Evidence map›Paper›PMID 21976532›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2011

Cytokeratin-19 and mammaglobin gene expression in circulating tumor cells from metastatic breast cancer patients enrolled in North Central Cancer Treatment Group trials, N0234/336/436/437.

Monica M Reinholz, Kathleen A Kitzmann, Kathleen Tenner, David Hillman, Amylou C Dueck, Timothy J Hobday, Donald W Northfelt, Alvaro Moreno-Aspitia, Vivek Roy, Betsy LaPlant and 4 more

3 registry-linked trialsAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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.

NCT00059852 phase2completednot on this map

A Phase II Study of OSI-774 (Tarceva) and Gemcitabine for Patients With Metastatic Breast Cancer

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2003 to 2009Enrolled61ConditionsBreast CancerArmserlotinib hydrochloride, gemcitabine hydrochloride
NCT00265733 phase2completednot on this map

Phase II Trial of CT-2103 (Xyotax™) With Capecitabine as First-Line Chemotherapy for Patients With Metastatic Breast Cancer

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2006 to 2013Enrolled48ConditionsBreast CancerArmscapecitabine, paclitaxel poliglumex
NCT00275041 phase2completednot on this map

Phase II Trial of Concurrent Irinotecan Plus Cetuximab in Patients With Advanced Breast Cancer With Prior Anthracycline and/or Taxane-Containing Therapy

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2006 to 2009Enrolled21ConditionsBreast CancerArmscetuximab, irinotecan hydrochloride
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Strategies for enrichment of circulating tumor cells.Translational cancer research · 2020
    Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Clinical application of circulating tumor cells in breast cancer.Cellular oncology (Dordrecht, Netherlands) · 2014
    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

14 authors at 5 institutions in 1 country.

Monica M ReinholzDivision of Experimental Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55906, USA. monica.reinholz@ventana.roche.com
Kathleen A Kitzmann
Kathleen Tenner
David Hillman
Amylou C Dueck
Timothy J Hobday
Donald W Northfelt
Alvaro Moreno-Aspitia
Vivek Roy
Betsy LaPlant
Jake B Allred
Philip J Stella
Wilma L Lingle
Edith A Perez
Mayo Clinic in Florida · USCancer Research And Biostatistics · USMayo Clinic · USMayo Clinic in Arizona · USMercy Health System · US

Funding

TRANSLATIONAL RESEARCHU10CA025224 · NCI · MAYO CLINIC ROCHESTER · PI BUCKNER, JAN C · 1985 to 2013
$85.0M
North Central Cancer Treatment Group (NCCTG) Biospecimen ResourceU24CA114740 · NCI · MAYO CLINIC ROCHESTER · PI BUCKNER, JAN C · 2005 to 2014
$8.6M
NCI NIH HHS CA114740NCI NIH HHS CA25224-31NCI NIH HHS U10 CA025224NCI NIH HHS U24 CA114740
6 · The paper itself

Abstract

purposeTo investigate the associations between baseline and posttreatment circulating tumor cell (CTC) gene expression and outcome of patients enrolled in four North Central Cancer Treatment Group metastatic breast cancer (MBC) trials in which specimens were shipped (at 4°C) from community-based sites to a reference laboratory (Mayo Clinic, Rochester, MN). EXPERIMENTAL

designBlood was collected at treating sites from MBC patients before (baseline), during, and at the end of treatment with erlotinib + gemcitabine (N0234), sorafenib (N0336), irinotecan + cetuximab (N0436), or paclitaxel-poliglumex + capecitabine (N0437). CTCs from 10 mL of EDTA blood were enriched with CD45 depletion, 24 to 30 hours postblood collection. Reverse transcription/quantitative PCR was used to determine cytokeratin-19 (CK19) and mammaglobin (MGB1) mRNA levels in CTCs from up to 13 (N0234), 16 (N0336), 18 (N0436), and 39 (N0437) patients. The gene expressions were normalized to β(2)-microglobulin and calibrated to healthy blood using the 2(-ΔΔCq) algorithm; positivity was defined as 2 or more.

resultsCK19+mRNA cells were detected in 56% to 75% and MGB1+mRNA cells in 23% to 38% of 86 patients at baseline. CK19+mRNA cells were detected in 30% to 67% and MGB1+mRNA cells in 14% to 64% of 110 postbaseline serial samples. The presence of baseline CK19+mRNA cells (P = 0.01) but not MGB1+mRNA cells (P = 0.14) was significantly associated with shorter overall survival. A decrease in MGB1+mRNA levels (baseline-week 8) seemed to be associated with clinical response (P = 0.05).

conclusionsCTC gene expression analysis conducted by a reference laboratory is feasible when blood is collected from treating sites and processed 24 to 30 hours postcollection. The presence of baseline CK19+mRNA CTCs was associated with poor prognosis; a decrease in MGB1+mRNA CTCs may help predict response to therapy of MBC patients.

Indexed as

AdultAgedBreast NeoplasmsFemaleGene ExpressionHumansKeratin-19Mammaglobin AMiddle AgedNeoplasm MetastasisNeoplastic Cells, CirculatingPrognosisRNA, MessengerTreatment OutcomeKeratin-19Mammaglobin ARNA, MessengerSCGB2A2 protein, human

Identifiers

PMID21976532
PMCPMC5723083
OpenAlexW2142438173

What OpenQuestion holds

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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.