Evidence map›Paper›PMID 30187215›Full record

Trial reportPathology oncology research : POR2019

Ki67 and P53 in Relation to Disease Progression in Metastatic Pancreatic Cancer: a Single Institution Analysis.

Sally Temraz, Ali Shamseddine, Deborah Mukherji, Maya Charafeddine, Arafat Tfayli, Hazem Assi, Miza Salim Hammoud, Iman Makki, Samer Nassif

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Pathology oncology research : POR, 2019. 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
1.3field-weighted citation impact, top 16% 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, 33 citations in OpenAlex.

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  13. Pseudopterosin andBioengineering (Basel, Switzerland) · 2020
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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

9 authors at 2 institutions in 1 country.

Sally TemrazDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon. st29@aub.edu.lb.
Ali ShamseddineDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Deborah MukherjiDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Maya CharafeddineData Management and Clinical Research Unit, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Arafat TfayliDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Hazem AssiDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Miza Salim HammoudDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Iman MakkiDepartment of internal medicine, division of oncology/hematology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
Samer NassifDepartment of Pathology & Laboratory Medicine, American University of Beirut Medical Center, Riad El Solh, Beirut, 110 72020, Lebanon.
American University of Beirut Medical Center · LBAmerican University of Beirut · LB

Funding

American University of Beirut (LB) Seed grant
6 · The paper itself

Abstract

We investigated the expression patterns of Ki67 and p53 in metastatic pancreatic adenocarcinomas and analyzed their relationship with disease progression-free survival (PFS) and overall survival (OS) in the overall study population and in patients treated with a gemcitabine-containing chemotherapy versus FOLFIRINOX chemotherapy. Patients with histologically confirmed stage IV adenocarcinoma of the pancreas treated at AUBMC were included after obtaining institutional review board approval (IRB ID: IM.ST.05). The ROC was plotted to identify the threshold Ki-67, p53 and CA19-9 value for disease progression, the identified value was further used in Kaplan Meier curves to compare PFS for both groups (gemcitabine versus FOLFIRINOX). A value of p < 0.05 was considered significant in all analyses. On univariate analysis, patients who had a Ki-67 > 12.5% or a p53 > 15% had significantly shorter PFS (p = 0.034 and p = 0.016, respectively). This effect was restricted to Gemcitabine or gemcitabine-combination treated patients. A decrease in CA19-9 levels 6-8 weeks after chemotherapy of >58% had significantly longer PFS (p = 0.027). On multivariate analysis after controlling for grade, age and P53, Ki-67 remained significant, for every one unit increase in Ki-67 the progression risk increases by 1.017 times. Our study highlights the negative impact of high P53 expression and Ki67 proliferation index on PFS in patients with metastatic pancreatic cancer.

Indexed as

AdenocarcinomaAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorDeoxycytidineDisease ProgressionFemaleFluorouracilFollow-Up StudiesGemcitabineHumansIrinotecanKi-67 AntigenMaleMiddle AgedOxaliplatinPancreatic NeoplasmsBiomarkers, TumorDeoxycytidineFluorouracilGemcitabineIrinotecanKi-67 AntigenOxaliplatinTP53 protein, humanTumor Suppressor Protein p53CA19–9Ki67P53Pancreatic cancerPrognosis

Identifiers

PMID30187215
OpenAlexW2890117219

What OpenQuestion holds

Textmetadata
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.