Evidence map›Paper›PMID 26650486›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2016

The relationship between RRM1 gene polymorphisms and effectiveness of gemcitabine-based first-line chemotherapy in advanced NSCLC patient.

R Mlak, P Krawczyk, M Ciesielka, P Kozioł, I Homa, T Powrózek, M Prendecka, J Milanowski, T Małecka-Massalska

Open access · hybridAbstract read
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Review
  7. Outcomes of GDPT (gemcitabine, cisplatin, prednisone, thalidomide)Therapeutic advances in medical oncology · 2020
    Article
  8. Article
  9. Article
  10. 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

9 authors at 1 institution in 1 country.

R MlakDepartment of Human Physiology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland. radoslaw.mlak@gmail.com.ORCID http://orcid.org/0000-0001-7399-8340
P KrawczykDepartment of Pneumology, Oncology and Allergology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
M CiesielkaDepartment of Forensic Medicine, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
P KoziołDepartment of Forensic Medicine, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
I HomaDepartment of Human Physiology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
T PowrózekDepartment of Pneumology, Oncology and Allergology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
M PrendeckaDepartment of Human Physiology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
J MilanowskiDepartment of Pneumology, Oncology and Allergology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
T Małecka-MassalskaDepartment of Human Physiology, Medical University of Lublin, Radziwiłłowska 11, 20-080, Lublin, Poland.
Medical University of Lublin · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChemotherapy with platinum compounds and gemcitabine is frequently used in first-line treatment of advanced non-small cell lung cancer (NSCLC) patients in which tyrosine kinase inhibitors (EGFR or ALK) cannot be administered. Unfortunately, less than half of the patients achieve the benefit from chemotherapy. Gemcitabine is an analog of deoxycytidine (pyrimidine antimetabolite) with antitumor activity. The excess of deoxycytidine synthesized by RRM1 enzyme activity may be a cause of competitive displacement of gemcitabine, which reduces the efficacy of this cytostatic. The aim of this study was to determine the association between single nucleotide polymorphisms (SNPs) of the RRM1 promoter (-37C>A, -524C>T) and the effectiveness of first-line chemotherapy based on platinum compounds and gemcitabine in NSCLC patients. PATIENTS AND

methodsSNPs were determined by SNaPshot PCR(®) in DNA isolated from peripheral blood of 91 NSCLC patients.

resultsThe median progression-free survival (PFS) was significantly longer in carriers of AA (-37C>A) as well as CC (-524C>T) genotype of RRM1 compared to patients with other genotypes (10.5 vs 3.5 months, p = 0.0437; HR = 2.17, 95 % CI 1.02-4.62 and 10.5 vs 3.5 months, p = 0.0343; HR = 2.12, 95 % CI 1.06-4.27). In addition, the CC genotype carriers (-37C>A) showed a significant increase in the risk of shortening overall survival (OS) in comparison to patients with AA or AC genotypes (9.5 vs 18 months, p = 0.0193; HR = 2.13, 95 % CI 1.13-4.03).

conclusionsPresence of rare AA (-37C>A) and CC (-524C>T) genotypes of the RRM1 may be favorable predictive factors for chemotherapy with platinum compounds and gemcitabine in NSCLC patients.

Indexed as

Polymorphism, Single NucleotideAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungDeoxycytidineDisease-Free SurvivalDrug Resistance, NeoplasmFemaleGemcitabineGenotypeHumansKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedDeoxycytidineGemcitabinePlatinum CompoundsRibonucleoside Diphosphate ReductaseRRM1 protein, humanTumor Suppressor ProteinsChemotherapyGemcitabineNon-small cell lung cancerPlatinum compoundsRRM1

Identifiers

PMID26650486
PMCPMC4995236
OpenAlexW2189770977

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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.