Research Article

Real-World Efficacy and Safety of Bevacizumab in the First-Line Treatment of Metastatic Cervical Cancer: A Cohort Study in the Total Population of Croatian Patients

Table 2

Efficacy and safety assessment.

Chemotherapy + bevacizumab (n = 67)Chemotherapy alone (n = 62)

Efficacy endpoints
PFS (months), median (95% CI)10.6 (8.5; 15.4)5.4 (3.9; 9.1)0.011
 Unadjusted HR (95% CI)0.60 (0.41; 0.89)1.00 Referent0.011
 Adjusted HR (95% CI)a0.60 (0.39; 0.94)1.00 Referent0.027
OS (months), median (95% CI)27.0 (18.5; n.c.)15.5 (10.7; 30.1)0.025
 Unadjusted HR (95% CI)0.56 (0.34; 0.93)1.00 Referent0.027
 Adjusted HR (95% CI)a0.78 (0.44; 1.38)1.00 Referent0.389
Objective response, n (%)b
 Complete response (CR)12 (18)11 (19)0.013
 Partial response (PR)26 (39)13 (22)
 Stable disease (SD)14 (21)6 (10)
 Progressive disease (PD)13 (19)21 (36)
 Could not be determined2 (3)8 (14)
Objective response rate, n (%)b38 (57)24 (41)0.072
Disease control rate, n (%)c52 (78)30 (51)0.002

Safety endpoints
Treatment discontinuation because of toxicity, n (%)d11 (19)9 (16)0.749
Treatment-related adverse events
 Any grade54 (81)53 (85)0.461
 Grades III-IV33 (49)41 (66)0.053
Treatment-related, haematologic adverse events
 Any grade44 (66)53 (85)0.009
 Grades III-IV18 (27)31 (50)0.007
Treatment-related, nonhaematologic adverse events
 Any grade51 (76)50 (81)0.533
 Grades III-IV22 (33)21 (34)0.901

CI = confidence interval; PFS = progression-free survival; OS = overall survival; HR = hazard ratio; n.c. = not calculable. aAnalysis was adjusted for age at diagnosis, histology, ECOG performance status before the introduction of first-line treatment for metastatic disease, previous treatment with chemotherapy, and previous treatment with radiotherapy. bObjective response rate includes complete and partial response; data were missing for 6/67 (10%) patients treated with TCB and 3/62 (5%) patients treated with chemotherapy alone. cDisease control rate includes complete and partial response and stable disease. dData on treatment discontinuation because of toxicity were missing in 8 (12%) patients treated with TCB and 7 (11%) patients treated with chemotherapy alone. False discovery rate <5%.