Evidence map›Paper›PMID 26313663›Full record

ArticleBritish journal of cancer2015

Brain metastases in gastro-oesophageal adenocarcinoma: insights into the role of the human epidermal growth factor receptor 2 (HER2).

J Feilchenfeldt, Z Varga, M Siano, H I Grabsch, U Held, B Schuknecht, A Trip, T Hamaguchi, P Gut, O Balague and 12 more

Erratum issued Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01456455 (Registry of Gastric Cancer and Brain Metastases), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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.

NCT01456455 unknown statusnot on this map

Registry of Gastric Cancer and Brain Metastases

Typeobservational_patient_registrySponsorUniversity of ZurichRan2011 to 2020Enrolled150ConditionsGastric Cancer
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. RAS/RAF Comutation and ERBB2 Copy Number Modulates HER2 Heterogeneity and Responsiveness to HER2-directed Therapy in Colorectal Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  6. The relationship between brain metastasis and HER2 expression status in gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Enrichment ofThe oncologist · 2019
    Article
  14. Article
  15. Review
  16. Pathway Cross-Talk Analysis in Detecting Significant Pathways in Barrett's Esophagus Patients.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 12 institutions in 5 countries.

J FeilchenfeldtService d'oncologie médical, Hôpital du Valais, Sion 1951, Switzerland.
Z VargaInstitute of Surgical Pathology, University Hospital Zurich, Zurich 8091, Switzerland.
M SianoDepartment of Oncology and Hematology, Kantonsspital St Gallen, St Gallen 9700, Switzerland.
H I GrabschDepartment of Pathology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht 6229HX, The Netherlands.
U HeldHorten Center for Patient-Oriented Research and Knowledge Transfer, University of Zurich, Zurich 8091, Switzerland.
B SchuknechtNeuroradiology, MRI Medizinisch Radiologisches Institut, Zurich 8001, Switzerland.
A TripDepartment of Radiation Oncology, Netherlands Cancer Institute, Amsterdam 1066, The Netherlands.
T HamaguchiGastrointestinal Medical Oncology Division, National Cancer Center Hospital Tokyo, Tokyo 104-0045, Japan.
P GutDepartment of Radiooncology, Luzerner Kantonsspital, Lucerne 6000, Switzerland.
O BalagueDepartment of Pathology, Netherlands Cancer Institute, Amsterdam 1066, The Netherlands.
K KhanfirDepartment of Radiooncology, Hôpital du Valais, Sion 1951, Switzerland.
J DieboldInstitute of Pathology, Luzerner Kantonsspital, Lucerne 6000, Switzerland.
W JochumInstitute of Pathology, Kantonsspital, St Gallen 9700, Switzerland.
H ShojiGastrointestinal Medical Oncology Division, National Cancer Center Hospital Tokyo, Tokyo 104-0045, Japan.
R KushimaDepartment of Clinical Laboratory Medicine and Pathology, Shiga University of Medical Science, Seta, Otsu, Shiga 520-2192, Japan.
D WagnerDepartment of Oncology, CHUV, Lausanne 1011, Switzerland.
Y ShimadaGastrointestinal Medical Oncology Division, National Cancer Center Hospital Tokyo, Tokyo 104-0045, Japan.
A CatsDepartment of Gastroenterology, Netherlands Cancer Institute, Amsterdam 1066, The Netherlands.
A KnuthNCCCR, Hamad Medical Corporation, PO Box 3050, Doha, Qatar.
H MochInstitute of Surgical Pathology, University Hospital Zurich, Zurich 8091, Switzerland.
S AebiDepartment of Oncology, Luzerner Kantonsspital, Lucerne 6000, Switzerland.
S HoferDepartment of Oncology, University Hospital Zurich, Zurich 8091, Switzerland.
University Hospital of Zurich · CHLuzerner Kantonsspital · CHNational Cancer Center · USDutch Cancer Society · NLHôpital du Valais · CHKantonsspital St. Gallen · CHAssociated Radiologists · USMaastricht University Medical Centre · NLOncode Institute · NLShiga University of Medical Science · JPStiftung Patientensicherheit Schweiz · CHUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastro-oesophageal adenocarcinomas rarely metastasize to the central nervous system (CNS). The role of the human epidermal growth factor receptor 2 (HER2) in patients with these cancers and CNS involvement is presently unknown. PATIENTS AND

methodsA multicentre registry was established to collect data from patients with gastro-oesophageal adenocarcinomas and CNS involvement both retrospectively and prospectively. Inclusion in the study required a predefined clinical data set, a central neuro-radiological or histopathological confirmation of metastatic CNS involvement and central assessment of HER2 by immunohistochemistry (IHC) and in situ hybridisation (ISH). In addition, expression of E-cadherin and DNA mismatch repair (MMR) proteins were assessed by IHC.

resultsOne hundred patients fulfilled the inclusion criteria. The population's median age was 59 years (interquartile range: 54-68), of which 85 (85%) were male. Twenty-five patients were of Asian and 75 of Caucasian origin. HER2 status was positive in 36% (95% CI: 26.6-46.2) of cases. Median time from initial diagnosis to the development of brain metastases (BMets) or leptomeningeal carcinomatosis (LC) was 9.9 months (95% CI: 8.5-15.0). Median overall survival from diagnosis was 16.9 months (95% CI: 14.0-20.7) and was not related to the HER2 status. E-cadherin loss was observed in 9% of cases and loss of expression in at least one DNA MMR proteins in 6%.

conclusionsThe proportion of a positive HER2 status in patients with gastro-oesophageal adenocarcinoma and CNS involvement was higher than expected. The impact of anti-HER2 therapies should be studied prospectively.

Indexed as

AdenocarcinomaAgedAntigens, CDBrain NeoplasmsCadherinsDNA RepairErb-b2 Receptor Tyrosine KinasesEsophageal NeoplasmsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedStomach NeoplasmsAntigens, CDCadherinsCDH1 protein, humanERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID26313663
PMCPMC4559836
OpenAlexW1185133553

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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.