Evidence map›Paper›PMID 27185372›Full record

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

TransCONFIRM: Identification of a Genetic Signature of Response to Fulvestrant in Advanced Hormone Receptor-Positive Breast Cancer.

Rinath Jeselsohn, William T Barry, Ilenia Migliaccio, Chiara Biagioni, Jin Zhao, Jonas De Tribolet-Hardy, Cristina Guarducci, Martina Bonechi, Naomi Laing, Eric P Winer and 3 more

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Evaluation of targeted and immune combination therapies in a rat model of hormone receptor-positive breast cancer.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Review
  5. Gene Expression Assays to Tailor Adjuvant Endocrine Therapy for HR+/HER2- Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review
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  9. Article
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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

13 authors at 3 institutions in 3 countries.

Rinath JeselsohnSusan F. Smith Center for Women's Cancers, Dana Farber Cancer Institute, Boston, Massachusetts. myles_brown@dfci.harvard.edu rinath_jeseloshn@dfci.harvard.edu.
William T BarrySusan F. Smith Center for Women's Cancers, Dana Farber Cancer Institute, Boston, Massachusetts.
Ilenia MigliaccioTranslational Research Unit, Hospital of Prato, Istituto Toscano Tumori, Prato, Italy.
Chiara BiagioniTranslational Research Unit, Hospital of Prato, Istituto Toscano Tumori, Prato, Italy.
Jin ZhaoCenter for Functional Caner Epigenetics, Dana Farber Cancer Institute, Boston, Massachusetts.
Jonas De Tribolet-HardyCenter for Functional Caner Epigenetics, Dana Farber Cancer Institute, Boston, Massachusetts.
Cristina GuarducciTranslational Research Unit, Hospital of Prato, Istituto Toscano Tumori, Prato, Italy.
Martina BonechiTranslational Research Unit, Hospital of Prato, Istituto Toscano Tumori, Prato, Italy.
Naomi LaingAstra Zeneca Pharmaceuticals, Macclesfield, United Kingdom.
Eric P WinerSusan F. Smith Center for Women's Cancers, Dana Farber Cancer Institute, Boston, Massachusetts.
Myles BrownSusan F. Smith Center for Women's Cancers, Dana Farber Cancer Institute, Boston, Massachusetts. myles_brown@dfci.harvard.edu rinath_jeseloshn@dfci.harvard.edu.
Angelo Di LeoTranslational Research Unit, Hospital of Prato, Istituto Toscano Tumori, Prato, Italy.
Luca MalorniTranslational Research Unit, Hospital of Prato, Istituto Toscano Tumori, Prato, Italy.
Dana-Farber Cancer Institute · USHospital of Prato · ITAstraZeneca (United Kingdom) · GB

Funding

Tissue and Pathology CoreP50CA168504 · NCI · DANA-FARBER CANCER INST · PI NANCY U LIN · 2013 to 2026
$30.1M
Elucidating and overcoming endocrine resistance driven by ESR1 mutationsK08CA191058 · NCI · DANA-FARBER CANCER INST · PI JESELSOHN, RINATH M. · 2015 to 2019
$886k
NCI NIH HHS K08 CA191058NCI NIH HHS P50 CA168504
6 · The paper itself

Abstract

purposeFulvestrant is an estrogen receptor (ER) antagonist and an approved treatment for metastatic estrogen receptor-positive (ER EXPERIMENTAL

designPrimary tumor samples from 134 patients enrolled in the phase III CONFIRM study of patients with metastatic ER

resultsPathway analysis demonstrated that increased EGF pathway and FOXA1 transcriptional signaling is associated with decreased response to fulvestrant. Using a multivariate Cox model, we identified a novel set of 37 genes with an expression that is independently associated with progression-free survival (PFS). TFAP2C, a known regulator of ER activity, was ranked second in this gene set, and high expression was associated with a decreased response to fulvestrant. The negative predictive value of TFAP2C expression at the protein level was confirmed by IHC.

conclusionsWe identified biologic pathways and a novel gene signature in primary ER

Indexed as

Antineoplastic Agents, HormonalBreast NeoplasmsDisease-Free SurvivalDouble-Blind MethodEpidermal Growth FactorEstradiolFemaleFulvestrantGene Expression ProfilingHepatocyte Nuclear Factor 3-alphaHumansMiddle AgedPostmenopauseReceptors, EstrogenSignal TransductionTranscription Factor AP-2Antineoplastic Agents, HormonalEpidermal Growth FactorEstradiolFulvestrantHepatocyte Nuclear Factor 3-alphaReceptors, EstrogenTranscription Factor AP-2

Identifiers

PMID27185372
PMCPMC5124409
OpenAlexW2405585800

What OpenQuestion holds

Textmetadata
LicenceTDM
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.