Evidence map›Paper›PMID 30189880›Full record

ArticleJournal of translational medicine2018

Circulating tumor cells criteria (CyCAR) versus standard RECIST criteria for treatment response assessment in metastatic colorectal cancer patients.

Mayte Delgado-Ureña, Francisco G Ortega, Diego de Miguel-Pérez, Alba Rodriguez-Martínez, Jose L García-Puche, Hugh Ilyine, Jose A Lorente, Jose Exposito-Hernandez, M Carmen Garrido-Navas, Miguel Delgado-Ramirez and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Precision Oncology Framework Using Circulating Tumor Cells.International journal of molecular sciences · 2025
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  8. Dynamic liquid biopsy components as predictive and prognostic biomarkers in colorectal cancer.Journal of experimental & clinical cancer research : CR · 2022
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  9. Circulating tumor cells in colorectal cancer in the era of precision medicine.Journal of molecular medicine (Berlin, Germany) · 2022
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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

11 authors at 4 institutions in 2 countries.

Mayte Delgado-UreñaIntegral Oncology Division, Clinical University Hospital, Av. Dr. Olóriz 16, 18012, Granada, Spain.
Francisco G OrtegaLiquid Biopsy and Metastasis Research Group, GENYO, Centre for Genomics and Oncological Research, Pfizer/University of Granada/Andalusian Regional Government PTS, Granada, Avenida de la Ilustración, 114, 18016, Granada, Spain.
Diego de Miguel-PérezLiquid Biopsy and Metastasis Research Group, GENYO, Centre for Genomics and Oncological Research, Pfizer/University of Granada/Andalusian Regional Government PTS, Granada, Avenida de la Ilustración, 114, 18016, Granada, Spain.
Alba Rodriguez-MartínezIntegral Oncology Division, Clinical University Hospital, Av. Dr. Olóriz 16, 18012, Granada, Spain.
Jose L García-PucheIntegral Oncology Division, Clinical University Hospital, Av. Dr. Olóriz 16, 18012, Granada, Spain.
Hugh IlyineDestiNA Genomics Ltd, 7-11 Melville St, Edinburgh, EH3 7PE, UK.
Jose A LorenteLiquid Biopsy and Metastasis Research Group, GENYO, Centre for Genomics and Oncological Research, Pfizer/University of Granada/Andalusian Regional Government PTS, Granada, Avenida de la Ilustración, 114, 18016, Granada, Spain.
Jose Exposito-HernandezIntegral Oncology Division, Clinical University Hospital, Av. Dr. Olóriz 16, 18012, Granada, Spain.
M Carmen Garrido-NavasLiquid Biopsy and Metastasis Research Group, GENYO, Centre for Genomics and Oncological Research, Pfizer/University of Granada/Andalusian Regional Government PTS, Granada, Avenida de la Ilustración, 114, 18016, Granada, Spain.
Miguel Delgado-RamirezDivision of Preventive Medicine and Public Health, CIBERESP, University of Jaen, Campus de las Lagunillas, 23072, Jaén, Spain.
M José SerranoIntegral Oncology Division, Clinical University Hospital, Av. Dr. Olóriz 16, 18012, Granada, Spain. mjose.serrano@genyo.es.
Pfizer-University of Granada-Junta de Andalucía Centre for Genomics and Oncological Research · ESGenomics (United Kingdom) · GBUniversidad de Granada · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ES

Funding

Universidad de Granada PhD grant from the University of Granada
6 · The paper itself

Abstract

backgroundThe use of circulating tumor cells (CTCs) as indicators of treatment response in metastatic colorectal cancer (mCRC) needs to be clarified. The objective of this study is to compare the Response Evaluation Criteria in Solid Tumors (RECIST) with the Cytologic Criteria Assessing Response (CyCAR), based on the presence and phenotypic characterization of CTCs, as indicators of FOLFOX-bevacizumab treatment response.

methods77 mCRC blood samples from FOLFOX-bevacizumab treated patients were analyzed to isolate CTCs before and after (12 and 24 weeks) treatment, using an immunomagnetic separation method. VEGFR expression was identified by double immunostaining.

resultsWe observed a decrease of CTCs (42.8 vs. 18.2%) and VEGFR positivity (69.7% vs. 41.7%) after treatment. According to RECIST, 6.45% of the patients did not show any clinical benefit, whereas 93.55% patients showed a favorable response at 12 weeks. According to CyCAR, 29% had a non-favorable response and 71% patients did not. No significant differences were found between the response assessment by RECIST and CyCAR at 12 or 24 weeks. However, in the multivariate analysis, RECIST at 12 weeks and CyCAR at 24 weeks were independent prognostic factors for OS (HR: 0.1, 95% CI 0.02-0.58 and HR: 0.35, 95% CI 0.12-0.99 respectively).

conclusionsCyCAR results were comparable to RECIST in evaluating the response in mCRC and can be used as an alternative when the limitation of RECIST requires additional response analysis techniques.

Indexed as

Response Evaluation Criteria in Solid TumorsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorColorectal NeoplasmsFemaleFluorouracilFollow-Up StudiesHumansLeucovorinMaleMiddle AgedMultivariate AnalysisNeoplasm MetastasisNeoplastic Cells, CirculatingOrganoplatinum CompoundsPrognosisFluorouracilLeucovorinOrganoplatinum CompoundsReceptors, Vascular Endothelial Growth FactorBevacizumabCirculating tumor cellsCyCARMetastatic colorectal cancerPrognosisRECIST

Identifiers

PMID30189880
PMCPMC6127986
OpenAlexW2890530819

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.