Evidence map›Paper›PMID 21471564›Full record

SynthesisAnnals of oncology : official journal of the European Society for Medical Oncology2012

Cross-validation study of class III beta-tubulin as a predictive marker for benefit from adjuvant chemotherapy in resected non-small-cell lung cancer: analysis of four randomized trials.

T Reiman, R Lai, A S Veillard, E Paris, J C Soria, R Rosell, M Taron, S Graziano, R Kratzke, L Seymour and 3 more

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisValidation Study
In one paragraph

Synthesis in Annals of oncology : official journal of the European Society for Medical Oncology, 2012. 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 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
9.7field-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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  3. Microtubule Engagement with Taxane Is Altered in Taxane-Resistant Gastric Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
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  20. 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
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

13 authors at 10 institutions in 4 countries.

T ReimanDepartment of Medicine, Dalhousie University and Department of Oncology, Saint John Regional Hospital, Saint John. Electronic address: Anthony.Reiman@HorizonNB.ca.
R LaiDepartment of Laboratory Medicine and Pathology, Cross Cancer Institute and University of Alberta, Edmonton, Canada; Departments of.
A S VeillardBiostatistics and Epidemiology.
E ParisBiostatistics and Epidemiology.
J C SoriaMedicine, Institut Gustave-Roussy, Paris, France.
R RosellDepartment of Medicine, Institut Catala d'Oncologia, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.
M TaronDepartment of Medicine, Institut Catala d'Oncologia, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.
S GrazianoDepartment of Medicine, State University of New York, Upstate Medical University, Syracuse.
R KratzkeDepartment of Medicine, University of Minnesota, Minneapolis, USA.
L SeymourNCIC Clinical Trials Group, Kingston.
F A ShepherdDepartment of Medicine, Princess Margaret Hospital, University Health Network, Toronto, Canada.
J P PignonBiostatistics and Epidemiology.
P SèveDepartment of Internal Medicine, Hopital de la Croix Rousse.
Cancer Research And Biostatistics · USInstitut Català d'Oncologia · ESAIDS Clinical Trials Group · USDalhousie University · CAHôpital de la Croix-Rousse · FRInstitut Gustave Roussy · FRSUNY Upstate Medical University · USUniversity Health Network · CAUniversity of Alberta · CAUniversity of Minnesota · US

Funding

CANCER AND LEUKEMIA GROUP B MINORITY SATELLITE SUPPLEMENU10CA031946 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 1985 to 2013
$158.4M
NCI NIH HHS CA 31946PHS HHS 33601
6 · The paper itself

Abstract

backgroundThe IALT, JBR.10, ANITA and Cancer and Leukemia Group B 9633 trials compared adjuvant chemotherapy with observation for patients with resected non-small-cell lung cancer (R-NSCLC). Data from the metastatic setting suggest high tumor class III beta-tubulin (TUBB3) expression is a determinant of insensitivity to tubulin-targeting agents (e.g. vinorelbine, paclitaxel). In 265 patients from JBR.10 (vinorelbine-cisplatin versus observation), high TUBB3 was an adverse prognostic factor and was associated (nonsignificantly) with 'greater' survival benefit from chemotherapy. We explored this further in additional patients from JBR.10 and the other three trials. PATIENTS AND

methodsTUBB3 immunohistochemical staining was scored for 1149 patients on the four trials. The original JBR.10 cut-off scores were used to classify tumors as TUBB3 high or low. The prognostic and predictive value of TUBB3 on disease-free survival (DFS) and overall survival (OS) was assessed by Cox models stratified by trial and adjusted for clinical factors.

resultsHigh TUBB3 expression was prognostic for OS [hazard ratio (HR)=1.27 (1.07-1.51), P=0.008) and DFS [HR=1.30 (1.11-1.53), P=0.001). TUBB3 was not predictive of a differential treatment effect [interaction P=0.20 (OS), P=0.23 (DFS)]. Subset analysis (n=420) on vinorelbine-cisplatin gave similar results.

conclusionsThe prognostic effect of high TUBB3 expression in patients with R-NSCLC has been validated. We were unable to confirm a predictive effect for TUBB3.

Indexed as

Antineoplastic AgentsBiomarkers, TumorCarcinoma, Non-Small-Cell LungChemotherapy, AdjuvantDisease-Free SurvivalHumansImmunohistochemistryKaplan-Meier EstimateLung NeoplasmsPrognosisProportional Hazards ModelsRandomized Controlled Trials as TopicTubulinAntineoplastic AgentsBiomarkers, TumorTUBB3 protein, humanTubulin

Identifiers

PMID21471564
PMCPMC3276322
OpenAlexW1971745560

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.