Evidence map›Paper›PMID 29159791›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2018

Determining personalized treatment by gene expression profiling in metastatic breast carcinoma patients: a pilot study.

M Sureda, J Rebollo, E Mª Martínez-Navarro, F J Fernández-Morejón, J Farré, V Muñoz, P Bretcha-Boix, M Duarte, R G Manzano, A Crespo and 3 more

Abstract read
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In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 2 institutions in 1 country.

M SuredaPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain. manuel.sureda@quironsalud.es.ORCID http://orcid.org/0000-0003-0120-1659
J RebolloServicio Oncología Médica, Hospital General de Villalba, Collado Villalba, Madrid, Spain.
E Mª Martínez-NavarroPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
F J Fernández-MorejónPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
J FarréPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
V MuñozPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
P Bretcha-BoixPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
M DuartePlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
R G ManzanoPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
A CrespoPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
M Del Carmen RedalPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
B ValenzuelaPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
A BrugarolasPlataforma de Oncología-Fundación TEDECA, Hospital Quironsalud Torrevieja, Partida de la Loma s/n, 03184, Torrevieja, Alicante, Spain.
Hospital Quirón Torrevieja · ESHospital Alto Deba · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present study evaluates the massive study of gene expression in metastatic breast carcinoma (MBC) patients using microarray gene expression profiling (MAGE) complemented with conventional sequencing, immunohistochemistry (IHC) and fluorescent "in situ" hybridization (FISH), seeking to optimize the treatment in a subset of heavily pretreated patients and with limited life expectancy. PATIENTS, MATERIAL AND

methodsMBC patients in hormone therapy progression with survival expectancy of at least 3 months (m) have been included. The MAGE contains gene probes representing genes known to potentially interact with available drugs as cited in the literature.

resultsThirty-nine procedures were performed from October 2010 to April 2016. Within the 30 evaluable procedures, considering all hormonal manipulations as a single line, the patients had received a median of 4 treatment lines prior to MAGE (range 1-7). Progression was observed in 6 cases, stable disease (SD) in 7 cases and partial response (PR) in 16 cases, which implies a clinical benefit rate (SD + PR) of 76%. Actuarial median progression-free survival (PFS) was 6 m (95% CI 2.5-9.5) in patients with clinical benefit. The median overall survival (OS) for the entire series was 11 m (95% CI 2.2-19.8).

conclusionData presented here indicate that the use of MAGE provides relevant information to establish personalized treatment in frail patients with limited life expectancy in which therapeutic futility is a particularly difficult burden to assume.

Indexed as

Gene Expression ProfilingPrecision MedicineAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBreast NeoplasmsFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHumansMiddle AgedNeoplasm MetastasisPilot ProjectsPrognosisBiomarkers, TumorBreast cancerMicroarrays of genetic expressionPersonalized treatment

Identifiers

PMID29159791
OpenAlexW2770127379

What OpenQuestion holds

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Registered trials

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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.