Bevacizumab in neurofibromatosis type 2 (NF2) related vestibular schwannomas: a nationally coordinated approach to delivery and prospective evaluation Article Swipe
Katrina Morris
,
John F. Golding
,
Patrick Axon
,
Shazia Afridi
,
Claire Blesing
,
Rosalie E. Ferner
,
Dorothy Halliday
,
R. Jena
,
Pieter Pretorius
,
D. Gareth Evans
,
Martin G. McCabe
,
Allyson Parry
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1093/nop/npv065
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1093/nop/npv065
Background NF2 patients develop multiple nervous system tumors including bilateral vestibular schwannomas (VS). The tumors and their surgical treatment are associated with deafness, neurological disability, and mortality. Medical treatment with bevacizumab has been reported to reduce VS growth and to improve hearing. In addition to evaluating these effects, this study also aimed to determine other important consequences of treatment including patient-reported quality of life and the impact of treatment on surgical VS rates. Methods Patients treated with bevacizumab underwent serial prospective MRI, audiology, clinical, CTCAE-4.0 adverse events, and NFTI-QOL quality-of-life assessments. Tumor volumetrics were classified according to the REiNs criteria and annual VS surgical rates reviewed. Results Sixty-one patients (59% male), median age 25 years (range, 10–57), were reviewed. Median follow-up was 23 months (range, 3–53). Partial volumetric tumor response (all tumors) was seen in 39% and 51% had stabilization of previously growing tumors. Age and pretreatment growth rate were predictors of response. Hearing was maintained or improved in 86% of assessable patients. Mean NFTI-QOL scores improved from 12.0 to 10.7 (P < .05). Hypertension was observed in 30% and proteinuria in 16%. Twelve treatment breaks occurred due to adverse events. The rates of VS surgery decreased after the introduction of bevacizumab. Conclusion Treatment with bevacizumab in this large, UK-wide cohort decreased VS growth rates and improved hearing and quality of life. The potential risk of surgical iatrogenic damage was also reduced due to an associated reduction in VS surgical rates. Ongoing follow-up of this cohort will determine the long-term benefits and risks of bevacizumab treatment.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/nop/npv065
- https://academic.oup.com/nop/article-pdf/3/4/281/32299826/npv065.pdf
- OA Status
- bronze
- Cited By
- 83
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2269143755
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2269143755Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/nop/npv065Digital Object Identifier
- Title
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Bevacizumab in neurofibromatosis type 2 (NF2) related vestibular schwannomas: a nationally coordinated approach to delivery and prospective evaluationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2016Year of publication
- Publication date
-
2016-01-07Full publication date if available
- Authors
-
Katrina Morris, John F. Golding, Patrick Axon, Shazia Afridi, Claire Blesing, Rosalie E. Ferner, Dorothy Halliday, R. Jena, Pieter Pretorius, D. Gareth Evans, Martin G. McCabe, Allyson ParryList of authors in order
- Landing page
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https://doi.org/10.1093/nop/npv065Publisher landing page
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https://academic.oup.com/nop/article-pdf/3/4/281/32299826/npv065.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/nop/article-pdf/3/4/281/32299826/npv065.pdfDirect OA link when available
- Concepts
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Vestibular Schwannomas, Neurofibromatosis type 2, Bevacizumab, Medicine, Neurofibromatosis, Vestibular system, Audiology, Internal medicine, Radiology, ChemotherapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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83Total citation count in OpenAlex
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2025: 16, 2024: 10, 2023: 11, 2022: 6, 2021: 11Per-year citation counts (last 5 years)
- References (count)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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