Evidence map›Paper›PMID 30478503›Full record

ArticleMedical oncology (Northwood, London, England)2018

The roles of PTEN, cMET, and p16 in resistance to cetuximab in head and neck squamous cell carcinoma.

Alexandre A B A da Costa, Felipe D'Almeida Costa, Daniel Vilarim Araújo, Marcos Pedro Guedes Camandaroba, Victor Hugo Fonseca de Jesus, Audrey Oliveira, Ana Caroline Fonseca Alves, Carlos Stecca, Larissa Machado, Andrea Cruz Feraz de Oliveira and 3 more

Abstract read
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In one paragraph

Article in Medical oncology (Northwood, London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  5. Recent progress of biomarkers in oral cancers.Journal of the Chinese Medical Association : JCMA · 2021
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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

13 authors at 1 institution in 1 country.

Alexandre A B A da CostaA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil. alexandreandredacosta@gmail.com.ORCID http://orcid.org/0000-0002-1631-0105
Felipe D'Almeida CostaA.C. Camargo Cancer Center - Pathology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Daniel Vilarim AraújoA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Marcos Pedro Guedes CamandarobaA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Victor Hugo Fonseca de JesusA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Audrey OliveiraA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Ana Caroline Fonseca AlvesA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Carlos SteccaA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Larissa MachadoA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Andrea Cruz Feraz de OliveiraA.C. Camargo Cancer Center - Pathology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Thiago Bueno de OliveiraA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Ulisses Ribaldo NicolauA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
Vladmir Cláudio Cordeiro de LimaA.C. Camargo Cancer Center - Medical Oncology Department, 211 Professor Antonio Prudente Street, São Paulo, SP, 01509-900, Brazil.
AC Camargo Hospital · BR

Funding

Ricardo Brentani Award, A.C.Camargo Cancer Center. 2014
6 · The paper itself

Abstract

There is no established biomarker for cetuximab efficacy in recurrent head and neck squamous cell carcinoma (HNSCC). The aim of the present study was to evaluate the prognostic and predictive impact of PTEN, cMET, and p16 expression in recurrent HNSCC. In this retrospective study, 112 patients with recurrent HNSCC received chemotherapy (CT) alone (n = 37) or chemotherapy with cetuximab (n = 75). PTEN, cMET, and p16 protein expression were evaluated by immunohistochemistry. The median overall survival (mOS) for the patients treated with cetuximab + CT versus CT alone was 11.4 months and 7.0 months, (p = 0.949). The median progression-free survival (mPFS) was 6.2 months versus 3.0 months (p = 0.154). Patients with PTEN loss exhibited a mOS of 5.8 months versus 10.5 months (p = 0.002) and a mPFS of 3.2 months versus 4.7 months (p = 0.019). A multivariate analysis identified an independent association between PTEN loss and OS (HR 2.27; 95% confidence 95% CI 1.27-4.08; p = 0.006) and with PFS (HR 1.85; 95% CI 1.09-2.99; p = 0.022). A negative prognostic impact of PTEN loss was observed in the patients treated with cetuximab + CT, and not in the CT only group. Expression of cMET and p16 showed no impact on OS or PFS. The present findings confirm that PTEN is a prognostic factor for metastatic HNSCC and they support further studies of PTEN expression to evaluate its predictive value to cetuximab response.

Indexed as

AdultAgedAntineoplastic Agents, ImmunologicalBiomarkers, TumorCetuximabCyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p18Drug Resistance, NeoplasmFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisProgression-Free SurvivalProportional Hazards ModelsAntineoplastic Agents, ImmunologicalBiomarkers, TumorCDKN2A protein, humanCetuximabCyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p18Proto-Oncogene Proteins c-metPTEN PhosphohydrolasePTEN protein, humanCetuximab resistanceHead and neck squamous cell carcinomaMETP16Predictive factorsPrognostic factorsPTEN

Identifiers

PMID30478503
OpenAlexW2902474333

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.