Evidence map›Paper›PMID 25471344›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2015

Construction and analysis of the NCI-EDRN breast cancer reference set for circulating markers of disease.

Jeffrey R Marks, Karen S Anderson, Paul Engstrom, Andrew K Godwin, Laura J Esserman, Gary Longton, Edwin S Iversen, Anu Mathew, Christos Patriotis, Margaret S Pepe

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Framework to Select Multi-Cancer Detection Assays in the National Cancer Institute's Vanguard Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  3. Article
  4. Fucosylation genes as circulating biomarkers for lung cancer.Journal of cancer research and clinical oncology · 2018
    Article
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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

10 authors at 3 institutions in 1 country.

Jeffrey R MarksDepartment of Surgery, Duke University, Durham, North Carolina. marks003@mc.duke.edu.
Karen S AndersonCenter for Personalized Diagnostics, Biodesign Institute, Arizona State University, Tempe, Arizona.
Paul EngstromMedical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Andrew K GodwinDepartment of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas.
Laura J EssermanDepartment of Surgery, University of California, San Francisco, San Francisco, California.
Gary LongtonFred Hutchinson Cancer Research Center, Seattle, Washington.
Edwin S IversenDepartment of Statistical Science, Duke University, Durham, North Carolina.
Anu MathewMeso Scale Diagnostics, LLC., Rockville, Maryland.
Christos PatriotisNational Cancer Institute, NIH, Bethesda, Maryland.
Margaret S PepeFred Hutchinson Cancer Research Center, Seattle, Washington.
Fred Hutch Cancer Center · USFox Chase Cancer Center · USUniversity of Kansas · US

Funding

The Early Detection Research Network: Data Management and Coordinating CenterU24CA086368 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RUTH D ETZIONI, Ziding Feng · 2010 to 2026
$75.7M
Fox Chase Clinical Epidemiology and Validation CenterU01CA113916 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI ENGSTROM, PAUL FREDERICK · 2005 to 2015
$8.6M
EXPRESSION BASED MARKERS FOR BREAST CANCER DETECTIONU01CA084955 · NCI · DUKE UNIVERSITY · PI MARKS, JEFFREY R. · 1999 to 2015
$6.5M
Biomarker Detection Using NAPPA Tumor Antigen ArraysU01CA117374 · NCI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ANDERSON, KAREN SUE, LABAER, JOSHUA · 2005 to 2015
$6.2M
Integrated Biomarkers to Characterize Breast Cancer RiskU01CA111234 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ESSERMAN, LAURA J · 2004 to 2009
$4.4M
NCI NIH HHS U01 CA084955NCI NIH HHS U01 CA111234NCI NIH HHS U01 CA113916NCI NIH HHS U01 CA117374NCI NIH HHS U24 CA086368
6 · The paper itself

Abstract

backgroundMany circulating biomarkers have been reported for the diagnosis of breast cancer, but few, if any, have undergone rigorous credentialing using prospective cohorts and blinded evaluation.

methodsThe NCI Early Detection Research Network (EDRN) has created a prospective, multicenter collection of plasma and serum samples from 832 subjects designed to evaluate circulating biomarkers for the detection and diagnosis of breast cancer. These samples are available to investigators who wish to evaluate their biomarkers using a set of blinded samples. The breast cancer reference set is composed of blood samples collected using a standard operating procedure at four U.S. medical centers from 2008 to 2010 from women undergoing either tissue diagnosis for breast cancer or routine screening mammography. The reference set contains samples from women with incident invasive cancer (n = 190), carcinoma in situ (n = 55), benign pathology with atypia (n = 63), benign disease with no atypia (n = 231), and women with no evidence of breast disease by screening mammography (BI-RADS 1 or 2, n = 276). Using a subset of plasma samples (n = 505) from the reference set, we analyzed 90 proteins by multiplexed immunoassays for their potential utility as diagnostic markers.

resultsWe found that none of these markers is useful for distinguishing cancer from benign controls. However, elevated CA-125 does appear to be a candidate marker for estrogen receptor-negative cancers.

conclusionsMarkers that can distinguish benign breast conditions from invasive cancer have not yet been found. IMPACT: Availability of prospectively collected samples should improve future validation efforts.

Indexed as

Early Detection of CancerAdultAgedAged, 80 and overBiomarkers, TumorBreast NeoplasmsFemaleHumansImmunoassayMiddle AgedNeoplasm ProteinsProspective StudiesReference ValuesYoung AdultBiomarkers, TumorNeoplasm Proteins

Identifiers

PMID25471344
PMCPMC4323938
OpenAlexW2135748113

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.