Evidence map›Paper›PMID 25464386›Full record

Trial reportPediatric blood & cancer2015

Tumoral TP53 and/or CDKN2A alterations are not reliable prognostic biomarkers in patients with localized Ewing sarcoma: a report from the Children's Oncology Group.

Daniel M Lerman, Michael J Monument, Elizabeth McIlvaine, Xiao-qiong Liu, Dali Huang, Laura Monovich, Natalie Beeler, Richard G Gorlick, Neyssa M Marina, Richard B Womer and 5 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00006734 (Trial of Chemotherapy Intensification Through Compression in Ewing's Sarcoma and Related Tumors), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT00006734 phase3completednot on this map

Trial of Chemotherapy Intensification Through Compression in Ewing's Sarcoma and Related Tumors

TypeinterventionalSponsorChildren's Oncology GroupRan2001 to 2023Enrolled587ConditionsSarcomaArmsfilgrastim, cyclophosphamide, doxorubicin hydrochloride, etoposide, ifosfamide
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Long-Term Outcomes in Patients With Localized Ewing Sarcoma Treated With Interval-Compressed Chemotherapy on Children's Oncology Group Study AEWS0031.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Trial
  4. Molecular Characterization Informs Prognosis in Patients With Localized Ewing Sarcoma: A Report From the Children's Oncology Group.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Mutational landscape of primary and recurrent Ewing sarcoma.Contemporary oncology (Poznan, Poland) · 2021
    Article
  19. Review: Ewing Sarcoma Predisposition.Pathology oncology research : POR · 2020
    Review
  20. Precision medicine in Ewing sarcoma: a translational point of view.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 2 countries.

Daniel M LermanDepartment of Orthopedics, University of Utah, Salt Lake City, Utah; Center for Children's Cancer Research, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Michael J Monument
Elizabeth McIlvaine
Xiao-qiong Liu
Dali Huang
Laura Monovich
Natalie Beeler
Richard G Gorlick
Neyssa M Marina
Richard B Womer
Julia A Bridge
Mark D Krailo
R Lor Randall
Stephen L Lessnick
Children's Oncology Group Ewing Sarcoma Biology Committee
Nebraska Medical Center · USHuntsman Cancer Institute · USUniversity of Southern California · USUniversity of Utah · USChildren's Hospital at Montefiore · USChildren's Oncology Group · USNationwide Children's Hospital · USPalo Alto University · USPhiladelphia University · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
EWS/FLI AND ITS TARGETS IN EWING'S SARCOMAR01CA140394 · NCI · UNIVERSITY OF UTAH · PI LESSNICK, STEPHEN L. · 2010 to 2014
$1.5M
NCI NIH HHS P30 CA042014NCI NIH HHS P30CA042014NCI NIH HHS R01 CA140394NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

backgroundA growing collection of retrospective studies have suggested that TP53 mutations and/or CDKN2A deletions have prognostic significance in Ewing sarcoma. We sought to evaluate these variables in patients with localized disease treated prospectively on a single Children's Oncology Group protocol. PROCEDURE: Of the 568 patients enrolled on Children's Oncology Group protocol AEWS0031 (NCT00006734), 112 had tumor specimens of sufficient quality and quantity to allow for analysis of TP53 mutations status by DNA sequencing, and CDKN2A deletion by dual color fluorescent in situ hybridization.

resultsEight of 93 cases (8.6%) were found to have TP53 point mutations and 12 of 107 cases (11.2%) demonstrated homozygous CDKN2A deletion. Two cases were found to have an alteration in both genes. There was no significant difference in event-free survival of patients with TP53 mutations and/or CDKN2A deletions compared to patients with normal TP53/CDKN2A gene status, as demonstrated by log rank test (p = 0.58).

conclusionsAlthough previous retrospective studies suggest their significance, TP53 mutation and/or CDKN2A deletion are not reliable prognostic biomarkers in localized Ewing sarcoma.

Indexed as

Gene DeletionAdolescentBiomarkers, TumorBone NeoplasmsChildCyclin-Dependent Kinase Inhibitor p16FemaleFollow-Up StudiesHumansIn Situ Hybridization, FluorescenceMaleMutationNeoplasm StagingPolymerase Chain ReactionPrognosisProspective StudiesBiomarkers, TumorCyclin-Dependent Kinase Inhibitor p16TP53 protein, humanTumor Suppressor Protein p53biomarkerEwing sarcomaoutcomesprognosis

Identifiers

PMID25464386
PMCPMC4376595
OpenAlexW1890728356

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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.