Evidence map›Paper›PMID 30072705›Full record

Trial reportScientific reports2018

Utility of targeted deep sequencing for detecting circulating tumor DNA in pancreatic cancer patients.

Gahee Park, Joo Kyung Park, Dae-Soon Son, Seung-Ho Shin, Yeon Jeong Kim, Hyo-Jeong Jeon, Jae Lee, Woong-Yang Park, Kwang Hyuck Lee, Donghyun Park

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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

36 citing papers in PubMed.

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  20. The somatic molecular evolution of cancer: Mutation, selection, and epistasis.Progress in biophysics and molecular biology · 2021
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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

10 authors.

Gahee ParkSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea.ORCID 0000-0002-9599-687X
Joo Kyung ParkDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 06351, Korea.
Dae-Soon SonSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea.
Seung-Ho ShinSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea.
Yeon Jeong KimSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea.
Hyo-Jeong JeonSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea.
Jae LeeSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea.ORCID 0000-0003-4155-5398
Woong-Yang ParkSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea. woongyang.park@samsung.com.
Kwang Hyuck LeeDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 06351, Korea. lkhyuck@gmail.com.ORCID 0000-0002-2898-6233
Donghyun ParkSamsung Genome Institute, Samsung Medical Center, Seoul, 06351, Korea. dh37.park@samsung.com.ORCID 0000-0002-7946-6924

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Targeted deep sequencing across broad genomic regions has been used to detect circulating tumor DNA (ctDNA) in pancreatic ductal adenocarcinoma (PDAC) patients. However, since most PDACs harbor a mutation in KRAS, sequencing of broad regions needs to be systemically compared to analyzing only KRAS mutations for PDAC. Using capture-based targeted deep sequencing, we detected somatic tumor mutations in 17 fine needle aspiration biopsy and 69 longitudinal cell-free DNA (cfDNA) samples from 17 PDAC patients. KRAS mutations were detected in 10 out of 17 pretreatment patient plasma samples. Next, interrogation of genetic alterations in matched primary tumor samples detected ctDNA in 12 of 17 pretreatment plasma samples and cfDNA sequencing across the 83 target genes identified ctDNA in 15 of 17 cases (88.2% sensitivity). This improved sensitivity of ctDNA detection resulted in enhanced tumor burden monitoring when we analyzed longitudinal plasma samples. We found that cfDNA sequencing detected the lowest mutant allelic fractions and number of variants when complete response or partial response to chemotherapy was achieved. We demonstrated that ctDNA levels measured by targeted deep sequencing sensitively indicate the presence of cancer and correlate well with clinical responses to therapy and disease progression in PDAC patients.

Indexed as

Circulating Tumor DNAHigh-Throughput Nucleotide SequencingMutationPancreatic NeoplasmsBiopsy, Fine-NeedleDNA Mutational AnalysisFemaleHumansMaleMiddle AgedProto-Oncogene Proteins p21(ras)Circulating Tumor DNAKRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID30072705
PMCPMC6072791

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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.