Evidence map›Paper›PMID 25583947›Full record

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

Prognostic value of angiopoietin-2 for death risk stratification in patients with metastatic colorectal carcinoma.

Marine Jary, Dewi Vernerey, Thierry Lecomte, Erion Dobi, François Ghiringhelli, Franck Monnien, Yann Godet, Stefano Kim, Olivier Bouché, Serge Fratte and 6 more

Open access · bronzeAbstract read
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.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 33% 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, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Small Fish, Big Answers: Zebrafish and the Molecular Drivers of Metastasis.International journal of molecular sciences · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Therapeutic targeting of the angiopoietin-TIE pathway.Nature reviews. Drug discovery · 2017
    Review
  10. Article
  11. Review
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

16 authors at 8 institutions in 1 country.

Marine JaryDepartment of Medical Oncology, University Hospital, Besançon, France. INSERM, Unit 1098, University of Franche-Comté, Besançon, France. marine.jary@univ-fcomte.fr.
Dewi VernereyMethodological and Quality of Life in Oncology Unit, University Hospital of Besançon, Besançon, France.
Thierry LecomteINSERM, Unit 7292, University François-Rabelais, CNRS, Tours, France. Department of Hepatogastroenterology and Digestive Oncology, University Hospital, Tours, France.
Erion DobiDepartment of Medical Oncology, University Hospital, Besançon, France.
François GhiringhelliDepartment of Medical Oncology, Leclerc Anticancer Center, Dijon, France.
Franck MonnienDepartment of Medical Oncology, University Hospital, Besançon, France.
Yann GodetINSERM, Unit 1098, University of Franche-Comté, Besançon, France.
Stefano KimDepartment of Medical Oncology, University Hospital, Besançon, France. Department of Oncology and Radiotherapy, Hospital of Belfort-Montbeliard, Montbeliard, France.
Olivier BouchéDepartment of Hepatogastroenterology and Digestive Oncology, University Hospital Robert Debré, Reims, France.
Serge FratteDepartment of Gastroenterology, Hospital of Belfort-Montbeliard, Montbeliard, France.
Anthony GonçalvesDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille, France.
Julie LegerINSERM, Clinical Investigational Center CIC 1415, Tours, France.
Lise QueirozINSERM, Unit 1098, University of Franche-Comté, Besançon, France. Clinical Investigational Center, CIC-Biotherapy-506, University Hospital of Besançon, Besançon, France.
Olivier AdoteviDepartment of Medical Oncology, University Hospital, Besançon, France. INSERM, Unit 1098, University of Franche-Comté, Besançon, France.
Franck BonnetainMethodological and Quality of Life in Oncology Unit, University Hospital of Besançon, Besançon, France.
Christophe BorgDepartment of Medical Oncology, University Hospital, Besançon, France. INSERM, Unit 1098, University of Franche-Comté, Besançon, France.
Inserm · FRCentre Hospitalier Universitaire de Besançon · FRMethodology and Quality of Life Unit in Oncology · FRUniversité de technologie de belfort-montbéliard · FRCentre Georges François Leclerc · FRHôpital Robert-Debré · FRInstitut Paoli-Calmettes · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBaseline prognostic biomarkers stratifying treatment strategies in first-line metastatic colorectal cancer (mCRC) are lacking. Angiopoietin-2 (Ang-2) is proposed as a potential biomarker in several cancers. We therefore decided to establish the additional prognostic value of Ang-2 for overall survival (OS) in patients with first-line mCRC.

methodsWe enrolled 177 patients treated with a bevacizumab containing chemotherapy in two prospective phase II clinical trials. Patient plasma samples were collected at baseline. ELISAs were used to measure Ang-2.

resultsThe multivariable Cox model identified increased lactate dehydrogenase [HR, 1.60; 95% confidence interval (CI), 1.04-2.45; P = 0.03] and Ang-2 log-transformation level (HR, 1.59; 95% CI, 1.14-2.21; P = 0.0065) as two significant independent OS prognostic factors. It exhibited good calibration (P = 0.8) and discrimination (C-index: 0.64; 95% CI, 0.58-0.68). Ang-2 parameter inclusion in the GERCOR reference model significantly and strongly improved its discriminative ability because the C-statistic increased significantly from 0.61 to 0.63 (bootstrap mean difference = 0.07; 95% CI, 0.069-0.077). Interestingly, the addition of Ang-2 binary information with a 5 ng/mL cutoff value to the GERCOR model allowed the reclassification of intermediate-risk profile patients (41%) into two subsets of low and high risks.

conclusionsOur study provides robust evidence in favor of baseline Ang-2 prognostic value for OS adding to the conventional factors. Its assessment appears to be useful for the improvement in risk stratification for patients with intermediate-risk profile. IMPACT: Ang-2 ability to predict OS at diagnosis could be of interest in the selection of patients eligible for intermittent or sequential therapeutic strategies dedicated to the optimization of patients' quality of life and chemotherapy cost-effectiveness. Cancer Epidemiol Biomarkers Prev; 24(3); 603-12. ©2015 AACR.

Indexed as

AgedAngiopoietin-2Antineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkers, TumorClinical Trials, Phase II as TopicCohort StudiesColorectal NeoplasmsEnzyme-Linked Immunosorbent AssayFemaleHumansMaleNeoplasm MetastasisPrognosisProspective StudiesSurvival AnalysisAngiopoietin-2BevacizumabBiomarkers, Tumor

Identifiers

PMID25583947
PMCPMC4805754
OpenAlexW2139542186

What OpenQuestion holds

Textmetadata
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.