Evidence map›Paper›PMID 30448735›Full record

ArticleTranslational oncology2019

A Pilot Prospective Study of Refractory Solid Tumor Patients for NGS-Based Targeted Anticancer Therapy.

Young Mi Seol, Chae Hwa Kwon, So Jeong Lee, Seon Jin Lee, Yuri Choi, Young Jin Choi, Hyojeong Kim, Do Youn Park

Open access · goldAbstract read
In one paragraph

Article in Translational oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Targeted Treatment of Soft-Tissue Sarcoma.Journal of personalized medicine · 2023
    Review
  3. Accounting for Delayed Entry in Analyses of Overall Survival in Clinico-Genomic Databases.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
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

8 authors at 1 institution in 1 country.

Young Mi SeolDepartment of Hemato-oncology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea; BioMedical Research Institute, Pusan National University Hospital, 1-10 Ami-Dong, Seo-Gu, Busan 602-739, Republic of Korea.
Chae Hwa KwonBioMedical Research Institute, Pusan National University Hospital, 1-10 Ami-Dong, Seo-Gu, Busan 602-739, Republic of Korea.
So Jeong LeeBioMedical Research Institute, Pusan National University Hospital, 1-10 Ami-Dong, Seo-Gu, Busan 602-739, Republic of Korea; Department of Pathology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea.
Seon Jin LeeDepartment of Pathology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea.
Yuri ChoiDepartment of Pathology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea.
Young Jin ChoiDepartment of Hemato-oncology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea; BioMedical Research Institute, Pusan National University Hospital, 1-10 Ami-Dong, Seo-Gu, Busan 602-739, Republic of Korea.
Hyojeong KimDepartment of Hemato-oncology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea; BioMedical Research Institute, Pusan National University Hospital, 1-10 Ami-Dong, Seo-Gu, Busan 602-739, Republic of Korea.
Do Youn ParkBioMedical Research Institute, Pusan National University Hospital, 1-10 Ami-Dong, Seo-Gu, Busan 602-739, Republic of Korea; Department of Pathology, Pusan National University Hospital and Pusan National University School of Medicine, 179, Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea. Electronic address: pdy220@pusan.ac.kr.
Pusan National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the advent of next-generation sequencing (NGS), targeted sequencing is now contributing to decision making for which chemotherapeutics to administer to cancer patients, especially in refractory and metastatic cancer. Given that most patients with refractory cancer develop resistance to chemotherapy and have few treatment options, we performed NGS test to evaluate the efficacy and clinical feasibility of NGS-based targeted anticancer therapy. We used a gene panel for capturing target regions covering 83 cancer-related genes. A total of 25 refractory metastatic solid tumor patients were enrolled in this study. Among the 25 patients, 7 had FDA-approved drug-responsive or -resistant alterations. However, the effectiveness of targeted therapy was assessed by follow-up in three patients (12%). These included crizotinib for ALK-EML4 fusion in a malignancy of undefined origin patient and everolimus for AKT3 amplification in a uterine sarcoma patient. In addition, we identified a KRAS codon 146 mutation (A146V), which is associated with resistance to anti-EGFR, in a cetuximab-resistant colon cancer patient with wild-type KRAS exons 2 and 12, and EGFR amplification. He received bevacizumab therapy. All three patients showed partial response after targeted therapy. Furthermore, we characterized KRAS A146V biologically using colon cancer cells. In conclusion, this study suggests that targeted therapy based on NGS test may be a good choice for improving the care of patients with refractory solid tumors.

Identifiers

PMID30448735
PMCPMC6240710
OpenAlexW2901300416

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.