Evidence map›Paper›PMID 28045923›Full record

ArticlePloS one2017

Germline Genetic Variants in TEK, ANGPT1, ANGPT2, MMP9, FGF2 and VEGFA Are Associated with Pathologic Complete Response to Bevacizumab in Breast Cancer Patients.

Issam Makhoul, Valentina K Todorova, Eric R Siegel, Stephen W Erickson, Ishwori Dhakal, Vinay R Raj, Jeannette Y Lee, Mohammed S Orloff, Robert J Griffin, Ronda S Henry-Tillman and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00203502 (Primary Systemic Therapy Using Sequential Docetaxel/Cyclophosphamide/Bevacizumab Followed by Doxorubicin in Operable/Locally Advanced Breast Cancer), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT00203502 phase2completednot on this map

Primary Systemic Therapy Using Sequential Docetaxel/Cyclophosphamide/Bevacizumab Followed by Doxorubicin in Operable/Locally Advanced Breast Cancer

TypeinterventionalSponsorUniversity of ArkansasRan2005 to 2015Enrolled40ConditionsBreast CancerArmsBevacizumab, Cyclophosphamide, Docetaxel
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Decreased HLF Expression Predicts Poor Survival in Lung Adenocarcinoma.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  6. Article
  7. Genetic Variants ofInternational journal of molecular sciences · 2021
    Article
  8. Article
  9. MYH9 promotes cell metastasisInternational journal of medical sciences · 2020
    Article
  10. Article
  11. Cancers · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. 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

13 authors at 1 institution in 1 country.

Issam MakhoulDivision of Hematology/Oncology Division, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.ORCID http://orcid.org/0000-0001-8646-5658
Valentina K TodorovaDivision of Medical Genetics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Eric R SiegelDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Stephen W EricksonDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Ishwori DhakalDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Vinay R RajDivision of Medical Genetics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Jeannette Y LeeDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Mohammed S OrloffDepartment of Epidemiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Robert J GriffinDepartment of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Ronda S Henry-TillmanDivision of Breast Surgical Oncology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Suzanne KlimbergDivision of Breast Surgical Oncology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Laura F HutchinsDivision of Hematology/Oncology Division, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Susan A KadlubarDepartment of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
University of Arkansas for Medical Sciences · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029884 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$11.4M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
NCATS NIH HHS UL1 TR000039NCRR NIH HHS UL1 RR029884
6 · The paper itself

Abstract

backgroundWe previously reported improved pathologic complete response (pCR) in a prospective phase II study using neoadjuvant bevacizumab in combination with chemotherapy compared to chemotherapy alone in breast cancer patients (41% vs. 25%, p = 0.0291). In this study, we queried germline single-nucleotide polymorphisms (SNPs) in angiogenesis-related genes for their impact on pCR and overall survival (OS).

methodsDNA for genotyping was available from 34 subjects who received bevacizumab in addition to chemotherapy and 29 subjects who did not. Using Illumina® technology, we queried 504 SNPs with a minor allele frequency (MAF) of at least 5%, located in 10 angiogenesis-related genes, for their effect on pCR via logistic regression with an additive-inheritance model while adjusting for race and bevacizumab treatment. SNPs that showed significant associations with pCR were selected for additional characterization.

resultsAfter adjusting for race and tumor type, patients who had bevacizumab added to their neoadjuvant therapy were found to experience a significantly improved rate of pCR compared to patients who did not (adjusted OR 8.40, 95% CI 1.90-37.1). When patients were analyzed for SNP effects via logistic regression with race and bevacizumab treatment included as covariates, two SNPs in angiopoietin 1 (ANGPT1), six in ANGPT2, three in fibroblast growth factor 2 (FGF2), four in matrix metalloproteinase 9 (MMP9), three in tyrosine kinase, endothelial (TEK) and two in vascular endothelial growth factor A (VEGFA) were associated with pCR (P<0.05). However, when overall survival was considered, there was no difference between treatment groups or between genotypes.

conclusionGenetic variability in TEK, ANGPT1, ANGPT2, FGF2, MMP9 and VEGFA is associated with pCR in bevacizumab-treated patients. Consistent with other studies, adding bevacizumab to standard chemotherapy did not impact OS, likely due to other factors and thus, while SNPs in TEK, ANGPT1, ANGPT2, FGF2, MMP9 and VEGFA were associated with pCR, they were not predictive of OS in this patient population.

trial registrationClinicalTrials.gov NCT00203502.

Indexed as

Polymorphism, Single NucleotideAdultAgedAngiopoietin-1Angiopoietin-2BevacizumabBreast NeoplasmsClinical Trials, Phase II as TopicEthnicityFemaleFibroblast Growth Factor 2Gene FrequencyGenotypeHumansMaleMatrix Metalloproteinase 9Angiopoietin-1Angiopoietin-2ANGPT1 protein, humanANGPT2 protein, humanBevacizumabFibroblast Growth Factor 2Matrix Metalloproteinase 9MMP9 protein, humanReceptor, TIE-2Vascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID28045923
PMCPMC5207665
OpenAlexW2568626260

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.