Evidence map›Paper›PMID 27682134›Full record

ArticleThe oncologist2016

Broad Detection of Alterations Predicted to Confer Lack of Benefit From EGFR Antibodies or Sensitivity to Targeted Therapy in Advanced Colorectal Cancer.

Andrew Rankin, Samuel J Klempner, Rachel Erlich, James X Sun, Axel Grothey, Marwan Fakih, Thomas J George, Jeeyun Lee, Jeffrey S Ross, Philip J Stephens and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Sensitivities and Dependencies ofMedicina (Kaunas, Lithuania) · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Prevalence, prognosis and predictive status of HER2 amplification in anti-EGFR-resistant metastatic colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Review
  12. Mechanisms of Innate and Acquired Resistance to Anti-EGFR Therapy: A Review of Current Knowledge with a Focus on Rechallenge Therapies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Review
  13. Tropomyosin receptor kinase (TRK) biology and the role of NTRK gene fusions in cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Colorectal cancer genomics and designing rational trials.Annals of translational medicine · 2018
    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

13 authors at 7 institutions in 2 countries.

Andrew RankinFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Samuel J KlempnerThe Angeles Clinic & Research Institute, Los Angeles, California, USA.
Rachel ErlichFoundation Medicine Inc., Cambridge, Massachusetts, USA.
James X SunFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Axel GrotheyMayo Clinic Cancer Center, Rochester, Minnesota, USA.
Marwan FakihCity of Hope Comprehensive Cancer Center, Duarte, California, USA.
Thomas J GeorgeCollege of Medicine, University of Florida, Gainesville, Florida, USA.
Jeeyun LeeDepartment of Hematology and Oncology, Samsung Medical Center, SungKyunKwan University School of Medicine, Seoul, Republic of Korea.
Jeffrey S RossFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Philip J StephensFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Vincent A MillerFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Siraj M AliFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Alexa B SchrockFoundation Medicine Inc., Cambridge, Massachusetts, USA aschrock@Foundationmedicine.com.
Foundation Medicine (United States)Albany Medical Center Hospital · USAngeles Clinic and Research Institute · USCity of Hope · USMayo Clinic · USSamsung Medical Center · KRUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA MATERIALS AND

methodsWe prospectively analyzed 4,422 clinical samples from patients with advanced CRC, using hybrid-capture based comprehensive genomic profiling (CGP) at the request of the individual treating physicians. Comparison with prior molecular testing results, when available, was performed to assess concordance.

resultsWe identified a RAS/RAF pathway mutation or amplification in 62% of cases, including samples harboring

conclusionExtended genomic profiling reliably detects alterations associated with lack of benefit to anti-EGFR therapy in advanced CRC, while simultaneously identifying alterations potentially important in guiding treatment. The use of CGP during the course of clinical care allows for the refined selection of appropriate targeted therapies and clinical trials, increasing the chance of clinical benefit and avoiding therapeutic futility. IMPLICATIONS FOR PRACTICE: Comprehensive genomic profiling (CGP) detects diverse genomic alterations associated with lack of benefit to anti-epidermal growth factor receptor therapy in advanced colorectal cancer (CRC), as well as targetable alterations in many other genes. This includes detection of a broad spectrum of activating

Indexed as

BiomarkerCetuximabColon cancerEpidermal growth factor receptorGenomic profilingKRAS

Identifiers

PMID27682134
PMCPMC5189622
OpenAlexW2527263072

What OpenQuestion holds

Textmetadata
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.