Evidence map›Paper›PMID 27769273›Full record

Trial reportBMC medical ethics2016

Communicating BRCA research results to patients enrolled in international clinical trials: lessons learnt from the AGO-OVAR 16 study.

David J Pulford, Philipp Harter, Anne Floquet, Catherine Barrett, Dong Hoon Suh, Michael Friedlander, José Angel Arranz, Kosei Hasegawa, Hiroomi Tada, Peter Vuylsteke and 15 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BMC medical ethics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00866697 (A Phase III Study to Evaluate the Efficacy and Safety of Pazopanib Monotherapy Versus Placebo in Women Who Have Not Progressed After First Line Chemotherapy for Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT00866697 phase3completednot on this map

A Phase III Study to Evaluate the Efficacy and Safety of Pazopanib Monotherapy Versus Placebo in Women Who Have Not Progressed After First Line Chemotherapy for Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

TypeinterventionalSponsorNovartis PharmaceuticalsRan2009 to 2017Enrolled940ConditionsOvarian CancerArmsPazopanib, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
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.

David J PulfordGlaxoSmithKline Medicines Research Centre, Gunnels Wood Road, Stevenage, Hertfordshire, SG1 2NY, UK. david.x.pulford@gsk.com.
Philipp HarterAGO Study group and Department of Gynecology & Gynecologic Oncology, Kliniken Essen Mitte (KEM), Essen, Germany.
Anne FloquetGINECO and Medical Oncology, Institut Bergonié, Bordeaux, France.
Catherine BarrettGSK Stockley Park West, 1-3 Iron Bridge Road, Uxbridge, UK.
Dong Hoon SuhDepartment of Obstetrics & Gynecology, KGOG and Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, Korea.
Michael FriedlanderANZGOG and The Prince of Wales Clinical School University of New South Wales, Randwick, NSW, Australia.
José Angel ArranzGEICO and Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Kosei HasegawaJGOG and Saitama Medical University International Medical Center, Hidaka, Japan.
Hiroomi TadaGlaxoSmithKline Research and Development, Philadelphia, USA.
Peter VuylstekeBGOG and Medical Oncology, Université Catholique de Louvain, CHU UCL Namur, Belgium.
Mansoor R MirzaNSGO and Rigshospitalet, Copenhagen, Denmark.
Nicoletta DonadelloMaNGO and Ospedale Filippo del Ponte, Varese, Italy.
Giovanni ScambiaDepartment of Woman Health, MITO and Catholic University of the Sacred Heart, Rome, Italy.
Toby JohnsonGlaxoSmithKline Medicines Research Centre, Gunnels Wood Road, Stevenage, Hertfordshire, SG1 2NY, UK.
Charles CoxGlaxoSmithKline Medicines Research Centre, Gunnels Wood Road, Stevenage, Hertfordshire, SG1 2NY, UK.
John K ChanPalo Alto Medical Foundation, San Francisco, CA, USA.
Martin ImhofKarl Landsteiner Research Institute and Department of Obstetrics and Gynecology, General Public Teaching Hospital, Korneuburg, Vienna, Austria.
Thomas J HerzogNYGOG and University of Cincinnati Cancer Institute, Cincinnati, OH, USA.
Paula CalvertCancer Trials Ireland, 60 Fitzwilliam Square N, Dublin 2, Ireland.
Pauline WimbergerAGO Germany and Department of Gynecology and Obstetrics, TU Dresden, Carl-Gustav-Carus University, Dresden, Germany.
Dominique Berton-RigaudGINECO and ICO Centre René Gauducheau, Saint-Herblain, France.
Myong Cheol LimKGOG, Gynecologic Cancer Branch and Center for Uterine Cancer, National Cancer Center, Goyang, Korea.
Gabriele ElserAGO Study Group, Wiesbaden, Germany.
Chun-Fang XuGlaxoSmithKline Medicines Research Centre, Gunnels Wood Road, Stevenage, Hertfordshire, SG1 2NY, UK.
Andreas du BoisAGO Study group and Department of Gynecology & Gynecologic Oncology, Kliniken Essen Mitte (KEM), Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe focus on translational research in clinical trials has the potential to generate clinically relevant genetic data that could have importance to patients. This raises challenging questions about communicating relevant genetic research results to individual patients.

methodsAn exploratory pharmacogenetic analysis was conducted in the international ovarian cancer phase III trial, AGO-OVAR 16, which found that patients with clinically important germ-line BRCA1/2 mutations had improved progression-free survival prognosis. Mechanisms to communicate BRCA results were evaluated, because these findings may be beneficial to patients and their families.

resultsCommunicating individual BRCA results was not anticipated during clinical trial design. Consequently, options were not available for patients to indicate their preference for receiving their individual results when they signed pharmacogenetic informed consent. Differences in local requirements, clinical practice, and opinion regarding the ethical aspects of how to convey genetic results to patients are all potential barriers to returning individual BRCA results to patients. Communicating the aggregate BRCA result from this study provided clinical investigators with a mechanism to disseminate the overall study finding to patients while taking individual circumstances, local guidelines and clinical practice into account.

conclusionThis study illustrates the importance of increasing the clarity and scope of informed consent and the need for patient engagement to ensure clinical trial participants can indicate their preference regarding receipt of potentially important individual pharmacogenetic results.

trial registrationThis study was registered in the NCT Clinical Trial Registry under NCT00866697 on March 19, 2009, following approval from participating ethics committees (Additional file 1).

Indexed as

Access to InformationDisclosureInformed ConsentMutationPatient PreferenceBRCA1 ProteinFemaleHumansOvarian NeoplasmsPrognosisBRCA1 ProteinBRCA1 protein, humanBioethicsBRCA mutationIncidental findingOvarian cancerPharmacogenetic research

Identifiers

PMID27769273
PMCPMC5073453

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Registered trials

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.