Evidence map›Paper›PMID 30291241›Full record

ArticleNature communications2018

Copy number load predicts outcome of metastatic colorectal cancer patients receiving bevacizumab combination therapy.

Dominiek Smeets, Ian S Miller, Darran P O'Connor, Sudipto Das, Bruce Moran, Bram Boeckx, Timo Gaiser, Johannes Betge, Ana Barat, Rut Klinger and 23 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 5% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  12. Digestive cancers: mechanisms, therapeutics and management.Signal transduction and targeted therapy · 2025
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  16. Pharmaceuticals (Basel, Switzerland) · 2023
    Article
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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

33 authors at 12 institutions in 5 countries.

Dominiek SmeetsVIB Center for Cancer Biology, VIB, Herestraat 49, 3000, Leuven, Belgium.
Ian S MillerDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, 31A York Street, Dublin, D2, Ireland.ORCID http://orcid.org/0000-0003-2118-6345
Darran P O'ConnorDepartment of Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, D2, Ireland.ORCID http://orcid.org/0000-0002-8835-1547
Sudipto DasDepartment of Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, D2, Ireland.
Bruce MoranUCD School of Biomolecular and Biomedical Science, UCD Conway Institute, University College Dublin, Dublin, D4, Ireland.ORCID http://orcid.org/0000-0002-7266-0265
Bram BoeckxVIB Center for Cancer Biology, VIB, Herestraat 49, 3000, Leuven, Belgium.
Timo GaiserInstitute of Pathology, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Johannes BetgeDepartment of Medicine II, University Hospital Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.ORCID http://orcid.org/0000-0001-9549-1866
Ana BaratDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, 31A York Street, Dublin, D2, Ireland.
Rut KlingerUCD School of Biomolecular and Biomedical Science, UCD Conway Institute, University College Dublin, Dublin, D4, Ireland.
Nicole C T van GriekenDepartment of Pathology, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Chiara CremoliniDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Istituto Toscano Tumori, Lungarno Antonio Pacinotti, 43, 56126, Pisa, Italy.
Hans PrenenDepartment of Oncology, University Hospital Antwerp, Edegem, 2650, Belgium.ORCID http://orcid.org/0000-0001-8802-7352
Massimiliano MazzoneVIB Center for Cancer Biology, VIB, Herestraat 49, 3000, Leuven, Belgium.
Jeroen DepreeuwVIB Center for Cancer Biology, VIB, Herestraat 49, 3000, Leuven, Belgium.
Orna BaconDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, 31A York Street, Dublin, D2, Ireland.
Bozena FenderOncoMark Limited, NovaUCD, Belfield Innovation Park, Dublin, D4, Ireland.
Joseph BradyVeterinary Pathobiology, School of Veterinary Medicine, University College Dublin, Stillorgan Rd, Belfield, Dublin, D4, Ireland.
Bryan T HennessyDepartment of Surgery, Beaumont Hospital, Beaumont Rd, Beaumont, Dublin, D9, Ireland.
Deborah A McNamaraDepartment of Surgery, Beaumont Hospital, Beaumont Rd, Beaumont, Dublin, D9, Ireland.
Elaine KayDepartment of Pathology, Beaumont Hospital, Beaumont Rd, Beaumont, Dublin, D9, Ireland.
Henk M VerheulDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Neerincx MaartenDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
William M GallagherUCD School of Biomolecular and Biomedical Science, UCD Conway Institute, University College Dublin, Dublin, D4, Ireland.
Verena MurphyCancer Trials Ireland, Innovation House, Old Finglas Road, Dublin, D9, Ireland.
Jochen H M PrehnDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, 31A York Street, Dublin, D2, Ireland.
Miriam KoopmanDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Cornelis J A PuntDepartment of Medical Oncology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Fotios LoupakisOncologia Medica 1, Istituto Oncologico Veneto, Istituto di Ricovero e Cura a Carattere Scientifico, IRCCS, Via Gattamelata, 64, 35128, Padova, Italy.
Matthias P A EbertDepartment of Medicine II, University Hospital Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Bauke YlstraDepartment of Pathology, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9479-3010
Diether LambrechtsVIB Center for Cancer Biology, VIB, Herestraat 49, 3000, Leuven, Belgium. Diether.Lambrechts@kuleuven.vib.be.
Annette T ByrneDepartment of Physiology & Medical Physics, Royal College of Surgeons in Ireland, 31A York Street, Dublin, D2, Ireland.
University College Dublin · IEAmsterdam University Medical Centers · NLVIB-KU Leuven Center for Cancer Biology · BERoyal College of Surgeons in Ireland · IEBeaumont Hospital · IEHeidelberg University · DEAntwerp University Hospital · BECancer Trials Ireland · IEIstituto Oncologico Veneto · ITOncoMark (Ireland) · IEUniversity of Pisa · ITUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increased copy number alterations (CNAs) indicative of chromosomal instability (CIN) have been associated with poor cancer outcome. Here, we study CNAs as potential biomarkers of bevacizumab (BVZ) response in metastatic colorectal cancer (mCRC). We cluster 409 mCRCs in three subclusters characterized by different degrees of CIN. Tumors belonging to intermediate-to-high instability clusters have improved outcome following chemotherapy plus BVZ versus chemotherapy alone. In contrast, low instability tumors, which amongst others consist of POLE-mutated and microsatellite-instable tumors, derive no further benefit from BVZ. This is confirmed in 81 mCRC tumors from the phase 2 MoMa study involving BVZ. CNA clusters overlap with CRC consensus molecular subtypes (CMS); CMS2/4 xenografts correspond to intermediate-to-high instability clusters and respond to FOLFOX chemotherapy plus mouse avastin (B20), while CMS1/3 xenografts match with low instability clusters and fail to respond. Overall, we identify copy number load as a novel potential predictive biomarker of BVZ combination therapy.

Indexed as

DNA Copy Number VariationsAdenocarcinomaAgedAnimalsAntineoplastic Agents, ImmunologicalBevacizumabChromosomal InstabilityColorectal NeoplasmsFemaleHumansMaleMiceMiddle AgedRetrospective StudiesXenograft Model Antitumor AssaysAntineoplastic Agents, ImmunologicalBevacizumab

Identifiers

PMID30291241
PMCPMC6173768
OpenAlexW2894719048

What OpenQuestion holds

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LicenceCC BY
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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.