Evidence map›Paper›PMID 23538216›Full record

Trial reportMolecular oncology2013

Monitoring apoptosis and Bcl-2 on circulating tumor cells in patients with metastatic breast cancer.

Jeffrey B Smerage, G Thomas Budd, Gerald V Doyle, Marty Brown, Costanza Paoletti, Maria Muniz, M Craig Miller, Madeline I Repollet, David A Chianese, Mark C Connelly and 2 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Molecular oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. Significance of Circulating Tumor Cells in Metastatic Triple-Negative Breast Cancer Patients within a Randomized, Phase II Trial: TBCRC 019.Clinical cancer research : an official journal of the American Association for Cancer Research · 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

12 authors.

Jeffrey B SmerageBreast Oncology Program of the Comprehensive Cancer Center, Department of Internal Medicine, University of Michigan Health and Hospital System, Ann Arbor, MI 48109, USA. smerage@med.umich.edu
G Thomas Budd
Gerald V Doyle
Marty Brown
Costanza Paoletti
Maria Muniz
M Craig Miller
Madeline I Repollet
David A Chianese
Mark C Connelly
Leon W W M Terstappen
Daniel F Hayes

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnumeration of circulating tumor cells (CTC) from whole blood permits monitoring of patients with breast carcinoma. Analysis of apoptosis & Bcl-2 expression in CTC might add additional prognostic and predictive information. We estimated the degree of these markers in CTC from patients being treated for metastatic breast cancer.

methodsEighty-three evaluable patients initiating a new therapy for metastatic breast cancer were enrolled. Whole blood was collected at baseline, at one of three short term time windows (24, 48, or 72 h) after initiating treatment, and at first follow-up (3-5 weeks). CTC were isolated, enumerated, and expression of M30 and Bcl2 was determined using the CellSearch(®) System.

resultsAt baseline, window, and 3-5 weeks post-treatment, 41/80 (51%), 40/80 (50%) and 21/75 (28%) patients had ≥5 CTC, respectively. At baseline, the proportion of CTC-apoptosis (M30) was inversely correlated with CTC number, and modestly inversely correlated with CTC-Bcl-2. As expected, higher CTC levels at baseline or first follow-up were associated with worse prognosis. Surprisingly, in patients with elevated CTC, higher levels of CTC-apoptosis were associated with worse prognosis, while higher CTC-Bcl-2 levels correlated with better outcomes.

conclusionsCTC apoptosis and expression of Bcl-2 can be analytically determined in patients with metastatic breast cancer and may have biological and clinical implications. Characterization of CTC for these and other markers could further increase the utility of CTC monitoring patients in clinical investigations of new anti-neoplastic agents.

Indexed as

ApoptosisAntineoplastic AgentsBreastBreast NeoplasmsCell CountDisease-Free SurvivalDouble-Blind MethodFemaleHumansNeoplastic Cells, CirculatingPilot ProjectsPrognosisProto-Oncogene Proteins c-bcl-2Antineoplastic AgentsProto-Oncogene Proteins c-bcl-2

Identifiers

PMID23538216
PMCPMC5528485

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.