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 |