Evidence map›Paper›PMID 26161408›Full record

ArticleBioMed research international2015

Molecular Profiling-Selected Therapy for Treatment of Advanced Pancreaticobiliary Cancer: A Retrospective Multicenter Study.

Ron Epelbaum, Einat Shacham-Shmueli, Baruch Klein, Abed Agbarya, Baruch Brenner, Ronen Brenner, Eliahu Gez, Talia Golan, Ayala Hubert, Ofer Purim and 8 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

18 authors at 7 institutions in 2 countries.

Ron EpelbaumDepartment of Oncology, Rambam Health Care Campus, 3109601 Haifa, Israel ; Facutly of Medicine, Technion-Israel Institute of Technology, 3525406 Haifa, Israel.
Einat Shacham-ShmueliDivision of Oncology, Sheba Medical Center Tel Hashomer, 5262100 Ramat-Gan, Israel ; Sackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel.
Baruch KleinSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Department of Oncology, Assuta Hospital, 6971028 Tel Aviv, Israel ; Department of Oncology, Meir Medical Center, 4428164 Kfar Saba, Israel.
Abed AgbaryaDepartment of Oncology, Rambam Health Care Campus, 3109601 Haifa, Israel.
Baruch BrennerSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Davidoff Center, Rabin Medical Center, 4941492 Petah Tikva, Israel.
Ronen BrennerSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Department of Oncology, Wolfson Hospital, 5822012 Holon, Israel.
Eliahu GezSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Division of Oncology, Tel-Aviv Sourasky Medical Center, 6423906 Tel Aviv, Israel.
Talia GolanDivision of Oncology, Sheba Medical Center Tel Hashomer, 5262100 Ramat-Gan, Israel ; Sackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel.
Ayala HubertSharett Institute of Oncology, Hadassah Hebrew University Medical Center, 9124001 Jerusalem, Israel ; The Hebrew University Hadassah Medical School, 9112102 Jerusalem, Israel.
Ofer PurimSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Davidoff Center, Rabin Medical Center, 4941492 Petah Tikva, Israel.
Mark TemperSharett Institute of Oncology, Hadassah Hebrew University Medical Center, 9124001 Jerusalem, Israel ; The Hebrew University Hadassah Medical School, 9112102 Jerusalem, Israel.
Ella TepperDepartment of Oncology, Assuta Hospital, 6971028 Tel Aviv, Israel.
Andreas VossCaris Life Sciences, 4052 Basel, Switzerland.
Kenneth RussellCaris Life Sciences, 4052 Basel, Switzerland.
Addie DvirOncotest-Teva Pharmaceutical Industries, Ltd., 60850 Shoham, Israel.
Lior Soussan-GutmanOncotest-Teva Pharmaceutical Industries, Ltd., 60850 Shoham, Israel.
Salomon M StemmerSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Davidoff Center, Rabin Medical Center, 4941492 Petah Tikva, Israel.
Ravit GevaSackler Medical School, Tel Aviv University, 6997801 Tel Aviv, Israel ; Division of Oncology, Tel-Aviv Sourasky Medical Center, 6423906 Tel Aviv, Israel.
Tel Aviv University · ILEnzo Life Sciences (Switzerland) · CHHebrew University of Jerusalem · ILTeva Pharmaceuticals (Israel) · ILAssuta Medical Center · ILRambam Health Care Campus · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This multicenter cohort study assessed the impact of molecular profiling (MP) on advanced pancreaticobiliary cancer (PBC). The study included 30 patients treated with MP-guided therapy after failing ≥ 1 therapy for advanced PBC. Treatment was considered as having benefit for the patient if the ratio between the longest progression-free survival (PFS) on MP-guided therapy and the PFS on the last therapy before MP was ≥ 1.3. The null hypothesis was that ≤ 15% of patients gain such benefit. Overall, ≥ 1 actionable (i.e., predictive of response to specific therapies) biomarker was identified/patient. Immunohistochemistry (the most commonly used method for guiding treatment decisions) identified 1-6 (median: 4) actionable biomarkers per patient. After MP, patients received 1-4 (median: 1) regimens/patient (most commonly, FOLFIRI/XELIRI). In a decision-impact analysis, of the 27 patients for whom treatment decisions before MP were available, 74.1% experienced a treatment decision change in the first line after MP. Twenty-four patients were evaluable for clinical outcome analysis; in 37.5%, the PFS ratio was ≥ 1.3. In one-sided exact binomial test versus the null hypothesis, P = 0.0015; therefore, the null hypothesis was rejected. In conclusion, our analysis demonstrated the feasibility, clinical decision impact, and potential clinical benefits of MP-guided therapy in advanced PBC.

Indexed as

AdultAgedAged, 80 and overBile Duct NeoplasmsBiomarkers, TumorDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm StagingPancreatic NeoplasmsRetrospective StudiesBiomarkers, Tumor

Identifiers

PMID26161408
PMCPMC4464000
OpenAlexW1577120933

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.