Evidence map›Paper›PMID 24989892›Full record

Trial reportCancer immunology research2014

Association studies of Fcγ receptor polymorphisms with outcome in HER2+ breast cancer patients treated with trastuzumab in NCCTG (Alliance) Trial N9831.

Nadine Norton, Rebecca M Olson, Mark Pegram, Kathleen Tenner, Karla V Ballman, Raphael Clynes, Keith L Knutson, Edith A Perez

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer immunology research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. FCGR Polymorphisms Influence Response to IL2 in Metastatic Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  4. Trial
  5. Article
  6. Serum immunoglobulin and the threshold of Fc receptor-mediated immune activation.Biochimica et biophysica acta. General subjects · 2023
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Role of Fcγ receptors in HER2-targeted breast cancer therapy.Journal for immunotherapy of cancer · 2022
    Review
  12. Review
  13. Article
  14. Genetic Influences in Breast Cancer Drug Resistance.Breast cancer (Dove Medical Press) · 2021
    Review
  15. Article
  16. Journal of breast cancer · 2018
    Article
  17. Article
  18. Clinical significance of quantitativeOncoTargets and therapy · 2018
    Article
  19. 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

8 authors at 3 institutions in 1 country.

Nadine NortonMayo Clinic, Jacksonville, Florida.
Rebecca M OlsonStanford University, Stanford, California.
Mark PegramStanford University, Stanford, California.
Kathleen TennerMayo Clinic, Rochester, Minnesota.
Karla V BallmanMayo Clinic, Rochester, Minnesota.
Raphael ClynesColumbia University, New York, New York. perez.edith@mayo.edu kknutson@vgtifl.org rc645@cumc.columbia.edu.
Keith L KnutsonMayo Clinic, Rochester, Minnesota. Vaccine and Gene Therapy Institute of Florida, Port St. Lucie, Florida. perez.edith@mayo.edu kknutson@vgtifl.org rc645@cumc.columbia.edu.
Edith A PerezMayo Clinic, Jacksonville, Florida. perez.edith@mayo.edu kknutson@vgtifl.org rc645@cumc.columbia.edu.
Mayo Clinic · USStanford University · USColumbia University · US

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
TRANSLATIONAL RESEARCHU10CA025224 · NCI · MAYO CLINIC ROCHESTER · PI BUCKNER, JAN C · 1985 to 2013
$85.0M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
Role of Immunity in Efficacy of Chemotherapy Plus TrastuzumabR01CA152045 · NCI · MAYO CLINIC JACKSONVILLE · PI KNUTSON, KEITH L., PEREZ, EDITH A. · 2011 to 2015
$2.7M
NCI NIH HHS CA25224NCI NIH HHS P30 CA015083NCI NIH HHS R01 CA152045NCI NIH HHS R01-CA1520-45NCI NIH HHS U10 CA025224NCI NIH HHS U10 CA180821NCI NIH HHS U24 CA196171
6 · The paper itself

Abstract

Patients with HER2+ breast cancer treated with trastuzumab and chemotherapy have superior survival compared with patients treated with chemotherapy alone. Polymorphisms within FCGR2A and FCGR3A are associated with binding affinity of natural killer cells to the IgG1 portion of trastuzumab, and a polymorphism in FCGR2B (I232T) is associated with impaired regulatory activity. The association of these polymorphisms with clinical response among trastuzumab-treated patients is equivocal, with both positive and negative associations. We performed genotyping analysis on the FCGR3A V158F, FCGR2A R131H, and FCGR2B I232T polymorphisms in 1,325 patients from the N9831 clinical trial. Patients in arm A (N = 419) received chemotherapy only. Patients in arms B (N = 469) and C (N = 437) were treated with chemotherapy and trastuzumab (sequentially in arm B and concurrently in arm C). Using log-rank test and Cox proportional hazard models, we compared disease-free survival (DFS) among genotypic groups within pooled arms B/C. We found no differences in DFS between trastuzumab-treated patients who had the FCGR3A 158 V/V and/or FCGR2A 131 H/H high-affinity genotypes and patients without those genotypes. Furthermore, there was no significant interaction between FCGR3A and FCGR2A and treatment. However, there was a difference in DFS for FCGR2B I232T, with I/I patients deriving benefit from trastuzumab (P < 0.001), compared with the T carriers who did not (P = 0.81). The interaction between FCGR2B genotype and treatment was statistically significant (P = 0.03). Our analysis did not reveal an association between FcγR high-affinity genotypes and outcomes. However, it seems that the FCGR2B inhibitory gene may be predictive of adjuvant trastuzumab benefit.

Indexed as

AdultAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleGene FrequencyGenotypeHumansLinkage DisequilibriumMiddle AgedNeoplasm ProteinsPolymorphism, Single NucleotideReceptors, IgGSurvival AnalysisTrastuzumabAntibodies, Monoclonal, HumanizedERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFCGR2B protein, humanNeoplasm ProteinsReceptors, IgGTrastuzumab

Identifiers

PMID24989892
PMCPMC4215796
OpenAlexW2129397990

What OpenQuestion holds

Textmetadata
LicenceTDM
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.