Evidence map›Paper›PMID 29229329›Full record

ArticleInternational journal of radiation oncology, biology, physics2018

Prognostic Value of c-MET Expression in Patients With Pancreatic Cancer Receiving Adjuvant and Neoadjuvant Chemoradiation Therapy.

Kyle C Cuneo, Meredith A Morgan, Kent A Griffith, Peter G Hawkins, Joel K Greenson, Edgar Ben-Josef, Theodore S Lawrence, Mark M Zalupski

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. The Role ofCancers · 2022
    Review
  4. Article
  5. Article
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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

8 authors at 2 institutions in 1 country.

Kyle C CuneoDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan. Electronic address: kcuneo@umich.edu.
Meredith A MorganDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Kent A GriffithDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan.
Peter G HawkinsDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Joel K GreensonDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.
Edgar Ben-JosefDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Theodore S LawrenceDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Mark M ZalupskiDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USUniversity of Pennsylvania · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
NCI NIH HHS P30 CA046592
6 · The paper itself

Abstract

purposeTo determine the prognostic significance of c-MET expression and develop a predictor of distant failure in patients with resectable pancreatic cancer treated with chemoradiation. METHODS AND MATERIALS: We used a tissue microarray to study protein expression by immunohistochemistry in 102 patients treated surgically for pancreatic cancer. Two cores per patient were blindly scored from 0 (no staining) to 3 (strong staining) by a single pathologist. The Kaplan-Meier method was used to determine time to local and distant failure, overall survival, and progression-free survival. P values were calculated with the log-rank test.

resultsHigh tumor expression of c-MET was associated with a shorter time to distant failure in patients receiving neoadjuvant (n=23) or neoadjuvant therapy (n=73) (median 8.9 months vs 22.0 months, P=.0010). We then examined the ability of incorporating 2 known biomarkers, thymidylate synthase and DPC4 (SMAD4), with c-MET to risk-stratify patients. This multi-protein predictor divided our cohort into groups of similar numbers and was predictive of distant failure (median 13.4 months vs 24.2 months, P=.0094) but not of local control.

conclusionc-MET is potentially predictive of distant failure. Using c-MET, DPC4, and thymidylate synthase, we developed a multi-protein predictor that could be used to risk-stratify patients and guide decisions regarding the sequencing of locoregional and systemic therapies in pancreatic cancer.

Indexed as

Chemoradiotherapy, AdjuvantAdultAgedHumansImmunohistochemistryMiddle AgedNeoadjuvant TherapyNeoplasm MetastasisPancreatic NeoplasmsPrognosisProto-Oncogene Proteins c-metSmad4 ProteinThymidylate SynthaseTissue Array AnalysisMET protein, humanProto-Oncogene Proteins c-metSmad4 ProteinSMAD4 protein, humanThymidylate Synthase

Identifiers

PMID29229329
PMCPMC6444352
OpenAlexW2766507018

What OpenQuestion holds

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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.