Evidence map›Paper›PMID 28983557›Full record

ArticleJAMA oncology2018

Role of Deficient DNA Mismatch Repair Status in Patients With Stage III Colon Cancer Treated With FOLFOX Adjuvant Chemotherapy: A Pooled Analysis From 2 Randomized Clinical Trials.

Aziz Zaanan, Qian Shi, Julien Taieb, Steven R Alberts, Jeffrey P Meyers, Thomas C Smyrk, Catherine Julie, Ayman Zawadi, Josep Tabernero, Enrico Mini and 7 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in JAMA oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00079274 (A Randomized Phase III Trial of Oxaliplatin), which is not on this map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
10.0field-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.

NCT00079274 phase3completednot on this map

A Randomized Phase III Trial of Oxaliplatin (OXAL) Plus 5-Fluorouracil (5-FU)/Leucovorin (CF) With or Without Cetuximab (C225) After Curative Resection for Patients With Stage III Colon Cancer

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2004 to 2012Enrolled3,397ConditionsAdenocarcinoma of the Colon, Stage III Colon CancerArmsirinotecan hydrochloride, oxaliplatin, leucovorin calcium, fluorouracil, cetuximab
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 145 citations in OpenAlex.

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  10. Current Status of Precision Medicine in Colorectal Cancer in Japan.International journal of molecular sciences · 2025
    Review
  11. Genes & diseases · 2025
    Article
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22 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

17 authors at 13 institutions in 6 countries.

Aziz ZaananDepartments of Medicine and Oncology, Mayo Clinic and Mayo Comprehensive Cancer Center, Rochester, Minnesota.
Qian ShiAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
Julien TaiebParis Descartes University, Sorbonne Paris Cité, France.
Steven R AlbertsDepartment of Oncology, Mayo Clinic, Rochester, Minnesota.
Jeffrey P MeyersAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
Thomas C SmyrkDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Catherine JulieDepartment of Pathology, Ambroise Paré Hospital, APHP, Boulogne-Billancourt, France.
Ayman ZawadiRadiotherapy Unit, Departemental Hospital Center, La Roche Sur Yon, France.
Josep TaberneroMedical Oncology Department, Vall d'Hebron University Hospital and Institute of Oncology, Universitat Autònoma de Barcelona, Barcelona, Spain.
Enrico MiniSection of Internal Medicine, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Richard M GoldbergDivision of Medical Oncology, Ohio State University, Columbus.
Gunnar FolprechtFirst Medical Department, University Hospital Carl Gustav Carus, Dresden, Germany.
Jean Luc Van LaethemDepartment of Gastroenterology, Erasme Hospital University, Brussels, Belgium.
Karine Le MalicotDepartment of Statistics, Fédération Francophone de Cancérologie Digestive, Dijon, France.
Daniel J SargentAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota.
Pierre Laurent-PuigParis Descartes University, Sorbonne Paris Cité, France.
Frank A SinicropeDepartments of Medicine and Oncology, Mayo Clinic and Mayo Comprehensive Cancer Center, Rochester, Minnesota.
Mayo Clinic · USAlliance Data (United States) · USAssistance Publique – Hôpitaux de Paris · FRErasmus Hospital · BEFédération Francophone de Cancérologie Digestive · FRHôpital Européen Georges-Pompidou · FRInserm · FRRoche (France) · FRThe Ohio State University · USUniversitat Autònoma de Barcelona · ESUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity Hospital Carl Gustav Carus · DEUniversity of Florence · IT

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
Integration of Genomic and Clinical Data to Enhance Subtyping of Colon CancerR01CA210509 · NCI · MAYO CLINIC ROCHESTER · PI SINICROPE, FRANK A. · 2017 to 2021
$2.0M
NCI NIH HHS R01 CA210509NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180882NCI NIH HHS U24 CA196171
6 · The paper itself

Abstract

importanceThe prognostic impact of DNA mismatch repair (MMR) status in stage III colon cancer patients receiving FOLFOX (folinic acid, fluorouracil, and oxaliplatin) adjuvant chemotherapy remains controversial.

objectiveTo determine the association of MMR status with disease-free survival (DFS) in patients with stage III colon cancer treated with FOLFOX. DESIGN, SETTING, AND

participantsThe evaluated biomarkers for MMR status were determined from prospectively collected tumor blocks from patients treated with FOLFOX in 2 open-label, phase 3 randomized clinical trials: NCCTG N0147 and PETACC8. The studies were conducted in general community practices, private practices, and institutional practices in the United States and Europe. All participants had stage III colon adenocarcinoma. They were enrolled in NCCTG N0147 from February 2004 to November 2009 and in PETACC8 from December 2005 to November 2009.

interventionsPatients in the clinical trials were randomly assigned to receive 6 months of chemotherapy with FOLFOX or FOLFOX plus cetuximab. Only those patients treated with FOLFOX alone were included in the present study. MAIN OUTCOMES AND MEASURES: Association of MMR status with DFS was analyzed using a stratified Cox proportional hazards model. Multivariable models were adjusted for age, sex, tumor grade, pT/pN stage, tumor location, ECOG (Eastern Cooperative Oncology Group) performance status, and BRAF V600E mutational status.

resultsAmong 2636 patients with stage III colon cancer treated with FOLFOX, MMR status was available for 2501. Of these, 252 (10.1%) showed deficient MMR status (dMMR; 134 women, 118 men; median age, 59 years), while 2249 (89.9%) showed proficient MMR status (pMMR; 1020 women, 1229 men; median age, 59 years). The 3-year DFS rates in the dMMR and pMMR groups were 75.6% and 74.4%, respectively. By multivariate analysis, patients with dMMR phenotype had significantly longer DFS than those with pMMR (adjusted hazard ratio, 0.73; 95% CI, 0.54-0.97; P = .03). CONCLUSIONS AND RELEVANCE: The deficient MMR phenotype remains a favorable prognostic factor in patients with stage III colon cancer receiving FOLFOX adjuvant chemotherapy.

trial registrationclinicaltrials.gov Identifier: NCT00079274 for the NCCTG N0147 trial and EudraCT identifier: 2005-003463-23 for the PETACC8 trial.

Indexed as

MutationAdenocarcinomaAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBrain NeoplasmsCetuximabChemotherapy, AdjuvantClinical Trials, Phase III as TopicColonic NeoplasmsColorectal NeoplasmsDNA Mismatch RepairDNA Mutational AnalysisFemaleFluorouracilCetuximabFluorouracilLeucovorinOrganoplatinum Compounds

Identifiers

PMID28983557
PMCPMC5784452
OpenAlexW2762239861

What OpenQuestion holds

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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.