Evidence map›Paper›PMID 21671160›Full record

ArticleInternational journal of clinical oncology2012

Prognostic value of HER2-positive circulating tumor cells in patients with metastatic breast cancer.

Naoki Hayashi, Seigo Nakamura, Yasuharu Tokuda, Yuji Shimoda, Hiroshi Yagata, Atsushi Yoshida, Hidekazu Ota, Gabriel N Hortobagyi, Massimo Cristofanilli, Naoto T Ueno

Abstract read
In one paragraph

Article in International journal of clinical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.4field-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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Prognostic value of circulating tumor cells in metastatic breast cancer: a systemic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2016
    Pooled it
  3. Trial
  4. Article
  5. Review
  6. The journal of liquid biopsy · 2023
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Circulating tumor cells: biology and clinical significance.Signal transduction and targeted therapy · 2021
    Review
  12. Toward a New Era for the Management of Circulating Tumor Cells.Advances in experimental medicine and biology · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Predictive Value of Circulating Tumor Cells for Evaluating Short- and Long-Term Efficacy of Chemotherapy for Breast Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  19. Article
  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

10 authors at 6 institutions in 2 countries.

Naoki HayashiDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Seigo Nakamura
Yasuharu Tokuda
Yuji Shimoda
Hiroshi Yagata
Atsushi Yoshida
Hidekazu Ota
Gabriel N Hortobagyi
Massimo Cristofanilli
Naoto T Ueno
The University of Texas MD Anderson Cancer Center · USShowa University · JPSt. Luke's International Hospital · JPFox Chase Cancer Center · USSRL (Japan) · JPUniversity of Tsukuba · JP

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundsThe presence of ≥5 circulating tumor cells (CTCs) in 7.5 ml blood is a poor prognostic marker in metastatic breast cancer (MBC). However, the role of human epidermal growth factor receptor 2 (HER2) status in CTCs is not known.

methodsWe prospectively assessed the prognostic value of this parameter for patients with MBC who started a new line of systemic therapy. The CTC count (≥5 or <5) and the HER2 status in CTCs at the initiation of the therapy and 3-4 weeks later (first follow-up) were determined.

resultsThe median follow-up time of the 52 enrolled patients was 655.0 days (18-1,275 days). HER2-positive CTCs were present in 14 of the 52 patients (26.9%) during the study period. Eight of 33 patients (24.2%) with HER2-negative primary tumors had HER2-positive CTCs during the study period. At first follow-up, patients with HER2-positive CTCs had significantly shorter progression-free (n = 6; P = 0.001) and overall (P = 0.013) survival than did patients without HER2-positive CTCs (n = 43) in log-rank analysis. In multivariate analysis, HER2-positive CTCs at first follow-up (P = 0.029) and the number of therapies patients received before this study (P = 0.006) were independent prognostic factors in terms of progression-free survival. The number of therapies (P = 0.001) and a count of ≥5 CTCs (P = 0.043) at baseline were independent prognostic factors in terms of overall survival.

conclusionsWe showed that HER2 status in CTCs may be a prognostic factor for MBC. Well-powered prospective studies are necessary to determine the potential role of HER2-targeted therapies for patients with HER2-positive CTCs and HER2-negative primary tumors.

Indexed as

Neoplastic Cells, CirculatingPredictive Value of TestsAdultAgedBreast NeoplasmsCell CountDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHumansIn Situ Hybridization, FluorescenceMiddle AgedNeoplasm MetastasisPrognosisERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID21671160
PMCPMC3860324
OpenAlexW2033295151

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.