Evidence map›Paper›PMID 29373711›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2018

Pioglitazone Therapy of PAX8-PPARγ Fusion Protein Thyroid Carcinoma.

Thomas J Giordano, Bryan R Haugen, Steven I Sherman, Manisha H Shah, Elaine M Caoili, Ronald J Koenig

Open access · bronzeAbstract readCase ReportsClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  10. Relationship ofActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Article
  11. Novel Inhibitor-Based Therapies for Thyroid Cancer-An Update.International journal of molecular sciences · 2021
    Review
  12. Article
  13. Review
  14. Article
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  16. 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

6 authors at 4 institutions in 1 country.

Thomas J GiordanoDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.
Bryan R HaugenDivision of Endocrinology, Metabolism and Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Steven I ShermanDepartment of Endocrine Neoplasia and Hormonal Disorders, University of Texas, M.D. Anderson Cancer Center, Houston, Texas.
Manisha H ShahDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
Elaine M CaoiliDepartment of Radiology, University of Michigan, Ann Arbor, Michigan.
Ronald J KoenigDivision of Metabolism, Endocrinology and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Colorado Denver · US

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
In vivo therapy and mechanisms of PAX8-PPARgamma thyroid cancerR01CA166033 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KOENIG, RONALD JAY · 2013 to 2017
$2.4M
NCATS NIH HHS UL1 TR000433NCI NIH HHS R01 CA166033NIDDK NIH HHS P30 DK020572
6 · The paper itself

Abstract

Context: A subset of thyroid carcinomas expresses an oncogenic paired box 8 (PAX8) and peroxisome proliferator activated receptor γ (PPARγ) fusion protein (PPFP). The PPARγ/PPFP ligand pioglitazone is highly therapeutic in a transgenic mouse model of PPFP thyroid carcinoma, but whether pioglitazone is therapeutic in patients with PPFP thyroid carcinoma is unknown. Case Description: Tumor blocks from 40 patients with progressive thyroid cancer despite standard-of-care therapy were screened for PPFP, and the tumor from only one patient (2.5%) was positive. The patient had a 6.0-cm acetabular soft tissue metastasis from Hürthle cell carcinoma that caused severe pain on weight bearing and had a serum thyroglobulin level of 1974 ng/mL. After 24 weeks of therapy with pioglitazone, the metastatic lesion was 3.9 cm, the thyroglobulin level was 49.4 ng/mL, and the patient was pain-free. Thirteen months after discontinuation of pioglitazone, the metastatic lesion was 3.6 cm, the thyroglobulin level was 4.7 ng/mL, and the patient remained pain-free. Conclusions: Pioglitazone may be therapeutic in patients with PPFP thyroid cancer. However, thyroid cancers that are progressive despite standard-of-care therapy appear to only rarely express PPFP.

Indexed as

Adenoma, OxyphilicAged, 80 and overAntineoplastic AgentsHumansMaleMutationOncogene Proteins, FusionPioglitazoneSoft Tissue NeoplasmsThiazolidinedionesThyroid NeoplasmsTomography, X-Ray ComputedAntineoplastic AgentsOncogene Proteins, FusionPAX8-PPARgamma fusion protein, humanPioglitazoneThiazolidinediones

Identifiers

PMID29373711
PMCPMC6456920
OpenAlexW2790571967

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.