Evidence map›Paper›PMID 30137376›Full record

ArticleJournal of the National Cancer Institute2019

A Plasma-Derived Protein-Metabolite Multiplexed Panel for Early-Stage Pancreatic Cancer.

Johannes F Fahrmann, Leonidas E Bantis, Michela Capello, Ghislaine Scelo, Jennifer B Dennison, Nikul Patel, Eunice Murage, Jody Vykoukal, Deepali L Kundnani, Lenka Foretova and 12 more

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing 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

77 citing papers in PubMed.

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

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

22 authors.

Johannes F FahrmannDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Leonidas E BantisDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX.
Michela CapelloDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Ghislaine SceloInternational Agency for Research on Cancer (IARC), Lyon, France.
Jennifer B DennisonDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Nikul PatelDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Eunice MurageDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Jody VykoukalDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Deepali L KundnaniDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.
Lenka ForetovaDepartment of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Eleonora FabianovaRegional Authority of Public Health in Banska Bystrica, Banska Bystrica, Slovakia.
Ivana HolcatovaInstitute of Public Health and Preventive Medicine, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.
Vladimir JanoutFaculty of Medicine, Palacky University, Olomouc, Czech Republic.
Ziding FengDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX.
Michele Yip-SchneiderDepartment Surgery, Indiana University School of Medicine, Indianapolis, IN.
Jianjun ZhangDepartment of Epidemiology, Fairbanks School of Public Health, Indiana University, Indianapolis, IN.
Randall BrandDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA.
Ayumu TaguchiDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Anirban MaitraDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Paul BrennanInternational Agency for Research on Cancer (IARC), Lyon, France.
C Max SchmidtDepartment Surgery, Indiana University School of Medicine, Indianapolis, IN.
Samir HanashDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
The Early Detection Research Network: Data Management and Coordinating CenterU24CA086368 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RUTH D ETZIONI, Ziding Feng · 2010 to 2026
$75.7M
Project 3: Inhibiting Oxidative Phosphorylation in Pancreatic CancerP50CA221707 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT, MAITRA, ANIRBAN · 2019 to 2023
$11.0M
Clinical Validation Center for Early Detection of Pancreatic CancerU01CA200468 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ANIRBAN MAITRA · 2016 to 2026
$11.0M
Imaging and Molecular Correlates of Progression in Cystic Neoplasms of the PancreasU01CA196403 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MAITRA, ANIRBAN · 2015 to 2020
$5.8M
Center for Clinical and Translational Sciences (CCTS)KL2TR000370 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$4.3M
Identifying insulin resistance biomarkers and metabolomic signature as predictors of precursors to pancreatic cancerR21CA209366 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI SCHMIDT, CHRISTIAN MAXIMILLIAN, ZHANG, JIANJUN · 2016 to 2017
$375k
Pilot for a Multicenter Case-Control Study of Pancreatic Cancer in a High Risk r*R03CA123546 · NCI · INTERNATIONAL AGENCY FOR RES ON CANCER · PI BRENNAN, PAUL JOSEPH · 2006 to 2007
$111k
NCATS NIH HHS KL2 TR000370NCI NIH HHS P50 CA221707NCI NIH HHS R03 CA123546NCI NIH HHS R21 CA209366NCI NIH HHS U01 CA196403NCI NIH HHS U01 CA200468NCI NIH HHS U24 CA086368World Health Organization 001
6 · The paper itself

Abstract

backgroundWe applied a training and testing approach to develop and validate a plasma metabolite panel for the detection of early-stage pancreatic ductal adenocarcinoma (PDAC) alone and in combination with a previously validated protein panel for early-stage PDAC.

methodsA comprehensive metabolomics platform was initially applied to plasmas collected from 20 PDAC cases and 80 controls. Candidate markers were filtered based on a second independent cohort that included nine invasive intraductal papillary mucinous neoplasm cases and 51 benign pancreatic cysts. Blinded validation of the resulting metabolite panel was performed in an independent test cohort consisting of 39 resectable PDAC cases and 82 matched healthy controls. The additive value of combining the metabolite panel with a previously validated protein panel was evaluated.

resultsFive metabolites (acetylspermidine, diacetylspermine, an indole-derivative, and two lysophosphatidylcholines) were selected as a panel based on filtering criteria. A combination rule was developed for distinguishing between PDAC and healthy controls using the Training Set. In the blinded validation study with early-stage PDAC samples and controls, the five metabolites yielded areas under the curve (AUCs) ranging from 0.726 to 0.842, and the combined metabolite model yielded an AUC of 0.892 (95% confidence interval [CI] = 0.828 to 0.956). Performance was further statistically significantly improved by combining the metabolite panel with a previously validated protein marker panel consisting of CA 19-9, LRG1, and TIMP1 (AUC = 0.924, 95% CI = 0.864 to 0.983, comparison DeLong test one-sided P= .02).

conclusionsA metabolite panel in combination with CA19-9, TIMP1, and LRG1 exhibited substantially improved performance in the detection of early-stage PDAC compared with a protein panel alone.

Indexed as

MetabolomeTranscriptomeAdenocarcinoma, MucinousBiomarkers, TumorCarcinoma, Pancreatic DuctalCarcinoma, PapillaryCase-Control StudiesFollow-Up StudiesHumansNeoplasm InvasivenessNeoplasm StagingPancreatic NeoplasmsBiomarkers, Tumor

Identifiers

PMID30137376
PMCPMC6449169

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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.