Evidence map›Paper›PMID 21224045›Full record

Trial reportThe American journal of pathology2011

ERCC1 and RRM1 in the international adjuvant lung trial by automated quantitative in situ analysis.

Gerold Bepler, Ken André Olaussen, Anne-Lise Vataire, Jean-Charles Soria, Zhong Zheng, Ariane Dunant, Jean-Pierre Pignon, Michael J Schell, Pierre Fouret, Robert Pirker and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in The American journal of pathology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00002823 (A LARGE-SCALE TRIAL EVALUATING ADJUVANT CHEMOTHERAPY AFTER CURATIVE RESECTION OF NON-SMALL CELL LUNG CANCER), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% 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.

NCT00002823 phase3completednot on this map

A large-scale trial evaluating adjuvant chemotherapy after curative resection of non-small cell lung cancer

TypeinterventionalSponsorGustave Roussy, Cancer Campus, Grand ParisRan1995Enrolled3,300ConditionsLung CancerArmscisplatin, etoposide, vinblastine sulfate, vindesine, vinorelbine tartrate
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. [Progress of Postoperative Adjuvant Chemotherapy in Stage I Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2015
    Review
  12. Biomarkers for efficacy of adjuvant chemotherapy following complete resection in NSCLC stages I-IIIA.European respiratory review : an official journal of the European Respiratory Society · 2015
    Review
  13. Article
  14. Article
  15. [Clinical significance of ERCC1, RRM1 and TS in non-small cell lung cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2014
    Review
  16. [Advance of postoperative adjuvant therapy in non-small cell lung cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2014
    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

12 authors at 5 institutions in 3 countries.

Gerold BeplerKarmanos Cancer Institute, Detroit, Michigan 48201, USA. beplerg@karmanos.org
Ken André Olaussen
Anne-Lise Vataire
Jean-Charles Soria
Zhong Zheng
Ariane Dunant
Jean-Pierre Pignon
Michael J Schell
Pierre Fouret
Robert Pirker
Martin Filipits
Elisabeth Brambilla
Institut Gustave Roussy · FRMedical University of Vienna · ATMoffitt Cancer Center · USCentre Hospitalier Universitaire de Grenoble · FRThe Barbara Ann Karmanos Cancer Institute · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
RRM1 in the Management of Lung CancerR01CA129343 · NCI · WAYNE STATE UNIVERSITY · PI BEPLER, GEROLD · 2008 to 2013
$2.8M
Enhancing neoadjuvant chemotherpay responses with targeted T cellsR01CA140314 · NCI · WAYNE STATE UNIVERSITY · PI BEPLER, GEROLD · 2010 to 2015
$2.5M
NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA129343NCI NIH HHS R01-CA129343NCI NIH HHS R01 CA140314
6 · The paper itself

Abstract

The excision repair cross completing group 1 gene product (ERCC1) and the regulatory subunit of ribonucleotide reductase (RRM1) have been reported as being prognostic of outcome and predictive of therapeutic efficacy in patients with non-small cell lung cancer. Routinely processed surgical specimens from 784 patients from the International Adjuvant Lung Trial were arrayed as tissue microarrays. In situ protein levels were scored with an automated, quantitative analysis system, dichotomized into high and low marker categories, and analyzed for associations with patients' characteristics, survival, and benefit from adjuvant chemotherapy. Scores for both markers were significantly associated with contributing center (P < 0.001) and skewed, with the bulk of scores being low. High scores were more frequent in women for ERCC1 and RRM1 and in older patients and those with adenocarcinoma for RRM1. Low ERCC1 scores indicated significant benefit from adjuvant chemotherapy [hazard ratio (HR) = 0.73 for chemotherapy versus control, P = 0.02]. Although all other survival associations were not statistically significant, low RRM1 scores trended to indicate benefit from adjuvant chemotherapy (HR = 0.84, P = 0.25), and ERCC1 scores were marginally prognostic of survival (HR = 0.77 for high versus low scores, P = 0.10). We conclude that contributing center and specimen quality substantially affect the levels of both markers. Future trials should incorporate the collection and processing of tumor specimens prospectively on standardized protocols to better reveal the impact of biomarkers on clinically relevant outcomes.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungChemotherapy, AdjuvantDNA-Binding ProteinsEndonucleasesFemaleHumansLung NeoplasmsMaleMiddle AgedPrognosisProtein Array AnalysisRibonucleoside Diphosphate ReductaseTissue Array AnalysisTreatment OutcomeTumor Suppressor ProteinsBiomarkers, TumorDNA-Binding ProteinsEndonucleasesERCC1 protein, humanRibonucleoside Diphosphate ReductaseRRM1 protein, humanTumor Suppressor Proteins

Identifiers

PMID21224045
PMCPMC3069904
OpenAlexW2147676721

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.