Evidence map›Paper›PMID 26372731›Full record

Trial reportOncotarget2015

A four gene signature predicts benefit from anthracyclines: evidence from the BR9601 and MA.5 clinical trials.

Melanie Spears, Fouad Yousif, Nicola Lyttle, Paul C Boutros, Alison F Munro, Chris Twelves, Kathleen I Pritchard, Mark N Levine, Lois Shepherd, John M S Bartlett

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. 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

10 authors at 7 institutions in 2 countries.

Melanie SpearsTransformative Pathology, Ontario Institute for Cancer Research, MaRS Centre, Toronto, ON, Canada.
Fouad YousifInformatics and Bio-Computing, Ontario Institute for Cancer Research, MaRS Centre, Toronto, ON, Canada.
Nicola LyttleTransformative Pathology, Ontario Institute for Cancer Research, MaRS Centre, Toronto, ON, Canada.
Paul C BoutrosInformatics and Bio-Computing, Ontario Institute for Cancer Research, MaRS Centre, Toronto, ON, Canada.
Alison F MunroEdinburgh Cancer Research UK Centre, MRC IGMM, University of Edinburgh, Crewe Road South, Edinburgh, UK.
Chris TwelvesLeeds Institute of Cancer and Pathology and Cancer Research UK Centre, St James' University Hospital, Leeds, UK.
Kathleen I PritchardSunnybrook Odette Cancer Centre, Toronto, ON, Canada.
Mark N LevineMcMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.
Lois ShepherdNCIC Clinical Trials Group (NCIC CTG] and Queen's University, Kingston, ON, Canada.
John M S BartlettTransformative Pathology, Ontario Institute for Cancer Research, MaRS Centre, Toronto, ON, Canada.
Ontario Institute for Cancer Research · CAEdinburgh Cancer Research · GBMcMaster University · CAQueen's University · CASt James's University Hospital · GBSunnybrook Health Science Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chromosome instability (CIN) in solid tumours results in multiple numerical and structural chromosomal aberrations and is associated with poor prognosis in multiple tumour types. Recent evidence demonstrated CEP17 duplication, a CIN marker, is a predictive marker of anthracycline benefit. An analysis of the BR9601 and MA.5 clinical trials was performed to test the role of existing CIN gene expression signatures as predictive markers of anthracycline sensitivity in breast cancer. Univariate analysis demonstrated, high CIN25 expression score was associated with improved distant relapse free survival (DRFS) (HR: 0.74, 95% CI 0.54-0.99, p = 0.046). High tumour CIN70 and CIN25 scores were associated with aggressive clinicopathological phenotype and increased sensitivity to anthracycline therapy compared to low CIN scores. However, in a prospectively planned multivariate analysis only pathological grade, nodal status and tumour size were significant predictors of outcome for CIN25/CIN70. A limited gene signature was generated, patients with low tumour CIN4 scores benefited from anthracycline treatment significantly more than those with high CIN4 scores (HR 0.37, 95% CI 0.20-0.56, p = 0.001). In multivariate analyses the treatment by marker interaction for CIN4/anthracyclines demonstrated hazard ratio of 0.35 (95% CI 0.15-0.80, p = 0.012) for DRFS. This data shows CIN4 is independent predictor of anthracycline benefit for DRFS in breast cancer.

Indexed as

Gene Expression ProfilingGene Expression Regulation, NeoplasticAnthracyclinesAntibiotics, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBreast NeoplasmsChromosomal InstabilityFemaleFollow-Up StudiesHumansMiddle AgedNeoplasm GradingNeoplasm Recurrence, LocalNeoplasm StagingPrognosisAnthracyclinesAntibiotics, AntineoplasticBiomarkers, TumorRNA, Messengeranthracyclinebreast cancerchromosome instabilitypredictive biomarker

Identifiers

PMID26372731
PMCPMC4741633
OpenAlexW2207394670

What OpenQuestion holds

Textmetadata
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.