Evidence map›Paper›PMID 25720842›Full record

ArticleCancer medicine2015

Feasibility of implementing molecular-guided therapy for the treatment of patients with relapsed or refractory neuroblastoma.

Giselle L Saulnier Sholler, Jeffrey P Bond, Genevieve Bergendahl, Akshita Dutta, Julie Dragon, Kathleen Neville, William Ferguson, William Roberts, Don Eslin, Jacqueline Kraveka and 11 more

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Cancer medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Genomics of adult and pediatric solid tumors.American journal of cancer research · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Patient-derived xenografts for childhood solid tumors: a valuable tool to test new drugs and personalize treatments.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2017
    Review
  14. Article
  15. Precision medicine: an opportunity for a paradigm shift in veterinary medicine.Journal of the American Veterinary Medical Association · 2016
    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

21 authors.

Giselle L Saulnier ShollerHelen DeVos Children's Hospital, Grand Rapids, Michigan.
Jeffrey P BondDepartment of Microbiology and Molecular Genetics, University of Vermont College of Medicine, Burlington, Vermont.
Genevieve BergendahlHelen DeVos Children's Hospital, Grand Rapids, Michigan.
Akshita DuttaHelen DeVos Children's Hospital, Grand Rapids, Michigan.
Julie DragonDepartment of Microbiology and Molecular Genetics, University of Vermont College of Medicine, Burlington, Vermont.
Kathleen NevilleChildren's Mercy Hospital, Kansas City, Missouri.
William FergusonCardinal Glennon Children's Hospital, St. Louis University, St. Louis, Missouri.
William RobertsUC San Diego School of Medicine and Rady Children's Hospital, San Diego, California.
Don EslinArnold Palmer Hospital for Children, Orlando, Florida.
Jacqueline KravekaMedical University of South Carolina, Charleston, South Carolina.
Joel KaplanLevine Children's Hospital, Charlotte, North Carolina.
Deanna MitchellHelen DeVos Children's Hospital, Grand Rapids, Michigan.
Nehal ParikhConnecticut Children's Medical Center, Hartford, Connecticut.
Melinda MerchantNCI Center for Cancer Research, Bethesda, Maryland.
Takamaru AshikagaMedical Biostatistics, University of Vermont College of Medicine, Burlington, Vermont.
Gina HannaArnold Palmer Hospital for Children, Orlando, Florida.
Pamela Jean LescaultJosephine Bay Paul Center for Comparative Molecular Biology and Evolution, The Marine Biological Laboratory, Woods Hole, Massachusetts.
Ashley SiniardTranslational Genomics Research Institute, Phoenix, Arizona.
Jason CorneveauxTranslational Genomics Research Institute, Phoenix, Arizona.
Matthew HuentelmanTranslational Genomics Research Institute, Phoenix, Arizona.
Jeffrey TrentTranslational Genomics Research Institute, Phoenix, Arizona.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary objective of the study was to evaluate the feasibility and safety of a process which would utilize genome-wide expression data from tumor biopsies to support individualized treatment decisions. Current treatment options for recurrent neuroblastoma are limited and ineffective, with a survival rate of <10%. Molecular profiling may provide data which will enable the practitioner to select the most appropriate therapeutic option for individual patients, thus improving outcomes. Sixteen patients with neuroblastoma were enrolled of which fourteen were eligible for this study. Feasibility was defined as completion of tumor biopsy, pathological evaluation, RNA quality control, gene expression profiling, bioinformatics analysis, generation of a drug prediction report, molecular tumor board yielding a treatment plan, independent medical monitor review, and treatment initiation within a 21 day period. All eligible biopsies passed histopathology and RNA quality control. Expression profiling by microarray and RNA sequencing were mutually validated. The average time from biopsy to report generation was 5.9 days and from biopsy to initiation of treatment was 12.4 days. No serious adverse events were observed and all adverse events were expected. Clinical benefit was seen in 64% of patients as stabilization of disease for at least one cycle of therapy or partial response. The overall response rate was 7% and the progression free survival was 59 days. This study demonstrates the feasibility and safety of performing real-time genomic profiling to guide treatment decision making for pediatric neuroblastoma patients.

Indexed as

AdolescentAntineoplastic AgentsChildChild, PreschoolChronic DiseaseFeasibility StudiesFemaleGene Expression ProfilingGenome-Wide Association StudyHumansMaleMolecular Targeted TherapyNeoplasm Recurrence, LocalNeuroblastomaPatient SafetyProspective StudiesAntineoplastic AgentsRNA, NeoplasmGenomic profilingmolecular-guided therapymolecular tumor boardneuroblastomapediatric oncology

Identifiers

PMID25720842
PMCPMC4472210

What OpenQuestion holds

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LicenceCC BY
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.