Evidence map›Paper›PMID 30673970›Full record

ArticleBreast cancer research and treatment2019

Re-interpretation of PAM50 gene expression as quantitative tumor dimensions shows utility for clinical trials: application to prognosis and response to paclitaxel in breast cancer.

Nicola J Camp, Michael J Madsen, Jesús Herranz, Álvaro Rodríguez-Lescure, Amparo Ruiz, Miguel Martín, Philip S Bernard

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00129922 (Phase III Study to Compare 6 Courses of FEC), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 39% 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.

NCT00129922 phase3completednot on this map

Phase III Study to Compare 6 Courses of FEC (Fluorouracil, Epirubicin and Cyclophosphamide) vs. 4 Courses of FEC Followed by 8 Weekly Paclitaxel Administrations, as Adjuvant Treatment for Node Positive Operable BC Patients

TypeinterventionalSponsorSpanish Breast Cancer Research GroupRan1999 to 2007Enrolled1,289ConditionsBreast CancerArmspaclitaxel, Fluorouracil, Epirubicin, Cyclophosphamide
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Deep Transcriptome Profiling of Multiple Myeloma Using Quantitative Phenotypes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  4. Article
  5. Review
  6. Deep-Learning-Based Survival Prediction of Patients in Coronary Care Units.Computational and mathematical methods in medicine · 2021
    Article
  7. Family Study Designs Informed by Tumor Heterogeneity and Multi-Cancer Pleiotropies: The Power of the Utah Population Database.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  8. Article
  9. HypermethylatedOncoTargets and therapy · 2019
    Article
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

7 authors at 5 institutions in 2 countries.

Nicola J CampHuntsman Cancer Institute, University of Utah, Salt Lake City, USA. nicola.camp@hci.utah.edu.
Michael J MadsenHuntsman Cancer Institute, University of Utah, Salt Lake City, USA.
Jesús HerranzSpanish Breast Cancer Group, GEICAM, Madrid, Spain.
Álvaro Rodríguez-LescureSpanish Breast Cancer Group, GEICAM, Madrid, Spain.
Amparo RuizInstituto Valenciano de Oncología, Valencia, Spain.
Miguel MartínSpanish Breast Cancer Group, GEICAM, Madrid, Spain.
Philip S BernardHuntsman Cancer Institute, University of Utah, Salt Lake City, USA.
Huntsman Cancer Institute · USCentro de Investigación Biomédica en Red de Cáncer · ESFundación Instituto Valenciano de Oncología · ESGEICAM – Spanish Breast Cancer Group · ESHospital General Universitario de Elche · ES

Funding

Foundation for the National Institutes of Health CA163353Foundation for the National Institutes of Health (US) CA042014
6 · The paper itself

Abstract

backgroundWe recently showed PAM50 gene expression data can be represented by five quantitative, orthogonal, multi-gene breast tumor traits. These novel tumor 'dimensions' were superior to categorical intrinsic subtypes for clustering in high-risk breast cancer pedigrees, indicating potential to represent underlying genetic susceptibilities and biological pathways. Here we explore the prognostic and predictive utility of these dimensions in a sub-study of GEICAM/9906, a Phase III randomized prospective clinical trial of paclitaxel in breast cancer.

methodsTumor dimensions, PC1-PC5, were calculated using pre-defined coefficients. Univariable and multivariable Cox proportional hazards (PH) models for disease-free survival (DFS) were used to identify associations between quantitative dimensions and prognosis or response to the addition of paclitaxel. Results were illustrated using Kaplan-Meier curves.

resultsDimensions PC1 and PC5 were associated with DFS (Cox PH p = 6.7 [Formula: see text] 10

conclusionsOur proof-of-concept application of quantitative dimensions illustrated novel findings and clinical utility beyond standard clinical-pathological characteristics and categorical intrinsic subtypes for prognosis and predicting chemotherapy response. Consideration of expression data as quantitative tumor dimensions offers new potential to identify clinically important patient subsets in clinical trials and advance precision medicine.

Indexed as

Biomarkers, TumorGene Expression ProfilingAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsClinical Trials, Phase III as TopicFemaleHumansImmunohistochemistryMiddle AgedMulticenter Studies as TopicNeoplasm GradingNeoplasm MetastasisPrognosisProportional Hazards ModelsBiomarkers, TumorBiomarkersBreast cancerDimensionsGene expressionMulti-gene

Identifiers

PMID30673970
PMCPMC6491406
OpenAlexW2913827814

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.