Evidence map›Paper›PMID 27448593›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2016

Validation of a Novel Biomarker Panel for the Detection of Ovarian Cancer.

Felix Leung, Marcus Q Bernardini, Marshall D Brown, Yingye Zheng, Rafael Molina, Robert C Bast, Gerard Davis, Stefano Serra, Eleftherios P Diamandis, Vathany Kulasingam

Open access · bronzeAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
8.8field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 36 citations in OpenAlex.

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  17. Towards personalized tumor markers.NPJ precision oncology · 2017
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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

10 authors at 2 institutions in 2 countries.

Felix LeungDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada. Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Marcus Q BernardiniDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.
Marshall D BrownFred Hutchinson Cancer Research Center, Seattle, Washington.
Yingye ZhengFred Hutchinson Cancer Research Center, Seattle, Washington.
Rafael MolinaService of Clinical Biochemistry, Hospital Clínic de Barcelona, Barcelona, Spain.
Robert C BastDepartment of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Gerard DavisAbbott Diagnostics, Lake Forest, Illinois.
Stefano SerraDepartment of Pathology, Laboratory Medicine Program, University Health Network, Toronto, Ontario, Canada.
Eleftherios P DiamandisDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada. Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. Department of Clinical Biochemistry, University Health Network, Toronto, Ontario, Canada.
Vathany KulasingamDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada. Department of Clinical Biochemistry, University Health Network, Toronto, Ontario, Canada. vathany.kulasingam@uhn.ca.
University of Toronto · CAFred Hutch Cancer Center · US

Funding

MD Anderson Cancer Center EDRN- CVC for Early Detection of Ovarian CancerU01CA200462 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ROBERT C BAST · 2016 to 2026
$9.3M
Statistical Methods for Prospective Evaluation of BiomarkersR01GM085047 · NIGMS · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ZHENG, YINGYE · 2009 to 2017
$2.6M
An integrated systems biology approach for ovarian cancer biomarker discoveryU01CA152755 · NCI · SINAI HEALTH SYSTEM · PI DIAMANDIS, ELEFTHERIOS P · 2010 to 2015
$1.4M
NCI NIH HHS U01 CA152755NCI NIH HHS U01 CA200462NIGMS NIH HHS R01 GM085047
6 · The paper itself

Abstract

backgroundOvarian cancer is the most lethal gynecological malignancy. Our integrated -omics approach to ovarian cancer biomarker discovery has identified kallikrein 6 (KLK6) and folate-receptor 1 (FOLR1) as promising candidates but these markers require further validation.

methodsKLK6, FOLR1, CA125, and HE4 were investigated in three independent serum cohorts with a total of 20 healthy controls, 150 benign controls, and 216 ovarian cancer patients. The serum biomarker levels were determined by ELISA or automated immunoassay.

resultsAll biomarkers demonstrated elevations in the sera of ovarian cancer patients compared with controls (P < 0.01). Overall, CA125 and HE4 displayed the strongest ability (AUC 0.80 and 0.82, respectively) to identify ovarian cancer patients and the addition of HE4 to CA125 improved the sensitivity from 36% to 67% at a set specificity of 95%. In addition, the combination of HE4 and FOLR1 was a strong predictor of ovarian cancer diagnosis, displaying comparable sensitivity (65%) to the best-performing CA125-based models (67%) at a set specificity of 95%.

conclusionsThe markers identified through our integrated -omics approach performed similarly to the clinically approved markers CA125 and HE4. Furthermore, HE4 represents a powerful diagnostic marker for ovarian cancer and should be used more routinely in a clinical setting. IMPACT: The implications of our study are 2-fold: (i) we have demonstrated the strengths of HE4 alone and in combination with CA125, lending credence to increasing its usage in the clinic; and (ii) we have demonstrated the clinical utility of our integrated -omics approach to identifying novel serum markers with comparable performance to clinical markers. Cancer Epidemiol Biomarkers Prev; 25(9); 1333-40. ©2016 AACR.

Indexed as

AdultAgedBiomarkers, TumorCA-125 AntigenCase-Control StudiesEarly Detection of CancerEnzyme-Linked Immunosorbent AssayFemaleFolate Receptor 1HumansKallikreinsMiddle AgedOvarian NeoplasmsProteinsRetrospective StudiesROC CurveBiomarkers, TumorCA-125 AntigenFolate Receptor 1FOLR1 protein, humanKallikreinsKLK6 protein, humanProteinsWAP Four-Disulfide Core Domain Protein 2WFDC2 protein, human

Identifiers

PMID27448593
PMCPMC5010461
OpenAlexW2493518155

What OpenQuestion holds

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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.