Evidence map›Paper›PMID 18834621›Full record

Trial reportGynecologic oncology2008

Associations between p53 overexpression and multiple measures of clinical outcome in high-risk, early stage or suboptimally-resected, advanced stage epithelial ovarian cancers A Gynecologic Oncology Group study.

Kathleen M Darcy, William E Brady, John W McBroom, Jeffrey G Bell, Robert C Young, William P McGuire, R Ilona Linnoila, Denver Hendricks, Tomas Bonome, John H Farley and 1 more

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Gynecologic oncology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. A prognostic system for epithelial ovarian carcinomas using machine learning.Acta obstetricia et gynecologica Scandinavica · 2021
    Article
  5. Article
  6. Article
  7. Purified Tea (International journal of molecular sciences · 2020
    Article
  8. Article
  9. Journal of cancer prevention · 2016
    Article
  10. Epithelial ovarian cancer: the molecular genetics of epithelial ovarian cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2016
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Ovarian cancer: genomic analysis.Annals of oncology : official journal of the European Society for Medical Oncology · 2013
    Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Kathleen M DarcyGOG Statistical and Data Center, Elm and Carlton Street, Buffalo NY 14263-0001, USA.
William E Brady
John W McBroom
Jeffrey G Bell
Robert C Young
William P McGuire
R Ilona Linnoila
Denver Hendricks
Tomas Bonome
John H Farley
Gynecologic Oncology Group
National Cancer Institute · USCenter for Cancer Research · USFox Chase Cancer Center · USHarry and Jeanette Weinberg Foundation · USRiverside Methodist Hospital · USUniformed Services University of the Health Sciences · US

Funding

GYNECOLOGIC ONCOLOGY GROUP HEADQUARTERSU10CA027469 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 1985 to 2013
$132.6M
GYNECOLOGIC ONCOLOGY GROUP STATISTICAL OFFICEU10CA037517 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI BLESSING, JOHN A · 1985 to 2013
$67.4M
Intramural NIH HHSNCI NIH HHS CA 27469NCI NIH HHS CA 37517NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA037517
6 · The paper itself

Abstract

objectiveThe Gynecologic Oncology Group (GOG) performed a detailed analysis of p53 overexpression in previously-untreated women with invasive early or advanced stage epithelial ovarian cancer (EOC).

methodsWomen were eligible for the study if they provided a tumor block for translational research and participated in either GOG-157, a randomized phase III trial of three versus (vs.) six cycles of paclitaxel+carboplatin in high-risk, early stage EOC, or GOG-111, a randomized phase III trial of cyclophosphamide+cisplatin vs. paclitaxel+cisplatin in suboptimally-resected, advanced stage EOC. The N-terminal DO-7 p53 antibody was used to examine the expression of the major normal and mutant p53-isoforms. p53 overexpression was defined as >or=10% tumor cells exhibiting nuclear staining.

resultsp53 was overexpressed in 51% (73/143) and 66% (90/136) of cases in the GOG-157 and GOG-111 cohorts, respectively. In the GOG-157 cohort, p53 overexpression was not associated with any clinical characteristics or overall survival (OS) but was associated with worse progression-free survival (PFS) (logrank test: p=0.013; unadjusted Cox modeling: p=0.015). In the GOG-111 cohort, p53 overexpression was associated with GOG performance status (p=0.018) and grade (p=0.003), but not with age, stage, cell type or with tumor response and disease status after primary chemotherapy, PFS or OS. Adjusted Cox regression modeling demonstrated that p53 overexpression was not an independent prognostic factor for PFS or OS in either cohort.

conclusionsp53 overexpression assessed by DO-7 immunostaining is common in early and advanced stage EOC, but has limited prognostic value in women treated with surgical staging and platinum-based combination chemotherapy.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCisplatinCyclophosphamideDisease-Free SurvivalEndpoint DeterminationFemaleHumansImmunohistochemistryMiddle AgedNeoplasm StagingOvarian NeoplasmsPaclitaxelRisk FactorsTreatment OutcomeCarboplatinCisplatinCyclophosphamidePaclitaxelTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID18834621
PMCPMC2615492
OpenAlexW1838303237

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.