Evidence map›Paper›PMID 21135251›Full record

Trial reportMolecular cancer therapeutics2011

Personalizing cancer treatment in the age of global genomic analyses: PALB2 gene mutations and the response to DNA damaging agents in pancreatic cancer.

Maria C Villarroel, N V Rajeshkumar, Ignacio Garrido-Laguna, Ana De Jesus-Acosta, Siân Jones, Anirban Maitra, Ralph H Hruban, James R Eshleman, Alison Klein, Daniel Laheru and 2 more

Open access · bronzeAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Molecular cancer therapeutics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed
10.0field-weighted citation impact, top 1% 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

134 citing papers in PubMed, 246 citations in OpenAlex.

  1. Current Organoid Culture Systems in Pancreatic Cancer.Current topics in medicinal chemistry · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Mutations ofGenes · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Organoid Sensitivity Correlates with Therapeutic Response in Patients with Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Pancreatic adenocarcinoma: Beyond first line, where are we?World journal of gastroenterology · 2021
    Review

74 more citing papers are in PubMed but not listed here.

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

12 authors at 3 institutions in 1 country.

Maria C VillarroelCorresponding Author: Manuel Hidalgo, Clinical Research Program, Spanish National Cancer Research Center (CNIO), Melchor Fernandez Almagro, 3, 28029, Madrid, Spain.
N V Rajeshkumar
Ignacio Garrido-Laguna
Ana De Jesus-Acosta
Siân Jones
Anirban Maitra
Ralph H Hruban
James R Eshleman
Alison Klein
Daniel Laheru
Ross Donehower
Manuel Hidalgo
Johns Hopkins University · USCancer Research Center · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Hedgehog Inhibitors in Pancreas CancerR01CA113669 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MAITRA, ANIRBAN · 2005 to 2014
$3.1M
Arsenic-induced apoptosis in myelomaR01CA129968 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BOISE, LAWRENCE H. · 2009 to 2013
$1.8M
Individualized Treatment of Pancreatic CancerR01CA116554 · NCI · SPANISH NATIONAL CANCER CENTER · PI HIDALGO, MANUEL · 2006 to 2010
$1.3M
Tailoring New Drugs in Pancreatic CancerR01CA129963 · NCI · SPANISH NATIONAL CANCER CENTER · PI HIDALGO, MANUEL · 2007 to 2011
$1.2M
NCI NIH HHS CA116554NCI NIH HHS CA129968NCI NIH HHS R01 CA113669NCI NIH HHS R01 CA116554NCI NIH HHS R01 CA129963
6 · The paper itself

Abstract

Metastasis and drug resistance are the major causes of mortality in patients with pancreatic cancer. Once developed, the progression of pancreatic cancer metastasis is virtually unstoppable with current therapies. Here, we report the remarkable clinical outcome of a patient with advanced, gemcitabine-resistant, pancreatic cancer who was later treated with DNA damaging agents, on the basis of the observation of significant activity of this class of drugs against a personalized xenograft generated from the patient's surgically resected tumor. Mitomycin C treatment, selected on the basis of its robust preclinical activity in a personalized xenograft generated from the patient's tumor, resulted in long-lasting (36+ months) tumor response. Global genomic sequencing revealed biallelic inactivation of the gene encoding PalB2 protein in this patient's cancer; the mutation is predicted to disrupt BRCA1 and BRCA2 interactions critical to DNA double-strand break repair. This work suggests that inactivation of the PALB2 gene is a determinant of response to DNA damage in pancreatic cancer and a new target for personalizing cancer treatment. Integrating personalized xenografts with unbiased exomic sequencing led to customized therapy, tailored to the genetic environment of the patient's tumor, and identification of a new biomarker of drug response in a lethal cancer.

Indexed as

DNA Breaks, Double-StrandedAnimalsDeoxycytidineDisease ProgressionDrug Resistance, NeoplasmFanconi Anemia Complementation Group N ProteinFemaleGemcitabineHumansMaleMiceMice, NudeMiddle AgedMitomycinMutationNuclear ProteinsDeoxycytidineFanconi Anemia Complementation Group N ProteinGemcitabineMitomycinNuclear ProteinsPALB2 protein, humanTumor Suppressor Proteins

Identifiers

PMID21135251
PMCPMC3307340
OpenAlexW2148748525

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.