Evidence map›Paper›PMID 23059783›Full record

Trial reportJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2012

Prognostic and predictive role of the VeriStrat plasma test in patients with advanced non-small-cell lung cancer treated with erlotinib or placebo in the NCIC Clinical Trials Group BR.21 trial.

David P Carbone, Keyue Ding, Heinrich Roder, Julia Grigorieva, Joanna Roder, Ming-Sound Tsao, Lesley Seymour, Frances A Shepherd

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
11.2field-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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Pooled it
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  7. A review on trends in development and translation of omics signatures in cancer.Computational and structural biotechnology journal · 2024
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  9. Prospective on Imaging Mass Spectrometry in Clinical Diagnostics.Molecular & cellular proteomics : MCP · 2023
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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

8 authors at 4 institutions in 2 countries.

David P CarboneDepartment of Medicine, Vanderbilt-Ingram Cancer Center, Nashville, TN, USA. carbone@osumc.edu
Keyue Ding
Heinrich Roder
Julia Grigorieva
Joanna Roder
Ming-Sound Tsao
Lesley Seymour
Frances A Shepherd
University of Toronto · CAQueen's University · CAUniversity Health Network · CAVanderbilt University · US

Funding

Molecular Signatures of Lung CancerU01CA114771 · NCI · VANDERBILT UNIVERSITY · PI CARBONE, DAVID P. · 2005 to 2010
$8.7M
NCI NIH HHS U01 CA114771
6 · The paper itself

Abstract

introductionWe investigated the predictive and prognostic effects of VeriStrat, a serum or plasma-based assay, on response and survival in a subset of patients enrolled on the NCIC Clinical Trials Group, BR.21 phase III trial of erlotinib versus placebo in previously treated advanced non-small-cell lung cancer patients.

methodsPretreatment plasma samples were available for 441 of 731 enrolled patients and were provided as anonymized aliquots to Biodesix. The VeriStrat test was performed in a Clinical Laboratory Improvement Act-accredited laboratory at Biodesix, Inc. (Boulder, CO). The results (Good, Poor) were returned to NCIC Clinical Trials Group, which performed all the statistical analyses.

resultsVeriStrat testing was successful in 436 samples (98.9%), with 61% classified as Good. VeriStrat was prognostic for overall survival in both erlotinib-treated patients and those on placebo, independent of clinical covariates. For VeriStrat Good patients, the median survival was 10.5 months on erlotinib versus 6.6 months for placebo (hazard ratio 0.63, 95% confidence interval 0.47-0.85, p = 0.002). For VeriStrat Poor patients, the median survival was 4 months for patients receiving erlotinib, and 3.1 months for placebo (hazard ratio: 0.77, 95% confidence interval 0.55-1.06, p = 0.11). VeriStrat was predictive for objective response (p = 0.002), but was not able to predict for differential survival benefit from erlotinib (interaction p = 0.48). Similar results were found for progression-free survival.

conclusionWe were able to confirm that VeriStrat is predictive of objective response to erlotinib. VeriStrat is prognostic for both OS and progression-free survival, independent of clinical features, but is not predictive of differential survival benefit versus placebo.

Indexed as

AdenocarcinomaBiomarkers, TumorCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellErbB ReceptorsErlotinib HydrochlorideFemaleFollow-Up StudiesHumansLung NeoplasmsMaleNeoplasm StagingPrognosisProtein Kinase InhibitorsQuinazolinesSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationBiomarkers, TumorErbB ReceptorsErlotinib HydrochlorideProtein Kinase InhibitorsQuinazolines

Identifiers

PMID23059783
PMCPMC3728561
OpenAlexW2051096017

What OpenQuestion holds

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Registered trials

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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.