Evidence map›Paper›PMID 29903880›Full record

ArticleCancer discovery2018

Real-time Genomic Characterization of Advanced Pancreatic Cancer to Enable Precision Medicine.

Andrew J Aguirre, Jonathan A Nowak, Nicholas D Camarda, Richard A Moffitt, Arezou A Ghazani, Mehlika Hazar-Rethinam, Srivatsan Raghavan, Jaegil Kim, Lauren K Brais, Dorisanne Ragon and 51 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 227 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
227citing papers in PubMed, 3 pooled it
16.0field-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.

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

227 citing papers in PubMed, 3 syntheses or guidelines pooled it, 365 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Homologous Recombination Deficiency in Pancreatic Cancer: A Systematic Review and Prevalence Meta-Analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Pooled it
  4. A Phase II Trial of Niraparib in Patients with Advanced Pancreatic Cancer Harboring Pathogenic Variants in ATM, BRCA1, BRCA2, PALB2, and CHEK2.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  5. Trial
  6. Trial
  7. A Phase III Randomized Trial of Integrated Genomics and Avatar Models for Personalized Treatment of Pancreatic Cancer: The AVATAR Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. A Phase I/II Study of Veliparib (ABT-888) in Combination with 5-Fluorouracil and Oxaliplatin in Patients with Metastatic Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Trial
  12. Pancreatic Cancer KRAS Breakthrough: Drug Graveyard No More.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

167 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

61 authors at 11 institutions in 1 country.

