Evidence map›Paper›PMID 23161020›Full record

ReviewTargeted oncology2012

Designs and challenges for personalized medicine studies in oncology: focus on the SHIVA trial.

Christophe Le Tourneau, Maud Kamal, Olivier Trédan, Jean-Pierre Delord, Mario Campone, Anthony Goncalves, Nicolas Isambert, Thierry Conroy, David Gentien, Anne Vincent-Salomon and 7 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Targeted oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 63 citations in OpenAlex.

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  18. Guidance for pharmacogenomic biomarker testing in labels of FDA-approved drugs.Genetics in medicine : official journal of the American College of Medical Genetics · 2015
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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

17 authors at 7 institutions in 1 country.

Christophe Le TourneauInstitut Curie, Paris, France. Christophe.LeTourneau@curie.net
Maud Kamal
Olivier Trédan
Jean-Pierre Delord
Mario Campone
Anthony Goncalves
Nicolas Isambert
Thierry Conroy
David Gentien
Anne Vincent-Salomon
Anne-Lise Pouliquen
Nicolas Servant
Marc-Henri Stern
Anne-Gaëlle Le Corroller
Sébastien Armanet
Thomas Rio Frio
Xavier Paoletti
Institut Curie · FRInserm · FRCentre Georges François Leclerc · FRCentre Léon Bérard · FRInstitut Claudius Regaud · FRInstitut Paoli-Calmettes · FRUniversité de Lorraine · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Personalized medicine is defined by the National Cancer Institute as "a form of medicine that uses information about a person's genes, proteins, and environment to prevent, diagnose, and treat disease." In oncology, the term "personalized medicine" arose with the emergence of molecularly targeted agents. The prescription of approved molecularly targeted agents to cancer patients currently relies on the primary tumor location and histological subtype. Predictive biomarkers of efficacy of these modern agents have been exclusively validated in specific tumor types. A major concern today is to determine whether the prescription of molecularly targeted therapies based on tumor molecular abnormalities, independently of primary tumor location and histology, would improve the outcome of cancer patients. This new paradigm requires prospective validation before being implemented in clinical practice. In this paper, we will first review different designs, including observational cohorts, as well as nonrandomized and randomized clinical trials, that have been recently proposed to evaluate the relevance of this approach, and further discuss their advantages and drawbacks. The design of the SHIVA trial, a randomized proof-of-concept phase II trial comparing therapy based on tumor molecular profiling versus conventional therapy in patients with refractory cancer will be detailed. Finally, we will discuss the multiple challenges associated with the implementation of personalized medicine in oncology, as well as perspectives for the future.

Indexed as

Precision MedicineResearch DesignBiomarkers, PharmacologicalClinical Trials, Phase II as TopicHumansMolecular Targeted TherapyNeoplasmsRandomized Controlled Trials as TopicBiomarkers, Pharmacological

Identifiers

PMID23161020
OpenAlexW2089806329

What OpenQuestion holds

Textmetadata
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.