Evidence map›Paper›PMID 27827358›Full record

Trial reportNature communications2016

Impact of mutational profiles on response of primary oestrogen receptor-positive breast cancers to oestrogen deprivation.

Pascal Gellert, Corrinne V Segal, Qiong Gao, Elena López-Knowles, Lesley-Ann Martin, Andrew Dodson, Tiandao Li, Christopher A Miller, Charles Lu, Elaine R Mardis and 16 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 43 citations in OpenAlex.

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  20. Genomic Instability andJCO precision oncology · 2019
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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

26 authors at 20 institutions in 2 countries.

Pascal GellertBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
Corrinne V SegalBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
Qiong GaoBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
Elena López-KnowlesBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
Lesley-Ann MartinBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
Andrew DodsonRalph Lauren Centre for Breast Cancer Research, Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Tiandao LiMcDonnell Genome Institute, Washington University School of Medicine, 4444 Forest Park Boulevard, St Louis, 63108 Missouri, USA.ORCID 0000-0003-1650-0555
Christopher A MillerMcDonnell Genome Institute, Washington University School of Medicine, 4444 Forest Park Boulevard, St Louis, 63108 Missouri, USA.ORCID 0000-0003-4266-6700
Charles LuMcDonnell Genome Institute, Washington University School of Medicine, 4444 Forest Park Boulevard, St Louis, 63108 Missouri, USA.
Elaine R MardisMcDonnell Genome Institute, Washington University School of Medicine, 4444 Forest Park Boulevard, St Louis, 63108 Missouri, USA.
Alexa GillmanClinical Trials and Statistics Unit at The Institute of Cancer Research, 15 Cotswold Road, Sutton SM2 5NG, UK.
James MordenClinical Trials and Statistics Unit at The Institute of Cancer Research, 15 Cotswold Road, Sutton SM2 5NG, UK.
Manuela GrafBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
Kally SidhuRalph Lauren Centre for Breast Cancer Research, Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Abigail EvansPoole General Hospital, Longfleet Road, Dorset BH15 2JB, UK.
Michael ShereSouthmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.
Christopher HolcombeRoyal Liverpool University Hospital, 200 London Road, Liverpool L3 9TA, UK.
Stuart A McIntoshQueen's University Belfast, University Road, Belfast BT7 1NN, UK.
Nigel BundredUniversity Hospital of South Manchester, Education and Research Centre, Southmoor Road, Manchester M23 9LT, UK.
Anthony SkeneRoyal Bournemouth Hospital, Castle Ln E, Bournemouth BH7 7DW, UK.
William MaxwellWithybush General Hospital, Fishguard Road, Haverfordwest SA61 2PZ, UK.
John RobertsonUniversity of Nottingham, Derby Road, Nottingham NG7 2UH, UK.
Judith M BlissClinical Trials and Statistics Unit at The Institute of Cancer Research, 15 Cotswold Road, Sutton SM2 5NG, UK.
Ian SmithRalph Lauren Centre for Breast Cancer Research, Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Mitch DowsettBreast Cancer Now Research Centre at The Institute of Cancer Research, 237 Fulham Road, London SW7 3RP, UK.
POETIC Trial Management Group and Trialists
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBGuy's Hospital · GBJames S. McDonnell Foundation · USCheltenham General Hospital · GBMaidstone Hospital · GBMusgrove Park Hospital · GBRoyal Devon and Exeter Hospital · GBRoyal Surrey County Hospital · GBSalisbury District Hospital · GBSouthampton General Hospital · GBSt Bartholomew's Hospital · GBSt George's Hospital · GBWestern Infirmary · GBBirmingham City Hospital · GBFrimley Park Hospital · GBHomerton University Hospital · GBNottingham City Hospital · GBPoole Hospital · GBQueen's University Belfast · GB

Funding

Cancer Research UK 8671
6 · The paper itself

Abstract

Pre-surgical studies allow study of the relationship between mutations and response of oestrogen receptor-positive (ER+) breast cancer to aromatase inhibitors (AIs) but have been limited to small biopsies. Here in phase I of this study, we perform exome sequencing on baseline, surgical core-cuts and blood from 60 patients (40 AI treated, 20 controls). In poor responders (based on Ki67 change), we find significantly more somatic mutations than good responders. Subclones exclusive to baseline or surgical cores occur in ∼30% of tumours. In phase II, we combine targeted sequencing on another 28 treated patients with phase I. We find six genes frequently mutated: PIK3CA, TP53, CDH1, MLL3, ABCA13 and FLG with 71% concordance between paired cores. TP53 mutations are associated with poor response. We conclude that multiple biopsies are essential for confident mutational profiling of ER+ breast cancer and TP53 mutations are associated with resistance to oestrogen deprivation therapy.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsAromatase InhibitorsBiopsyBreastBreast NeoplasmsDNA Mutational AnalysisDrug Resistance, NeoplasmEstrogensExome SequencingFemaleFilaggrin ProteinsHumansKi-67 AntigenMiddle AgedAntineoplastic AgentsAromatase InhibitorsEstrogensFilaggrin ProteinsFLG protein, humanKi-67 AntigenReceptors, EstrogenTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID27827358
PMCPMC5105193
OpenAlexW2550144082

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.