Evidence map›Paper›PMID 25370899›Full record

Trial reportScientific reports2014

Genetic markers for toxicity of adjuvant oxaliplatin and fluoropyrimidines in the phase III TOSCA trial in high-risk colon cancer patients.

Annamaria Ruzzo, Francesco Graziano, Fabio Galli, Elisa Giacomini, Irene Floriani, Francesca Galli, Eliana Rulli, Sara Lonardi, Monica Ronzoni, Bruno Massidda and 20 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Biomarkers in Colorectal Cancer: Current Research and Future Prospects.International journal of molecular sciences · 2020
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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

30 authors.

Annamaria RuzzoDepartment of Biomolecular Sciences, Università degli Studi di Urbino "Carlo Bo"
Francesco GrazianoAzienda Ospedaliera "Ospedali Riuniti Marche Nord", Pesaro.
Fabio GalliLaboratorio di Ricerca Clinica, Department of Medical Oncology, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Milano.
Elisa GiacominiDepartment of Biomolecular Sciences, Università degli Studi di Urbino "Carlo Bo"
Irene FlorianiLaboratorio di Ricerca Clinica, Department of Medical Oncology, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Milano.
Francesca GalliLaboratorio di Ricerca Clinica, Department of Medical Oncology, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Milano.
Eliana RulliLaboratorio di Ricerca Clinica, Department of Medical Oncology, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Milano.
Sara LonardiIOV- IRCCS, Padova.
Monica RonzoniOspedale San Raffaele, Milano.
Bruno MassiddaAzienda Ospedaliera Universitaria di Cagliari, P.O. Monserrato.
Vittorina ZagonelIOV- IRCCS, Padova.
Nicoletta PellaAzienda Ospedaliera Universitaria di Udine, Udine.
Claudia MucciariniOspedale "B. Ramazzini", Carpi.
Roberto LabiancaOspedale Papa Giovanni XXIII, Bergamo.
Maria Teresa IontaAzienda Ospedaliera Universitaria di Cagliari, P.O. Monserrato.
Enzo VeltriOspedale di Gaeta ASL Latina.
Pietro SozziOspedale degli Infermi di Biella.
Sandro BarniOspedale "Treviglio-Caravaggio", Treviglio.
Vincenzo RicciOspedale San Raffaele, Milano.
Luisa FoltranAzienda Ospedaliera Universitaria di Udine, Udine.
Mario NicoliniAzienda Ospedaliera Ospedale "Cervesi", Cattolica.
Edoardo BiondiOspedale "F, Renzetti", Lanciano.
Annalisa BramatiAzienda Ospedaliera Fatebenefratelli, Milano.
Daniele TurciAUSL Ospedale di Ravenna.
Silvia LazzarelliAzienda Ospedaliera di Cremona.
Claudio VerusioOspedale di Saronno.
Francesca BergamoIOV- IRCCS, Padova.
Alberto SobreroAzienda Ospedaliera "Ospedale San Martino", Genova.
Luciano FrontiniFondazione GISCAD.
Mauro MagnaniDepartment of Biomolecular Sciences, Università degli Studi di Urbino "Carlo Bo"

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated 17 polymorphisms in 11 genes (TS, MTHFR, ERCC1, XRCC1, XRCC3, XPD, GSTT1, GSTP1, GSTM1, ABCC1, ABCC2) for their association with the toxicity of fluoropyrimidines and oxaliplatin in colorectal cancer patients enrolled in a prospective randomized trial of adjuvant chemotherapy. The TOSCA Italian adjuvant trial was conducted in high-risk stage II-III colorectal cancer patients treated with 6 or 3 months of either FOLFOX-4 or XELOX adjuvant chemotherapy. In the concomitant ancillary pharmacogenetic study, the primary endpoint was the association of polymorphisms with grade 3-4 CTCAE toxicity events (grade 2-4 for neurotoxicity). In 517 analyzed patients, grade ≥ 3 neutropenia and grade ≥ 2 neurotoxicity events occurred in 150 (29%) and in 132 patients (24.8%), respectively. Diarrhea grade ≥ 3 events occurred in 34 (6.5%) patients. None of the studied polymorphisms showed clinically relevant association with toxicity. Hopefully, genome-wide association studies will identify new and more promising genetic variants to be tested in future studies.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorChemotherapy, AdjuvantColonic NeoplasmsFemaleFluorouracilGene FrequencyGenetic Association StudiesHumansMaleMultidrug Resistance-Associated Protein 2NeutropeniaOrganoplatinum CompoundsOxaliplatinPolymorphism, Single NucleotideABCC2 protein, humanBiomarkers, TumorFluorouracilMultidrug Resistance-Associated Protein 2Organoplatinum CompoundsOxaliplatin

Identifiers

PMID25370899
PMCPMC4220280

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.