Evidence map›Paper›PMID 28314589›Full record

ArticleGynecologic oncology2017

FGFR2 mutations are associated with poor outcomes in endometrioid endometrial cancer: An NRG Oncology/Gynecologic Oncology Group study.

Yvette W Jeske, Shamshad Ali, Sara A Byron, Feng Gao, Robert S Mannel, Rahel G Ghebre, Paul A DiSilvestro, Shashikant B Lele, Michael L Pearl, Amy P Schmidt and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Gynecologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.5field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  14. Efficacy of pazopanib inGynecologic oncology reports · 2022
    Article
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  17. Article
  18. Histology-specificGynecologic oncology reports · 2020
    Review
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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

16 authors at 11 institutions in 3 countries.

Yvette W JeskeQueensland University of Technology (QUT) at the Translational Research Institute, Brisbane, Australia.
Shamshad AliNRG Oncology Statistics and Data Management Center, Roswell Park Cancer Institute, Buffalo, NY, USA.
Sara A ByronCancer and Cell Biology Division, Translational Genomics Research Institute, Phoenix, AZ, USA.
Feng GaoDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St Louis, MO, USA.
Robert S MannelGynecologic Oncology, The Peggy and Charles Stephenson Cancer Center, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Rahel G GhebreUniversity of Minnesota Medical Center - Fairview, Minneapolis, MN, USA.
Paul A DiSilvestroGynecologic Oncology, Women and Infants Hospital, Providence, RI, USA.
Shashikant B LeleGynecologic Oncology, Roswell Park Cancer Institute, Buffalo, NY, USA.
Michael L PearlObstetrics and Gynecology, Stony Brook University Hospital, Stony Brook, NY, USA.
Amy P SchmidtDepartment of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO, USA.
Heather A LankesNRG Oncology Statistics and Data Management Center, Roswell Park Cancer Institute, Buffalo, NY, USA.
Nilsa C RamirezGOG Tissue Bank/NRG Oncology Biospecimen Bank - Columbus, Biopathology Center, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Golnar RastyDepartment of Laboratory Medicine, University of Toronto, ON, M5G2C, CANADA.
Matthew PowellDepartment of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO, USA.
Paul J GoodfellowDepartment of Obstetrics and Gynecology, The Ohio State University and James Comprehensive Cancer Center, Columbus, OH, USA.
Pamela M PollockQueensland University of Technology (QUT) at the Translational Research Institute, Brisbane, Australia; Cancer and Cell Biology Division, Translational Genomics Research Institute, Phoenix, AZ, USA. Electronic address: pamela.pollock@qut.edu.au.
Roswell Park Comprehensive Cancer Center · USWashington University in St. Louis · USTranslational Genomics Research Institute · USNationwide Children's Hospital · USProvidence College · USStony Brook University Hospital · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USTranslational Research Institute · AUUniversity of Minnesota Medical Center · USUniversity of Oklahoma Health Sciences Center · USUniversity of Toronto · CA

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Elaina Harper · 2014 to 2026
$146.4M
GYNECOLOGIC ONCOLOGY GROUP HEADQUARTERSU10CA027469 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 1985 to 2013
$132.6M
GYNECOLOGIC ONCOLOGY GROUP STATISTICAL OFFICEU10CA037517 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI BLESSING, JOHN A · 1985 to 2013
$67.4M
NRG Oncology Biospecimen BankU24CA196067 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Tanner J. Freeman, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$42.6M
Washington University/ Siteman Cancer Center Lead Academic SiteU10CA180833 · NCI · WASHINGTON UNIVERSITY · PI BARTLETT, NANCY L, KOZOWER, BENJAMIN D · 2014 to 2018
$7.6M
Gynecologic Oncology Group Specimen BankingU24CA114793 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 2005 to 2014
$7.0M
Lead Academic Participating Site for the Development and Conduct of NCTN TrialsU10CA180798 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI MANNEL, ROBERT S., MOORE, KATHLEEN N. · 2014 to 2018
$6.7M
Network Lead Academic Participating Site Grant from the Roswell Cancer Inst.U10CA180866 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI ERNSTOFF, MARC S, LELE, SHASHIKANT · 2014 to 2018
$2.9M
Tissue and Pathology CoreP50CA134254 · NCI · WASHINGTON UNIVERSITY · PI GOODFELLOW, PAUL JOSEPH, MUTCH, DAVID G · 2009 to 2011
$1.7M
FGFR2 MUTATIONS IN INTERMEDIATE RISK ENDOMETRIAL CANCERSR21CA133295 · NCI · WASHINGTON UNIVERSITY · PI GOODFELLOW, PAUL JOSEPH · 2008 to 2009
$421k
NCI NIH HHS P50 CA134254NCI NIH HHS R21 CA133295NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA037517NCI NIH HHS U10 CA180798NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180833NCI NIH HHS U10 CA180866NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA114793NCI NIH HHS U24 CA196067
6 · The paper itself

Abstract

purposeActivating FGFR2 mutations have been identified in ~10% of endometrioid endometrial cancers (ECs). We have previously reported that mutations in FGFR2 are associated with shorter disease free survival (DFS) in stage I/II EC patients. Here we sought to validate the prognostic importance of FGFR2 mutations in a large, multi-institutional patient cohort.

methodsTumors were collected as part of the GOG 210 clinical trial "Molecular Staging of Endometrial Cancer" where samples underwent rigorous pathological review and had more than three years of detailed clinical follow-up. DNA was extracted and four exons encompassing the FGFR2 mutation hotspots were amplified and sequenced.

resultsMutations were identified in 144 of the 973 endometrioid ECs, of which 125 were classified as known activating mutations and were included in the statistical analyses. Consistent with FGFR2 having an association with more aggressive disease, FGFR2 mutations were more common in patients initially diagnosed with stage III/IV EC (29/170;17%) versus stage I/II EC (96/803; 12%; p=0.07, Chi-square test). Additionally, incidence of progression (progressed, recurred or died from disease) was significantly more prevalent (32/125, 26%) among patients with FGFR2 mutation versus wild type (120/848, 14%; p<0.001, Chi-square test). Using Cox regression analysis adjusting for known prognostic factors, patients with FGFR2 mutation had significantly (p<0.025) shorter progression-free survival (PFS; HR 1.903; 95% CI 1.177-3.076) and endometrial cancer specific survival (ECS; HR 2.013; 95% CI 1.096-3.696).

conclusionIn summary, our findings suggest that clinical trials testing the efficacy of FGFR inhibitors in the adjuvant setting to prevent recurrence and death are warranted.

Indexed as

AgedCarcinoma, EndometrioidCohort StudiesDNA, NeoplasmEndometrial NeoplasmsExonsFemaleHumansKaplan-Meier EstimateNeoplasm StagingReceptor, Fibroblast Growth Factor, Type 2DNA, NeoplasmFGFR2 protein, humanReceptor, Fibroblast Growth Factor, Type 2Endometrial cancerFGFR2MutationOutcomePrognosis

Identifiers

PMID28314589
PMCPMC5433848
OpenAlexW2603491863

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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.