Evidence map›Paper›PMID 28283584›Full record

ArticleThe oncologist2017

Clinical Benefit in Response to Palbociclib Treatment in Refractory Uterine Leiomyosarcomas with a Common

Julia A Elvin, Laurie M Gay, Rita Ort, Joseph Shuluk, Jennifer Long, Lauren Shelley, Ronald Lee, Zachary R Chalmers, Garrett M Frampton, Siraj M Ali and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Targeted Treatment of Soft-Tissue Sarcoma.Journal of personalized medicine · 2023
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Clinicopathological and genomic characterization of BCORL1-driven high-grade endometrial stromal sarcomas.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  19. Article
  20. Therapeutic Implications of Germline Testing in Patients With Advanced Cancers.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    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

15 authors at 6 institutions in 2 countries.

Julia A ElvinPathology Department, Foundation Medicine Inc., Cambridge, Massachusetts, USA.
Laurie M GayPathology Department, Foundation Medicine Inc., Cambridge, Massachusetts, USA.
Rita OrtHematology and Oncology, Norwalk Hospital, Western Connecticut Health Network, Norwalk, Connecticut, USA.
Joseph ShulukHematology and Oncology, Norwalk Hospital, Western Connecticut Health Network, Norwalk, Connecticut, USA.
Jennifer LongHematology and Oncology, Norwalk Hospital, Western Connecticut Health Network, Norwalk, Connecticut, USA.
Lauren ShelleyHematology and Oncology, Norwalk Hospital, Western Connecticut Health Network, Norwalk, Connecticut, USA.
Ronald LeeRadiology, Norwalk Hospital, Western Connecticut Health Network, Norwalk, Connecticut, USA.
Zachary R ChalmersClinical Genomics, Foundation Medicine, Inc., Cambridge, Massachusetts, USA.
Garrett M FramptonClinical Genomics, Foundation Medicine, Inc., Cambridge, Massachusetts, USA.
Siraj M AliClinical Development, Foundation Medicine, Inc., Cambridge, Massachusetts, USA.
Alexa B SchrockClinical Development, Foundation Medicine, Inc., Cambridge, Massachusetts, USA.
Vincent A MillerClinical Development, Foundation Medicine, Inc., Cambridge, Massachusetts, USA.
Philip J StephensClinical Genomics, Foundation Medicine, Inc., Cambridge, Massachusetts, USA.
Jeffrey S RossPathology Department, Foundation Medicine Inc., Cambridge, Massachusetts, USA.
Richard FrankHematology and Oncology, Norwalk Hospital, Western Connecticut Health Network, Norwalk, Connecticut, USA Richard.Frank@wchn.org.
Foundation Medicine (United States)Norwalk Hospital · USWestern Connecticut Health Network · USAmyotrophic Lateral Sclerosis Therapy Development Institute · USPHG Foundation · GBAlbany Medical Center Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine leiomyosarcoma (uLMS) responds poorly to conventional chemotherapeutic agents, and personalized therapies have yet to be systematically explored. Comprehensive genomic profiling (CGP) can identify therapeutic targets and provide insight into the biology of this highly aggressive tumor. We report a case of uLMS treated with the CGP-matched therapy palbociclib, a CDK4/6 inhibitor, with sustained clinical benefit in this rare and deadly malignancy. MATERIALS AND

methodsThis study analyzed 279 clinically advanced/recurrent uLMS samples. Median patient age was 54 years (range, 23-83 years). DNA was extracted from 40 µm of formalin-fixed, paraffin-embedded sections, and CGP was performed on hybridization-captured, adaptor ligation-based libraries for up to 405 cancer-related genes plus introns from up to 31 genes frequently rearranged in cancer. Sequencing data were analyzed for base pair substitutions, insertions/deletions, copy number alterations, and rearrangements.

resultsCGP shows that 97.1% of uLMS harbor at least one alteration, and approximately 57% harbor alterations in one or more therapeutically targetable pathways.

conclusionA patient with uLMS harboring a

Indexed as

AdultAgedAged, 80 and overCyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p18FemaleGene Expression Regulation, NeoplasticGenomicsHigh-Throughput Nucleotide SequencingHumansLeiomyosarcomaMiddle AgedMolecular Targeted TherapyPiperazinesPyridinesUterine NeoplasmsCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p18palbociclibPiperazinesPyridinesCDKN2AComprehensive genomic profilingPalbociclibPrecision medicineTargeted therapyUterine leiomyosarcoma

Identifiers

PMID28283584
PMCPMC5388371
OpenAlexW2593909874

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.