Evidence map›Paper›PMID 29925934›Full record

Trial reportBritish journal of cancer2018

Circulating biomarkers during treatment in patients with advanced biliary tract cancer receiving cediranib in the UK ABC-03 trial.

Alison C Backen, Andre Lopes, Harpreet Wasan, Daniel H Palmer, Marian Duggan, David Cunningham, Alan Anthoney, Pippa G Corrie, Srinivasan Madhusudan, Anthony Maraveyas and 9 more

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Serum IL6 as a Prognostic Biomarker and IL6R as a Therapeutic Target in Biliary Tract Cancers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  14. Observational
  15. 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

19 authors at 14 institutions in 1 country.

Alison C BackenCentre for Cancer Biomarker Sciences, Cancer Research UK Manchester Institute, Manchester, M20 4BX, UK.
Andre LopesCancer Research UK & University College London Cancer Trials Center, London, W1T 4TJ, UK.
Harpreet WasanHammersmith Hospital, Imperial College Healthcare Trust, London, W12 0HS, UK.
Daniel H PalmerLiverpool Experimental Cancer Medicine Centre, University of Liverpool Cancer Research UK Center, Liverpool, L69 3GL, UK.
Marian DugganCancer Research UK & University College London Cancer Trials Center, London, W1T 4TJ, UK.
David CunninghamThe Royal Marsden, London, SW3 6JJ & Surrey SM2 5PT, UK.
Alan AnthoneyLeeds Cancer Research UK Clinical Center, Leeds, LS2 9JT, UK.
Pippa G CorrieCambridge Cancer Centre, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ, UK.
Srinivasan MadhusudanDivision of Cancer & Stem Cells, University of Nottingham, Nottingham University Hospitals, Nottingham, NG7 2UH, UK.
Anthony MaraveyasCastle Hill Hospital, Hull, HU16 5JQ, UK.
Paul J RossDepartment of Oncology, King's College Hospital, London, SE5 9RS, UK.
Justin S WatersKent Oncology Center, Maidstone, ME16 9QQ, UK.
William P StewardLeicester Royal Infirmary, Leicester, LE1 5WW, UK.
Charlotte ReesUniversity Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, UK.
Mairéad G McNamaraDivision of Cancer Sciences, University of Manchester, Manchester, M13 9PL, UK.
Sandy BeareCancer Research UK & University College London Cancer Trials Center, London, W1T 4TJ, UK.
John A BridgewaterUCL Cancer Institute, London, WC1E 6DD, UK.ORCID http://orcid.org/0000-0001-9186-1604
Caroline DiveCentre for Cancer Biomarker Sciences, Cancer Research UK Manchester Institute, Manchester, M20 4BX, UK.
Juan W ValleDivision of Cancer Sciences, University of Manchester, Manchester, M13 9PL, UK. juan.valle@manchester.ac.uk.ORCID http://orcid.org/0000-0002-1999-0863
Cancer Research UK · GBCancer Research UK Manchester Institute · GBUniversity of Manchester · GBCambridge University Hospitals NHS Foundation Trust · GBCastle Hill Hospital · GBCRUK Lung Cancer Centre of Excellence · GBImperial College Healthcare NHS Trust · GBKing's College Hospital · GBLeicester Royal Infirmary · GBMaidstone Hospital · GBNottingham University Hospitals NHS Trust · GBRoyal Marsden NHS Foundation Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Liverpool · GB

Funding

Cancer Research UK 19278Cancer Research UK C2930 / A11428Cancer Research UK CRUK/09/029
6 · The paper itself

Abstract

backgroundAdvanced biliary tract cancer (ABC) has a poor prognosis. Cediranib, in addition to cisplatin/gemcitabine [CisGem], improved the response rate, but did not improve the progression-free survival (PFS) in the ABC-03 study. Minimally invasive biomarkers predictive of cediranib benefit may improve patient outcomes.

methodsChanges in 15 circulating plasma angiogenesis or inflammatory-related proteins and cytokeratin-18 (CK18), measured at baseline and during therapy until disease progression, were correlated with overall survival (OS) using time-varying covariate Cox models (TVC).

resultsSamples were available from n = 117/124 (94%) patients. Circulating Ang1&2, FGFb, PDGFbb, VEGFC, VEGFR1 and CK18 decreased as a result of the therapy, independent of treatment with cediranib. Circulating VEGFR2 and Tie2 were preferentially reduced by cediranib. Patients with increasing levels of VEGFA at any time had a worse PFS and OS; this detrimental effect was attenuated in patients receiving cediranib. TVC analysis revealed CK18 and VEGFR2 increases correlated with poorer OS in all patients (P < 0.001 and P = 0.02, respectively).

conclusionsRising circulating VEGFA levels in patients with ABC, treated with CisGem, are associated with worse PFS and OS, not seen in patients receiving cediranib. Rising levels of markers of tumour burden (CK18) and potential resistance (VEGFR2) are associated with worse outcomes and warrant validation.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsBiomarkers, TumorCisplatinDeoxycytidineDisease-Free SurvivalFemaleGemcitabineHumansIndolesKaplan-Meier EstimateKeratin-18MaleMiddle AgedBiomarkers, TumorcediranibCisplatinDeoxycytidineGemcitabineIndolesKDR protein, humanKeratin-18Neoplasm ProteinsQuinazolinesVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Receptor-2VEGFA protein, human

Identifiers

PMID29925934
PMCPMC6035166
OpenAlexW2797684918

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.