Evidence map›Paper›PMID 23820108›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2013

A 26-gene hypoxia signature predicts benefit from hypoxia-modifying therapy in laryngeal cancer but not bladder cancer.

Amanda Eustace, Navin Mani, Paul N Span, Joely J Irlam, Janet Taylor, Guy N J Betts, Helen Denley, Crispin J Miller, Jarrod J Homer, Ana M Rojas and 5 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06787053 (Selecting Hypoxic Tumours for Treatment Modification), which is not on this map. Cited by 140 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT06787053 recruitingnot on this mapstarted 2024, after this paper: background citation

Selecting Hypoxic Tumours for Treatment Modification

TypeobservationalSponsorUniversity of ManchesterRan2024 to 2028Enrolled30ConditionsBladder (Urothelial, Transitional Cell) Cancer, Prostate Cancer
3 · Its place in the literature

Who cites it

140 citing papers in PubMed, 4 syntheses or guidelines pooled it, 255 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Biological tumor markers associated with local control after primary radiotherapy in laryngeal cancer: A systematic review.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2020
    Pooled it
  4. Pooled it
  5. Trial
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  8. Review
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  10. Article
  11. Multi-omics exploration of hypoxia in gastric cancer.World journal of surgical oncology · 2026
    Article
  12. Review
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  15. Article
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  20. Predicting chemotherapy responsiveness in gastric cancer through machine learning analysis of genome, immune, and neutrophil signatures.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article

80 more citing papers are in PubMed but not listed here.

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

15 authors at 6 institutions in 2 countries.

Amanda EustaceTranslational Radiobiology Group, Institute of Cancer Sciences, University of Manchester, Christie Hospital, Manchester, United Kingdom.
Navin Mani
Paul N Span
Joely J Irlam
Janet Taylor
Guy N J Betts
Helen Denley
Crispin J Miller
Jarrod J Homer
Ana M Rojas
Peter J Hoskin
Francesca M Buffa
Adrian L Harris
Johannes H A M Kaanders
Catharine M L West
Mount Vernon Hospital · GBMRC Weatherall Institute of Molecular Medicine · GBRadboud University Nijmegen · NLCancer Research UK Manchester Institute · GBUniversity of Oxford · GBUniversity of Manchester · GB

Funding

Cancer Research UK 15675Cancer Research UK C1094/A11365Cancer Research UK C480/A12328Medical Research Council G0801525
6 · The paper itself

Abstract

purposeTumor hypoxia is associated with a poor prognosis, hypoxia modification improves outcome, and hypoxic status predicts benefit from treatment. Yet, there is no universal measure of clinical hypoxia. The aim of this study was to investigate whether a 26-gene hypoxia signature predicted benefit from hypoxia-modifying treatment in both cancer types. EXPERIMENTAL

designSamples were available from 157 T2-T4 laryngeal cancer and 185 T1-T4a bladder cancer patients enrolled on the accelerated radiotherapy with carbogen and nicotinamide (ARCON) and bladder carbogen nicotinamide (BCON) phase III randomized trials of radiotherapy alone or with carbogen and nicotinamide (CON) respectively. Customized TaqMan low density arrays (TLDA) were used to assess expression of the 26-gene signature using quantitative real-time PCR. The median expression of the 26 genes was used to derive a hypoxia score (HS). Patients were categorized as TLDA-HS low (≤median) or TLDA-HS high (>median). The primary outcome measures were regional control (RC; ARCON) and overall survival (BCON).

resultsLaryngeal tumors categorized as TLDA-HS high showed greater benefit from ARCON than TLDA-HS low tumors. Five-year RC was 81% (radiotherapy alone) versus 100% (CON) for TLDA-HS high (P=0.009). For TLDA-HS low, 5-year RC was 91% (radiotherapy alone) versus 90% (CON; P=0.90). TLDA-HS did not predict benefit from CON in bladder cancer.

conclusionThe 26-gene hypoxia signature predicts benefit from hypoxia-modifying treatment in laryngeal cancer. These findings will be evaluated in a prospective clinical trial.

Indexed as

Carbon DioxideCell HypoxiaFemaleGene Expression Regulation, NeoplasticHumansLaryngeal NeoplasmsMaleNiacinamideOxygenRadiation-Sensitizing AgentsUrinary Bladder NeoplasmscarbogenCarbon DioxideNiacinamideOxygenRadiation-Sensitizing Agents

Identifiers

PMID23820108
PMCPMC3797516
OpenAlexW2110453313

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.