Evidence map›Paper›PMID 26957554›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2016

Homologous Recombination Deficiency (HRD) Score Predicts Response to Platinum-Containing Neoadjuvant Chemotherapy in Patients with Triple-Negative Breast Cancer.

Melinda L Telli, Kirsten M Timms, Julia Reid, Bryan Hennessy, Gordon B Mills, Kristin C Jensen, Zoltan Szallasi, William T Barry, Eric P Winer, Nadine M Tung and 15 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 655 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
655citing papers in PubMed, 4 pooled it
36.0field-weighted citation impact, top 1% 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

655 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,128 citations in OpenAlex.

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  8. A Phase II Trial of Olaparib plus Pembrolizumab in Patients with Recurrent Copy Number-High/p53-Abnormal Endometrial Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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595 more citing papers are in PubMed but not listed here.

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

25 authors at 4 institutions in 1 country.

Melinda L TelliStanford University School of Medicine, Stanford, California.
Kirsten M TimmsMyriad Genetics Inc., Salt Lake City, Utah.
Julia ReidMyriad Genetics Inc., Salt Lake City, Utah.
Bryan HennessyUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
Gordon B MillsUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
Kristin C JensenStanford University School of Medicine, Stanford, California.
Zoltan SzallasiDenmark Technical University, Lyngby, Denmark. Children's Hospital Boston, Boston, Massachusetts. Harvard Medical School, Boston, Massachusetts.
William T BarryHarvard Medical School, Boston, Massachusetts. Dana-Farber Cancer Institute, Boston, Massachusetts.
Eric P WinerHarvard Medical School, Boston, Massachusetts. Dana-Farber Cancer Institute, Boston, Massachusetts.
Nadine M TungHarvard Medical School, Boston, Massachusetts. Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Steven J IsakoffHarvard Medical School, Boston, Massachusetts. Massachusetts General Hospital, Boston, Massachusetts.
Paula D RyanMassachusetts General Hospital, Boston, Massachusetts.
April Greene-ColozziDana-Farber Cancer Institute, Boston, Massachusetts.
Alexander GutinMyriad Genetics Inc., Salt Lake City, Utah.
Zaina SangaleMyriad Genetics Inc., Salt Lake City, Utah.
Diana IlievMyriad Genetics Inc., Salt Lake City, Utah.
Chris NeffMyriad Genetics Inc., Salt Lake City, Utah.
Victor AbkevichMyriad Genetics Inc., Salt Lake City, Utah.
Joshua T JonesMyriad Genetics Inc., Salt Lake City, Utah.
Jerry S LanchburyMyriad Genetics Inc., Salt Lake City, Utah.
Anne-Renee HartmanMyriad Genetics Inc., Salt Lake City, Utah.
Judy E GarberHarvard Medical School, Boston, Massachusetts. Dana-Farber Cancer Institute, Boston, Massachusetts.
James M FordStanford University School of Medicine, Stanford, California.
Daniel P SilverHarvard Medical School, Boston, Massachusetts. Dana-Farber Cancer Institute, Boston, Massachusetts. Daniel_Silver@DFCI.Harvard.Edu.
Andrea L RichardsonHarvard Medical School, Boston, Massachusetts. Dana-Farber Cancer Institute, Boston, Massachusetts. Brigham and Women's Hospital, Boston, Massachusetts.
Harvard University · USDana-Farber Cancer Institute · USThe University of Texas MD Anderson Cancer Center · USMassachusetts General Hospital · US

Funding

UNIVERSITY OF TEXAS MD ANDERSON SPORE IN OVARIAN CANCERP50CA083639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BAST, ROBERT C · 1999 to 2015
$33.0M
Tissue and Pathology CoreP50CA168504 · NCI · DANA-FARBER CANCER INST · PI MYLES A BROWN · 2013 to 2026
$30.1M
Variation in Receptor Tyrosine Kinases and Breast Cancer RiskP50CA089393 · NCI · DANA-FARBER CANCER INSTITUTE · PI HARRIS, LYNDSAY NORINE · 2000 to 2009
$28.8M
NCI NIH HHS P50 CA083639NCI NIH HHS P50 CA089393NCI NIH HHS P50 CA168504
6 · The paper itself

Abstract

purposeBRCA1/2-mutated and some sporadic triple-negative breast cancers (TNBC) have DNA repair defects and are sensitive to DNA-damaging therapeutics. Recently, three independent DNA-based measures of genomic instability were developed on the basis of loss of heterozygosity (LOH), telomeric allelic imbalance (TAI), and large-scale state transitions (LST). EXPERIMENTAL

designWe assessed a combined homologous recombination deficiency (HRD) score, an unweighted sum of LOH, TAI, and LST scores, in three neoadjuvant TNBC trials of platinum-containing therapy. We then tested the association of HR deficiency, defined as HRD score ≥42 or BRCA1/2 mutation, with response to platinum-based therapy.

resultsIn a trial of neoadjuvant platinum, gemcitabine, and iniparib, HR deficiency predicted residual cancer burden score of 0 or I (RCB 0/I) and pathologic complete response (pCR; OR = 4.96, P = 0.0036; OR = 6.52, P = 0.0058). HR deficiency remained a significant predictor of RCB 0/I when adjusted for clinical variables (OR = 5.86, P = 0.012). In two other trials of neoadjuvant cisplatin therapy, HR deficiency predicted RCB 0/I and pCR (OR = 10.18, P = 0.0011; OR = 17.00, P = 0.0066). In a multivariable model of RCB 0/I, HR deficiency retained significance when clinical variables were included (OR = 12.08, P = 0.0017). When restricted to BRCA1/2 nonmutated tumors, response was higher in patients with high HRD scores: RCB 0/I P = 0.062, pCR P = 0.063 in the neoadjuvant platinum, gemcitabine, and iniparib trial; RCB 0/I P = 0.0039, pCR P = 0.018 in the neoadjuvant cisplatin trials.

conclusionsHR deficiency identifies TNBC tumors, including BRCA1/2 nonmutated tumors more likely to respond to platinum-containing therapy. Clin Cancer Res; 22(15); 3764-73. ©2016 AACR.

Indexed as

Allelic ImbalanceHomologous RecombinationLoss of HeterozygosityTelomereAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFemaleGenes, BRCA1Genes, BRCA2HumansMutationNeoplasm StagingOdds RatioPlatinumPrognosisTreatment OutcomeBiomarkers, TumorPlatinum

Identifiers

PMID26957554
PMCPMC6773427
OpenAlexW2295085830

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.