Andrew J Aguirre *Dana-Farber Cancer Institute, Boston, Massachusetts. andrew_aguirre@dfci.harvard.edu carter.scott@jimmy.harvard.edu brian_wolpin@dfci.harvard.edu.
Jonathan A Nowak *Dana-Farber Cancer Institute, Boston, Massachusetts.
Nicholas D Camarda *Dana-Farber Cancer Institute, Boston, Massachusetts.
Richard A Moffitt *Department of Biomedical Informatics, Department of Pathology, Stony Brook University, Stony Brook, New York.ORCID 0000-0003-2723-5902
Arezou A GhazaniDana-Farber Cancer Institute, Boston, Massachusetts.
Mehlika Hazar-RethinamMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Srivatsan RaghavanDana-Farber Cancer Institute, Boston, Massachusetts.
Jaegil KimBroad Institute of Harvard and MIT, Cambridge, Massachusetts.
Lauren K BraisDana-Farber Cancer Institute, Boston, Massachusetts.
Dorisanne RagonDana-Farber Cancer Institute, Boston, Massachusetts.
Marisa W WelchDana-Farber Cancer Institute, Boston, Massachusetts.
Emma ReillyDana-Farber Cancer Institute, Boston, Massachusetts.
Devin McCabeDana-Farber Cancer Institute, Boston, Massachusetts.
Lori MariniDana-Farber Cancer Institute, Boston, Massachusetts.
Kristin AnderkaBroad Institute of Harvard and MIT, Cambridge, Massachusetts.
Karla HelvieDana-Farber Cancer Institute, Boston, Massachusetts.
Nelly OliverDana-Farber Cancer Institute, Boston, Massachusetts.
Ana BabicDana-Farber Cancer Institute, Boston, Massachusetts.
Annacarolina Da SilvaDana-Farber Cancer Institute, Boston, Massachusetts.
Brandon NadresMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Emily E Van SeventerMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Heather A ShahzadeMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Joseph P St PierreDana-Farber Cancer Institute, Boston, Massachusetts.
Kelly P BurkeDana-Farber Cancer Institute, Boston, Massachusetts.
Thomas ClancyDana-Farber Cancer Institute, Boston, Massachusetts.
James M ClearyDana-Farber Cancer Institute, Boston, Massachusetts.
Leona A DoyleDana-Farber Cancer Institute, Boston, Massachusetts.
Kunal JajooDana-Farber Cancer Institute, Boston, Massachusetts.
Nadine J McClearyDana-Farber Cancer Institute, Boston, Massachusetts.
Jeffrey A MeyerhardtDana-Farber Cancer Institute, Boston, Massachusetts.
Janet E MurphyMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Kimmie NgDana-Farber Cancer Institute, Boston, Massachusetts.
Anuj K PatelDana-Farber Cancer Institute, Boston, Massachusetts.
Kimberly PerezDana-Farber Cancer Institute, Boston, Massachusetts.
Michael H RosenthalDana-Farber Cancer Institute, Boston, Massachusetts.
Douglas A RubinsonDana-Farber Cancer Institute, Boston, Massachusetts.
Marvin RyouDana-Farber Cancer Institute, Boston, Massachusetts.
Geoffrey I ShapiroDana-Farber Cancer Institute, Boston, Massachusetts.
Ewa SicinskaDana-Farber Cancer Institute, Boston, Massachusetts.
Stuart G SilvermanDana-Farber Cancer Institute, Boston, Massachusetts.
Rebecca J NagyDepartment of Medical Affairs, Guardant Health, Inc., Redwood City, California.
Richard B LanmanDepartment of Medical Affairs, Guardant Health, Inc., Redwood City, California.
Deborah KnoerzerBioMed Valley Discoveries, Kansas City, Missouri.
Dean J WelschBioMed Valley Discoveries, Kansas City, Missouri.
Matthew B YurgelunDana-Farber Cancer Institute, Boston, Massachusetts.
Charles S FuchsDana-Farber Cancer Institute, Boston, Massachusetts.
Levi A GarrawayDana-Farber Cancer Institute, Boston, Massachusetts.
Gad GetzBroad Institute of Harvard and MIT, Cambridge, Massachusetts.
Jason L HornickDana-Farber Cancer Institute, Boston, Massachusetts.
Bruce E JohnsonDana-Farber Cancer Institute, Boston, Massachusetts.
Matthew H KulkeDana-Farber Cancer Institute, Boston, Massachusetts.
Robert J MayerDana-Farber Cancer Institute, Boston, Massachusetts.
Jeffrey W MillerHarvard T.H. Chan School of Public Health, Boston, Massachusetts.
Paul B ShynDana-Farber Cancer Institute, Boston, Massachusetts.
David A TuvesonCold Spring Harbor Laboratory, Cold Spring Harbor, New York; Lustgarten Foundation Pancreatic Cancer Research Laboratory, Cold Spring Harbor, New York.
Nikhil WagleDana-Farber Cancer Institute, Boston, Massachusetts.
Jen Jen YehDepartments of Surgery and Pharmacology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
William C HahnDana-Farber Cancer Institute, Boston, Massachusetts.
Ryan B CorcoranHarvard Medical School, Boston, Massachusetts.
Scott L CarterDana-Farber Cancer Institute, Boston, Massachusetts. andrew_aguirre@dfci.harvard.edu carter.scott@jimmy.harvard.edu brian_wolpin@dfci.harvard.edu.
Brian M WolpinDana-Farber Cancer Institute, Boston, Massachusetts. andrew_aguirre@dfci.harvard.edu carter.scott@jimmy.harvard.edu brian_wolpin@dfci.harvard.edu.
Brigham and Women's Hospital · USBroad Institute · USDana-Farber Cancer Institute · USMassachusetts General Hospital · USHarvard University · USDiscover Vision Centers · USGuardant (United States) · USMassachusetts Department of Public Health · USCold Spring Harbor Laboratory · USStony Brook University · USUniversity of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI EL-BARDEESY, NABEEL, SELLERS, WILLIAM R · 2007 to 2023
$33.2M
Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
Circulating Biomarker Consortium for Pancreatic Cancer Early DetectionU01CA210171 · NCI · DANA-FARBER CANCER INST · PI Michael H. Rosenthal, Brian Matthew Wolpin · 2016 to 2026
$8.7M
The Dana-Farber Cancer Institute Cancer Target Discovery and Development CenterU01CA176058 · NCI · DANA-FARBER CANCER INST · PI HAHN, WILLIAM C. · 2013 to 2021
$7.8M
Tumor Subtypes and Therapy Response in Pancreatic CancerR01CA199064 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TSAI, SUSAN, YEH, JEN JEN · 2016 to 2021
$4.4M
Systematic identification of oncogenic KRAS synthetic lethal interactionsU01CA199253 · NCI · BROAD INSTITUTE, INC. · PI HAHN, WILLIAM C. · 2015 to 2019
$3.7M
Systematic interrogation of the pancreatic cancer microenvironment in patient-derived specimensU01CA224146 · NCI · DANA-FARBER CANCER INST · PI HAHN, WILLIAM C. · 2017 to 2021
$3.0M
Translating Intestinal Radioprotection by EGLN Inhibition to Improve Clinical Outcomes in Unresectable Pancreatic CancerR01CA227517 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOONG, ALBERT · 2019 to 2023
$2.3M
Functional interrogation of epigenetic vulnerabilities in KRAS-mutant pancreatic cancerK08CA218420 · NCI · DANA-FARBER CANCER INST · PI AGUIRRE, ANDREW JAMES · 2017 to 2021
$886k
NCATS NIH HHS UL1 TR001102NCI NIH HHS K08 CA218420NCI NIH HHS P30 CA016086NCI NIH HHS P50 CA127003NCI NIH HHS R01 CA199064NCI NIH HHS R01 CA227517NCI NIH HHS T32 CA009172NCI NIH HHS U01 CA176058NCI NIH HHS U01 CA199253NCI NIH HHS U01 CA210171NCI NIH HHS U01 CA224146
6 · The paper itself

Abstract

Clinically relevant subtypes exist for pancreatic ductal adenocarcinoma (PDAC), but molecular characterization is not yet standard in clinical care. We implemented a biopsy protocol to perform time-sensitive whole-exome sequencing and RNA sequencing for patients with advanced PDAC. Therapeutically relevant genomic alterations were identified in 48% (34/71) and pathogenic/likely pathogenic germline alterations in 18% (13/71) of patients. Overall, 30% (21/71) of enrolled patients experienced a change in clinical management as a result of genomic data. Twenty-six patients had germline and/or somatic alterations in DNA-damage repair genes, and 5 additional patients had mutational signatures of homologous recombination deficiency but no identified causal genomic alteration. Two patients had oncogenic in-frame

Indexed as

Genetic VariationAdultAgedAged, 80 and overCarcinoma, Pancreatic DuctalDNA RepairExome SequencingFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticGene Regulatory NetworksGenomicsGerm-Line MutationHomologous RecombinationHumansMale

Identifiers

PMID29903880
PMCPMC6192263
OpenAlexW2808191072

What OpenQuestion holds

Textmetadata
LicenceTDM
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.