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. 2024 Jul 30;24:918. doi: 10.1186/s12885-024-12643-6

Table 3.

Summary of selected studies of BV treatment after brain radiation necrosis (omitted studies with exclusively glioma patients)

Study Protocol No of pts Lesion type BV dose/
cycles
Clinical response T1 radiologic response T2 radiologic response Serious (grade > 3) side effects Relapse
[5] Prospective RCT (with crossover) 14 Brain tm/ H&N

7.5 mg/kg

4 cycles

All treated patients 63% volume decrease 59% volume decrease

2 thrombosis

1 asp pneumonia

2 patients
[6] Prospective RCT 112 /58 BV NF ca.

5 mg/kg

4 cycles

62.1% vs. 42.6% 25.5% volume decrease 51.8% volume decrease 1 ischemic stroke 12/58 on BV arm
[8] Prospective, single arm 21 Metastasis

1 mg/kg

3 cycles

90% 95.2% intensity decrease 95% volume decrease No Grade > 2 Not reported
[14] Prospective, single arm 10 Mostly AVM

2.5 mg/kg

1 dose

80%

74%

volume decrease

50% volume decrease No serious side effects 2 patients
[10] Meta-analysis (mostly retrospective) 89 Metastasis various 88%

47.03%

volume decrease

61.78%

volume decrease

1/63 of reported Grade 3 pulm. thrombosis 15 patients
[9] Systemic review (mostly retrospective) 236 Metastasis/ brain tm/ H&N various 91% 50% volume decrease 59% volume decrease

5 Gr3: 3 thrombosis

1 ischemic stroke

1 asp pneumonia

46/135 reported (34%)
[15] Retrospective 40 Metastasis various 67.5% 75% volume decrease 76.2% volume decrease No serious side effects Not reported
[16] Retrospective 45 Metastasis/brain tm/ other

7.5 mg/kg

4 cycles

49.3% volume decrease 62.3% volume decrease 2 cerebral hemorrhages 8 patients
[17] Retrospective 95 (41 BV) Metastasis various 27/41 BV patients (65.9%) 28.7% diameter decrease 43.7% diameter decrease

2 Gr. 4 bleeding

1 Gr. 3 GIS toxicity

1 Gr 3 allergy

23/41 BV patients (56%)
This study Retrospective 40 Metastasis various 77.5% 25% volume decrease 62.2% volume decrease Not reported 8 patients