Evidence map›Paper›PMID 27655703›Full record

Trial reportOncotarget2017

Prognostic factors of successful on-purpose tumor biopsies in metastatic cancer patients included in the SHIVA prospective clinical trial.

Emilie Desportes, Mathilde Wagner, Maud Kamal, Anne Vincent Salomon, Gabrielle Deniziaut, Gaëlle Pierron, Etienne Rouleau, Thomas Jouffroy, Christophe Le Tourneau, Xavier Paoletti and 1 more

Open access · diamondAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. 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

11 authors at 2 institutions in 1 country.

Emilie DesportesDepartement of Radiology and Nuclear Medecine, Institut Curie, Paris, France.
Mathilde WagnerDepartement of Radiology and Nuclear Medecine, Institut Curie, Paris, France.
Maud KamalDepartment of Medical Oncology, Institut Curie, Paris, France.
Anne Vincent SalomonDepartment of Pathology, Institut Curie, Paris, France.
Gabrielle DeniziautDepartment of Pathology, Institut Curie, Paris, France.
Gaëlle PierronDepartment of Genetic, Institut Curie, Paris, France.
Etienne RouleauDepartment of Genetic, Institut Curie, Paris, France.
Thomas JouffroyDepartment of ENT Surgery, Institut Curie, Paris, France.
Christophe Le TourneauDepartment of Medical Oncology, Institut Curie, Paris, France.
Xavier PaolettiDepartment of Biostatistics and Epidemiology & INSERM U1018 oncostat, Gustave Roussy Cancer Campus, Villejuif, France.
Vincent ServoisDepartement of Radiology and Nuclear Medecine, Institut Curie, Paris, France.
Institut Curie · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify patient/tumor characteristics associated with success of biopsy in patients who received multiple lines of chemotherapy.

methodsPatients with refractory cancer from our center, who were included in a prospective randomized phase II trial comparing targeted therapies based on molecular profile of tumors versus conventional chemotherapy, were retrospectively included in this IRB-approved study. All patients had a biopsy of a tumor lesion performed during surgery, or using CT/palpation/endoscopic guidance. A biopsy was considered successful if the neoplastic cellularity was greater than 30%. Primary lesion, size and location of biopsied lesion, on-going chemotherapy and the differential attenuation between non-enhanced and venous phase (HU) for CT-guided biopsied lesions were recorded.

results228 patients (age=59±15yo; M/F=1.9) were included. One hundred and sixty biopsies (72%) of the 221 biopsies performed were successful. Prognostic factors of biopsy success were: no ongoing chemotherapy, surgical or palpation-guided biopsy, lymph nodes/soft tissue location(P <0.01). Among the 221 performed biopsies, 122 (55%) were performed using CT guidance and 82 (67%) were successful. In this subgroup, biopsied lesions located in lymph nodes/soft tissue were associated with a higher success rate while lung location was associated with failure (P <0.01). The mean differential attenuation was significantly higher in lesions with a successful biopsy (P <0.001).

conclusionSuccess of biopsy was less frequent with CT guidance than with surgical or palpation-guided biopsy and was higher in soft tissues and lymph nodes than that in visceral metastasis. Ongoing chemotherapy decreased tumor cell content and consequently the success of the biopsy samples for molecular profiling.

Indexed as

Antineoplastic AgentsBiopsy, NeedleFemaleHumansImage-Guided BiopsyLymph NodesMaleMiddle AgedMolecular Targeted TherapyNeoplasmsPrognosisProspective StudiesRetrospective StudiesTomography, X-Ray ComputedAntineoplastic AgentsbiopsycellularityCT-guided biopsyprecision medicinetargeted therapies

Identifiers

PMID27655703
PMCPMC5352095
OpenAlexW2520153207

What OpenQuestion holds

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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.