Evidence map›Paper›PMID 20103672›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2010

Monitoring drug-induced gammaH2AX as a pharmacodynamic biomarker in individual circulating tumor cells.

Lihua H Wang, Thomas D Pfister, Ralph E Parchment, Shivaani Kummar, Larry Rubinstein, Yvonne A Evrard, Martin E Gutierrez, Anthony J Murgo, Joseph E Tomaszewski, James H Doroshow and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02407327 (Trattamento Personalizzato Del Tumore NSCLC Avanzato), which is not on this map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
4.9field-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.

NCT02407327 completednot on this mapstarted 2012, after this paper: background citation

Trattamento Personalizzato Del Tumore NSCLC Avanzato: Potenziali Applicazioni Della Caratterizzazione Fenotipica e Molecolare Delle Cellule Tumorali Circolanti (CTC)

TypeobservationalSponsorIstituto Oncologico Veneto IRCCSRan2012 to 2016Enrolled215ConditionsAdvanced Non Small Cell Lung Cancer
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 95 citations in OpenAlex.

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  19. Evaluation of Pharmacodynamic Responses to Cancer Therapeutic Agents Using DNA Damage Markers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
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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

11 authors at 4 institutions in 1 country.

Lihua H WangLaboratory of Human Toxicology and Pharmacology, Science Applications International Corporation, Frederick, MD, USA.
Thomas D Pfister
Ralph E Parchment
Shivaani Kummar
Larry Rubinstein
Yvonne A Evrard
Martin E Gutierrez
Anthony J Murgo
Joseph E Tomaszewski
James H Doroshow
Robert J Kinders
Science Applications International Corporation (United States) · USNational Cancer Institute · USCenter for Cancer Research · USLeidos (United States) · US

Funding

Phase 01 Clinical TrialsZIABC011078 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DOROSHOW, JAMES · 2009 to 2025
$9.0M
Intramural NIH HHS Z99 CA999999NCI NIH HHS N01 CO012400NCI NIH HHS N01-CO-12400
6 · The paper itself

Abstract

purposeCirculating tumor cells (CTC) in peripheral blood of patients potentially represent a fraction of solid tumor cells available for more frequent pharmacodynamic assessment of drug action than is possible using tumor biopsy. However, currently available CTC assays are limited to cell membrane antigens. Here, we describe an assay that directly examines changes in levels of the nuclear DNA damage marker gammaH2AX in individual CTCs of patients treated with chemotherapeutic agents. EXPERIMENTAL

designAn Alexa Fluor 488-conjugated monoclonal gammaH2AX antibody and epithelial cancer cell lines treated with topotecan and spiked into whole blood were used to measure DNA damage-dependent nuclear gammaH2AX signals in individual CTCs. Time-course changes in both CTC number and gammaH2AX levels in CTCs were also evaluated in blood samples from patients undergoing treatment.

resultsThe percentage of gammaH2AX-positive CTCs increased in a concentration-dependent manner in cells treated with therapeutically relevant concentrations of topotecan ex vivo. In samples from five patients, percent gammaH2AX-positive cells increased post-treatment from a mean of 2% at baseline (range, 0-6%) to a mean of 38% (range, 22-64%) after a single day of drug administration; this increase was irrespective of increases or decreases in the total CTC count.

conclusionsThese data show promise for monitoring dynamic changes in nuclear biomarkers in CTCs (in addition to CTC count) for rapidly assessing drug activity in clinical trials of molecularly targeted anticancer therapeutics as well as for translational research.

Indexed as

Antineoplastic AgentsBiomarkers, TumorCell Line, TumorDNA DamageDrug MonitoringHistonesHumansNeoplasmsNeoplastic Cells, CirculatingObserver VariationAntineoplastic AgentsBiomarkers, TumorH2AX protein, humanHistones

Identifiers

PMID20103672
PMCPMC2818670
OpenAlexW2103749099

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Registered trials

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.