Evidence map›Paper›PMID 27782854›Full record

Trial reportGenome medicine2016

Molecular profiling of advanced solid tumors and patient outcomes with genotype-matched clinical trials: the Princess Margaret IMPACT/COMPACT trial.

Tracy L Stockley, Amit M Oza, Hal K Berman, Natasha B Leighl, Jennifer J Knox, Frances A Shepherd, Eric X Chen, Monika K Krzyzanowska, Neesha Dhani, Anthony M Joshua and 20 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Genome medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01505400 (Integrated Molecular Profiling in Advanced Cancers Trial), which is not on this map. Cited by 156 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 2 pooled it
13.1field-weighted citation impact, top 1% 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.

NCT01505400 active not recruitingnot on this map

Integrated Molecular Profiling in Advanced Cancers Trial

TypeobservationalSponsorUniversity Health Network, TorontoRan2012 to 2027Enrolled3,026ConditionsBreast Cancer, Non-small Cell Lung Cancer, Colorectal Cancer, Genitourinary Cancer
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 2 syntheses or guidelines pooled it, 282 citations in OpenAlex.

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  10. Impact of next-generation sequencing on routine clinical practice and patient inclusion in molecularly targeted clinical trials: a retrospective cohort analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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96 more citing papers are in PubMed but not listed here.

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

30 authors at 5 institutions in 1 country.

Tracy L StockleyLaboratory Medicine Program, University Health Network, Toronto, Canada.
Amit M OzaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Hal K BermanLaboratory Medicine Program, University Health Network, Toronto, Canada.
Natasha B LeighlDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Jennifer J KnoxDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Frances A ShepherdDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Eric X ChenDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Monika K KrzyzanowskaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Neesha DhaniDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Anthony M JoshuaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Ming-Sound TsaoLaboratory Medicine Program, University Health Network, Toronto, Canada.
Stefano SerraLaboratory Medicine Program, University Health Network, Toronto, Canada.
Blaise ClarkeLaboratory Medicine Program, University Health Network, Toronto, Canada.
Michael H RoehrlLaboratory Medicine Program, University Health Network, Toronto, Canada.
Tong ZhangLaboratory Medicine Program, University Health Network, Toronto, Canada.
Mahadeo A SukhaiLaboratory Medicine Program, University Health Network, Toronto, Canada.
Nadia CalifarettiDepartment of Oncology, Grand River Regional Cancer Centre, Kitchener-Waterloo, Canada.
Mateya TrinkausDepartment of Medicine, Markham Stouffville Hospital, Markham, Canada.
Patricia ShawLaboratory Medicine Program, University Health Network, Toronto, Canada.
Theodorus van der KwastLaboratory Medicine Program, University Health Network, Toronto, Canada.
Lisa WangDepartment of Biostatistics, Princess Margaret Cancer Centre, Toronto, Canada.
Carl VirtanenCancer Genomics Program, Princess Margaret Cancer Centre, Toronto, Canada.
Raymond H KimCancer Genomics Program, Princess Margaret Cancer Centre, Toronto, Canada.
Albiruni R A RazakDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Aaron R HansenDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, M5G 2M9, Canada.
Celeste YuCancer Genomics Program, Princess Margaret Cancer Centre, Toronto, Canada.
Trevor J PughCancer Genomics Program, Princess Margaret Cancer Centre, Toronto, Canada.
Suzanne Kamel-ReidLaboratory Medicine Program, University Health Network, Toronto, Canada.
Lillian L SiuCancer Genomics Program, Princess Margaret Cancer Centre, Toronto, Canada.
Philippe L BedardCancer Genomics Program, Princess Margaret Cancer Centre, Toronto, Canada. philippe.bedard@uhn.ca.
University of Toronto · CAPrincess Margaret Cancer Centre · CAUniversity Health Network · CAMarkham Stouffville Hospital · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical utility of molecular profiling of tumor tissue to guide treatment of patients with advanced solid tumors is unknown. Our objectives were to evaluate the frequency of genomic alterations, clinical "actionability" of somatic variants, enrollment in mutation-targeted or other clinical trials, and outcome of molecular profiling for advanced solid tumor patients at the Princess Margaret Cancer Centre (PM).

methodsPatients with advanced solid tumors aged ≥18 years, good performance status, and archival tumor tissue available were prospectively consented. DNA from archival formalin-fixed paraffin-embedded tumor tissue was tested using a MALDI-TOF MS hotspot panel or a targeted next generation sequencing (NGS) panel. Somatic variants were classified according to clinical actionability and an annotated report included in the electronic medical record. Oncologists were provided with summary tables of their patients' molecular profiling results and available mutation-specific clinical trials. Enrolment in genotype-matched versus genotype-unmatched clinical trials following release of profiling results and response by RECIST v1.1 criteria were evaluated.

resultsFrom March 2012 to July 2014, 1893 patients were enrolled and 1640 tested. After a median follow-up of 18 months, 245 patients (15 %) who were tested were subsequently treated on 277 therapeutic clinical trials, including 84 patients (5 %) on 89 genotype-matched trials. The overall response rate was higher in patients treated on genotype-matched trials (19 %) compared with genotype-unmatched trials (9 %; p < 0.026). In a multi-variable model, trial matching by genotype (p = 0.021) and female gender (p = 0.034) were the only factors associated with increased likelihood of treatment response.

conclusionsFew advanced solid tumor patients enrolled in a prospective institutional molecular profiling trial were treated subsequently on genotype-matched therapeutic trials. In this non-randomized comparison, genotype-enrichment of early phase clinical trials was associated with an increased objective tumor response rate.

trial registrationNCT01505400 (date of registration 4 January 2012).

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkers, TumorCanadaDNA, NeoplasmFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHigh-Throughput Nucleotide SequencingHumansImmunohistochemistryMaleMiddle AgedBiomarkers, TumorDNA, NeoplasmClinical trialsDNA sequencingMolecular profilingPrecision medicineSolid tumors

Identifiers

PMID27782854
PMCPMC5078968
OpenAlexW2538407824

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.