Evidence map›Paper›PMID 25003289›Full record

Trial reportDiseases of the colon and rectum2014

Epigenomic characterization of locally advanced anal cancer: a radiation therapy oncology group 98-11 specimen study.

Erin M Siegel, Steven Eschrich, Kathryn Winter, Bridget Riggs, Anders Berglund, Abidemi Ajidahun, Jeff Simko, Jennifer Moughan, Jaffer Ajani, Anthony Magliocco and 3 more

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Diseases of the colon and rectum, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Differential DNA Methylation in Prostate Tumors from Puerto Rican Men.International journal of molecular sciences · 2021
    Article
  6. Emerging and Experimental Agents for Anal Cancer: What is New?Journal of experimental pharmacology · 2021
    Review
  7. Article
  8. Pilot Study of Markers for High-grade Anal Dysplasia in a Southern Cohort From the Women's Interagency Human Immunodeficiency Virus Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  9. Genomic Evolution after Chemoradiotherapy in Anal Squamous Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  10. Review
  11. Expanding epigenomics to archived FFPE tissues: an evaluation of DNA repair methodologies.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    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

13 authors at 3 institutions in 1 country.

Erin M Siegel1Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida 2Department of Biomedical Informatics, Moffitt Cancer Center, Tampa, Florida 3Department of Statistics, Radiation Therapy Oncology Group, Philadelphia, Pennsylvania 4Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Florida 5Biospecimen Resource, Radiation Therapy Oncology Group, San Francisco, California 6Department of Medical Oncology, M.D. Anderson Cancer Center, Houston, TX 7Department of Anatomic Pathology, Moffitt Cancer Center, Tampa, Florida 8Department Radiation Oncology, Moffitt Cancer Center, Tampa, Florida.
Steven Eschrich
Kathryn Winter
Bridget Riggs
Anders Berglund
Abidemi Ajidahun
Jeff Simko
Jennifer Moughan
Jaffer Ajani
Anthony Magliocco
Abul Elahi
Sarah Hoffe
David Shibata
Moffitt Cancer Center · USRTOG Foundation · USThe University of Texas MD Anderson Cancer Center · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
RTOG Foreign AccrualU10CA021661 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI CURRAN, WALTER J. · 1985 to 2013
$150.3M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mei-Yin C Polley · 2014 to 2026
$146.4M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
RTOG Foreign AccrualsU10CA037422 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI BRUNER, DEBORAH WATKINS · 1985 to 2013
$30.4M
RTOG Tissue BankU24CA114734 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI CURRAN, WALTER J. · 2005 to 2014
$9.0M
NCI NIH HHS P30 CA076292NCI NIH HHS U10 CA021661NCI NIH HHS U10 CA037422NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U10 CA21661NCI NIH HHS U10 CA37422NCI NIH HHS U24 CA114734
6 · The paper itself

Abstract

backgroundThe Radiation Therapy Oncology Group 98-11 clinical trial demonstrated the superiority of standard 5-fluorouracil/mitomycin-C over 5-fluorouracil/cisplatin in combination with radiation in the treatment of anal squamous cell cancer. Tumor size (>5 cm) and lymph node metastases are associated with disease progression. There may be key molecular differences (eg, DNA methylation changes) in tumors at high risk for progression.

objectiveThe objectives of this study were to determine whether there are differences in DNA methylation at individual CpG sites and within genes among locally advanced anal cancers, with large tumor size and/or nodal involvement, compared with those that are less advanced.

designThis was a case-case study among 121 patients defined as high risk (tumor size >5 cm and/or nodal involvement; n = 59) or low risk (≤5 cm, node negative; n = 62) within the mitomycin-C arm of the Radiation Therapy Oncology Group 98-11 trial. DNA methylation was measured using the Illumina HumanMethylation450 Array. SETTINGS: The study was conducted in a tertiary care cancer center in collaboration with a national clinical trials cooperative group. PATIENTS: The patients consisted of 74 women and 47 men with a median age of 54 years (range, 25-79 years).

main outcome measuresDNA methylation differences at individual CpG sites and within genes between low- and high-risk patients were compared using the Mann-Whitney test (p < 0.001).

resultsA total of 16 CpG loci were differentially methylated (14 increased and 2 decreased) in high- versus low-risk cases. Genes harboring differentially methylated CpG sites included known tumor suppressor genes and novel targets. LIMITATIONS: This study only included patients in the mitomycin-C arm with tumor tissue; however, this sample was representative of the trial.

conclusionsThis is the first study to apply genome-wide methylation analysis to anal cancer. Biologically relevant differences in methylated targets were found to discriminate locally advanced from early anal cancer. Epigenetic events likely play a significant role in the progression of anal cancer and may serve as potential biomarkers.

Indexed as

EpigenomicsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsAnus NeoplasmsCarcinoma, Squamous CellCisplatinCombined Modality TherapyDisease ProgressionDNA MethylationFemaleFluorouracilHumansLymphatic MetastasisMaleMiddle AgedCisplatinFluorouracilMitomycin

Identifiers

PMID25003289
PMCPMC4100249
OpenAlexW2315096975

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.