Evidence map›Paper›PMID 29842993›Full record

ArticleNeoplasia (New York, N.Y.)2018

Coexpression of p-IGF-1R and MMP-7 Modulates Panitumumab and Cetuximab Efficacy in RAS Wild-Type Metastatic Colorectal Cancer Patients.

Vicente Alonso, Pilar Escudero, Carlos Fernández-Martos, Antonia Salud, Miguel Méndez, Javier Gallego, Jose-R Rodriguez, Marta Martín-Richard, Julen Fernández-Plana, Hermini Manzano and 9 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Neoplasia (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01276379 phase2completednot on this map

Single-Arm, Multicenter, Prospective, Phase 2 Study for the Evaluation of Biomarkers in Patients With Advanced &/or Metastatic Colorectal Cancer With Wild Type KRAS Treated Biweekly With Chemotherapy and Cetuximab as First-Line Treatment

TypeinterventionalSponsorGrupo Espanol Multidisciplinario del Cancer DigestivoRan2011 to 2017Enrolled221ConditionsColorectal CancerArmsFOLFIRI (m), FOLFOX-6 (m), Cetuximab
NCT01288339 phase2completednot on this map

An Open Label, Phase II Study Assessing Potential Predictive Tumor Markers in Patients With Metastatic Colorectal Cancer and Wild Type K-RAS Tumor Treated With FOLFOX Plus Panitumumab as First-line Therapy

TypeinterventionalSponsorGrupo Espanol Multidisciplinario del Cancer DigestivoRan2010 to 2015Enrolled78ConditionsMetastatic Colorectal CancerArmsPanitumumab + FOLFOX (DP), Panitumumab + FOLFOX (no-DP)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. 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

19 authors at 19 institutions in 2 countries.

Vicente AlonsoMedical Oncology Service, Hospital Universitario Miguel Servet, Zaragoza, Spain. Electronic address: alonord@gmail.com.
Pilar EscuderoMedical Oncology Service, Hospital Universitario Lozano Blesa, Zaragoza, Spain. Electronic address: pescudero@salud.aragon.es.
Carlos Fernández-MartosMedical Oncology Department, Fundación Instituto Valenciano de Oncologia, Valencia, Spain. Electronic address: cfmartos@fivo.org.
Antonia SaludMedical Oncology Service, Hospital Universitari Arnau de Vilanova, Lleida, Spain. Electronic address: asaluds@hotmail.com.
Miguel MéndezMedical Oncology Service, Hospital de Móstoles, Móstoles, Spain. Electronic address: mendezmiguel34@gmail.com.
Javier GallegoMedical Oncology Service, Hospital General Universitario of Elche, Elche, Spain. Electronic address: j.gallegoplazas@gmail.com.
Jose-R RodriguezMedical Oncology Service, Hospital Infanta Cristina, Badajoz, Spain. Electronic address: joraromo@gmail.com.
Marta Martín-RichardMedical Oncology Service, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Electronic address: mmartinri@santpau.es.
Julen Fernández-PlanaMedical Oncology Service, Hospital Mutua de Terrasa, Spain. Electronic address: julenfernandez@mutuaterrassa.es.
Hermini ManzanoMedical Oncology Service, Hospital Son Espases, Palma, Spain. Electronic address: hermini.manzano@ssib.es.
José-Carlos MéndezMedical Oncology Service, Centro Oncologico de Galicia, A Coruña, Spain. Electronic address: jcmendez.m@gmail.com.
Monserrat ZanuiMedical Oncology Service, Hospital de Mataró, Mataró, Spain. Electronic address: mzanui@csdm.cat.
Esther FalcóMedical Oncology Service, Hospital Son Llàtzer, Palma, Spain. Electronic address: efalco@hsll.es.
Mireia Gil-RagaMedical Oncology Service, Hospital de Sagunto, Sagunto, Spain. Electronic address: mir-gil@hotmail.com.
Federico RojoPathology Service, Hospital Fundación Jiménez Díaz, Madrid, Spain. Electronic address: frojo@fjd.es.
Miriam CuatrecasasDepartment of Pathology, Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address: mcuatrec@clinic.ub.es.
Jaime FeliuMedical Oncology Department, Hospital Universitario La Paz, Madrid, Spain. Electronic address: jfeliu-hulp@saludmadrid.org.
Xabier García-AlbénizDepartment of Oncology, Harvard School of Public Health, Boston (MA), United States of America. Electronic address: xabieradrian@hotmail.com.
Joan MaurelMedical Oncology Department, Hospital Clinic of Barcelona, Translational Genomics and Targeted Therapeutics in Solid Tumors Group, IDIBAPS, University of Barcelona, Barcelona, Spain. Electronic address: jmaurel@clinic.cat.
Breast Cancer Research Foundation · USCentro Oncológico de Galicia · ESFundación Instituto Valenciano de Oncología · ESHarvard University · USHospital Clínic de Barcelona · ESHospital Clínico Universitario Lozano Blesa · ESHospital de Mataró · ESHospital de Sagunto · ESHospital de Sant Pau · ESHospital General Universitario de Elche · ESHospital Son Llatzer · ESHospital Universitari Arnau de Vilanova · ESHospital Universitario de Móstoles · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Infanta Cristina · ESHospital Universitario La Paz · ESHospital Universitario Miguel Servet · ESHospital Universitario Son Espases · ESUniversity Hospital Mútua de Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe coexpression of pIGF-1R and MMP-7 (double-positive phenotype, DP) correlates with poor overall survival (OS) in KRAS wild-type (WT) (exon 2) metastatic colorectal cancer (mCRC) patients treated with irinotecan-cetuximab in second/third line.

methodsWe analyzed two prospective biomarker design trials of newly diagnosed RAS-WT mCRC patients treated with panitumumab-FOLFOX6 (PULSE trial; NCT01288339) or cetuximab plus either FOLFOX6/FOLFIRI (POSIBA trial; NCT01276379). The main exposure was DP phenotype (DP/non-DP), as assessed by two independent pathologists. DP cases were defined by immunohistochemistry as >70% expression of moderate or strong intensity for both MMP-7 and pIGF-1R. Primary endpoint: progression-free survival (PFS); secondary endpoints: OS and response rate. PFS and OS were adjusted by baseline characteristics using multivariate Cox models.

resultsWe analyzed 67 patients (30 non-DP, 37 DP) in the PULSE trial and 181 patients in the POSIBA trial (158 non-DP, 23 DP). Response rates and PFS were similar between groups in both studies. DP was associated with prolonged OS in PULSE (adjusted HR: 0.23; 95%CI: 0.11-0.52; P=.0004) and with shorter OS in POSIBA (adjusted HR: 1.67; 95%CI: 0.96-2.90; P=.07).

conclusionA differential effect of anti-EGFRs on survival by DP phenotype was observed. Panitumumab might be more beneficial for RAS-WT mCRC patients with DP phenotype, whereas cetuximab might improve OS in non-DP.

Indexed as

Gene ExpressionAgedAntibodies, MonoclonalCetuximabColorectal NeoplasmsFemaleHumansKaplan-Meier EstimateMaleMatrix Metalloproteinase 7Middle AgedMutationPanitumumabPrognosisProportional Hazards ModelsProto-Oncogene Proteins B-rafAntibodies, MonoclonalCetuximabMatrix Metalloproteinase 7PanitumumabProto-Oncogene Proteins B-rafras ProteinsReceptor, IGF Type 1

Identifiers

PMID29842993
PMCPMC6030389
OpenAlexW2804505521

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.