Morris, J. S., Chadha, R., Iwasaki, M., Kaur, H., Lin, E., Kaseb, A., Glover, K., Davila, M., & Abbruzzese, J.
- Venue
- Journal of Clinical Oncology
- Published
- 2009-02-20
- Volume
- 27
- Issue
- 6
- Pages
- 843-850
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2166805191
- Cited by
- 334
- References
- 41
- FWCI
- 33.41
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Thomas, M. B., Morris, J. S., Chadha, R., Iwasaki, M., Kaur, H., Lin, E., Kaseb, A., Glover, K., Davila, M., & Abbruzzese, J. (2009). Phase II Trial of the Combination of Bevacizumab and Erlotinib in Patients Who Have Advanced Hepatocellular Carcinoma. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2008.18.3301
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