Evidence map›Paper›PMID 19110305›Full record

Trial reportGynecologic oncology2009

Markers of angiogenesis in high-risk, early-stage cervical cancer: A Gynecologic Oncology Group study.

Leslie M Randall, Bradley J Monk, Kathleen M Darcy, Chunqiao Tian, Robert A Burger, Shu-Yuan Liao, William A Peters, Richard J Stock, John P Fruehauf

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Gynecologic oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Phase II trial of bevacizumab in the treatment of persistent or recurrent squamous cell carcinoma of the cervix: a gynecologic oncology group study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2009
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Cervical Carcinoma: Oncobiology and Biomarkers.International journal of molecular sciences · 2021
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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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

9 authors at 5 institutions in 1 country.

Leslie M RandallChao Family Comprehensive Cancer Center, University of California-Irvine Medical Center, Orange, CA 92868, USA.
Bradley J Monk
Kathleen M Darcy
Chunqiao Tian
Robert A Burger
Shu-Yuan Liao
William A Peters
Richard J Stock
John P Fruehauf
University of California, Irvine Medical Center · USRoswell Park Comprehensive Cancer Center · USNaval Medical Center Portsmouth · USSt. Joseph's Hospital · USUniversity of Washington · 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
Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Christine Hui · 1994 to 2026
$57.9M
Strategies Against HPV Related Genital Diseases in WomenK23CA087558 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI MONK, BRADLEY J. · 2001 to 2006
$636k
NCI NIH HHS CA 27469NCI NIH HHS CA 37517NCI NIH HHS K23 CA 087558NCI NIH HHS K23 CA087558NCI NIH HHS P30 CA062203NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA037517
6 · The paper itself

Abstract

objectivesTo determine whether markers of tumor angiogenesis were associated with progression-free survival (PFS) and overall survival (OS) in women with high-risk, early-stage cervical cancer treated on a phase III trial.

methodsOne hundred seventy-three tumor specimens were analyzed by semi-quantitative immunohistochemical (IHC) staining for vascular endothelial growth factor (VEGF, pro-angiogenesis factor), thrombospondin-1 (TSP-1, anti-angiogenesis factor), CD31 (non-specific endothelial marker), and CD105 (tumor-specific endothelial marker). Tumoral histoscores (HS) were calculated for VEGF using the formula: [% cells positivex(intensity+1)]. TSP-1 specimens were categorized as negative or positive. CD31 and CD105 microvessel density (MVD) "hotspots" were counted in three 20x high-power fields. Associations between angiogenesis markers and survival were evaluated.

resultsTSP-1 expression was observed in 65% of cases while 66% expressed high VEGF (>or=200), 34% exhibited high CD31 (CD31>or=110) and 66% displayed high CD105 (CD105>or=28). In univariate analyses CD31 MVD, but not tumor TSP-1, was associated with improved PFS (HR=0.37; 95% CI=0.18-0.76; p=0.007) and OS (HR=0.37; 95% CI=0.17-0.79; p=0.010). After adjusting for prognostic clinical covariates, high CD31 MVD, but not TSP-1, VEGF or CD105 MVD, was an independent prognostic factor for PFS (HR=0.36; 95% CI=0.17-0.75; p=0.006) and OS (HR=0.36; 95% CI=0.17-0.79; p=0.010).

conclusionsTumor angiogenesis measured by CD31 MVD is an independent prognostic factor for both PFS and OS in high-risk, early-stage cervical cancer. We hypothesize that this finding may be explained by improved treatment response in well-vascularized, well-oxygenated tumors.

Indexed as

AdultAgedAntigens, CDBiomarkers, TumorCohort StudiesCombined Modality TherapyDisease-Free SurvivalEndoglinFemaleHumansImmunohistochemistryMiddle AgedNeoplasm StagingNeovascularization, PathologicPlatelet Endothelial Cell Adhesion Molecule-1Receptors, Cell SurfaceAntigens, CDBiomarkers, TumorEndoglinENG protein, humanPlatelet Endothelial Cell Adhesion Molecule-1Receptors, Cell SurfaceThrombospondin 1Vascular Endothelial Growth Factor A

Identifiers

PMID19110305
PMCPMC2858218
OpenAlexW2053068747

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.