Evidence map›Paper›PMID 31088830›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2019

Rapid Clearance Profile of Plasma Circulating Tumor HPV Type 16 DNA during Chemoradiotherapy Correlates with Disease Control in HPV-Associated Oropharyngeal Cancer.

Bhishamjit S Chera, Sunil Kumar, Brian T Beaty, David Marron, Stuart Jefferys, Rebecca Green, Emily C Goldman, Robert Amdur, Nathan Sheets, Roi Dagan and 12 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 179 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 8 pooled it
22.9field-weighted citation impact, top 1% 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.

NCT05606133 narecruitingnot on this mapstarted 2022, after this paper: background citation

Implementation of Circulating HPV DNA for the Screening and Surveillance of HPV-related Gynecologic Cancers

TypeinterventionalSponsorNorthwell HealthRan2022 to 2026Enrolled100ConditionsCervical Dysplasia, Cervical CancerArmsNavDx(R)
NCT05644457 recruitingnot on this mapstarted 2022, after this paper: background citation

Exploratory Study of Early Biomarkers Allowing Dynamic Assessment of Response to Treatment in Cancers of the Head and Neck

TypeobservationalSponsorRoyal Marsden NHS Foundation TrustRan2022 to 2026Enrolled50ConditionsHead and Neck CancerArmsCirculating tumour DNA dynamics
3 · Its place in the literature

Who cites it

179 citing papers in PubMed, 8 syntheses or guidelines pooled it, 314 citations in OpenAlex.

  1. Pooled it
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  5. Guideline
  6. Pooled it
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  9. Trial
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  13. Hypoxia-Directed Treatment of Human Papillomavirus-Related Oropharyngeal Carcinoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  14. Trial
  15. Post-therapeutic surveillance of HPV-driven oropharyngeal cancers: are we ready to change our practices?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Trial
  16. Trial
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  18. Early HPV ctDNA Kinetics and Imaging Biomarkers Predict Therapeutic Response in p16+ Oropharyngeal Squamous Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial
  19. Trial
  20. Trial

119 more citing papers are in PubMed but not listed here.

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

22 authors at 5 institutions in 1 country.

Bhishamjit S Chera *Department of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina. gaorav@med.unc.edu bchera@med.unc.edu.
Sunil Kumar *Department of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.ORCID 0000-0002-6282-0640
Brian T BeatyDepartment of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
David MarronLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
Stuart JefferysLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
Rebecca GreenDepartment of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Emily C GoldmanDepartment of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Robert AmdurDepartment of Radiation Oncology, University of Florida Hospitals, Gainesville, Florida.
Nathan SheetsDepartment of Radiation Oncology, UNC Rex Hospitals, Raleigh, North Carolina.
Roi DaganUniversity of Florida Health Proton Therapy Institute, Jacksonville, Florida.
D Neil HayesWest Cancer Center, University of Tennessee, Memphis, Tennessee.
Jared WeissLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
Juneko E Grilley-OlsonLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-1896-7020
Adam ZanationDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Trevor HackmanDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Jeffrey M BlumbergDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Samip PatelDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Mark WeisslerDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Xianming M TanLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-5478-2269
Joel S ParkerLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0003-2080-6901
William MendenhallDepartment of Radiation Oncology, University of Florida Hospitals, Gainesville, Florida.
Gaorav P GuptaDepartment of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina. gaorav@med.unc.edu bchera@med.unc.edu.
University of North Carolina at Chapel Hill · USUniversity of Florida · USRex Hospital · USUniversity of Florida Health · USWest Cancer Center · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHARLES M PEROU · 1992 to 2026
$59.3M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Network Group Integrated Translational Science Centers ApplicationU10CA181009 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HAYES, DAVID N, PEROU, CHARLES M · 2014 to 2018
$3.4M
NCI NIH HHS P30 CA016086NCI NIH HHS P50 CA058223NCI NIH HHS U10 CA181009NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

purposeTo identify a profile of circulating tumor human papilloma virus (HPV) DNA (ctHPVDNA) clearance kinetics that is associated with disease control after chemoradiotherapy (CRT) for HPV-associated oropharyngeal squamous cell carcinoma (OPSCC). EXPERIMENTAL

designA multi-institutional prospective biomarker trial was conducted in 103 patients with (i) p16-positive OPSCC, (ii) M0 disease, and (iii) receipt of definitive CRT. Blood specimens were collected at baseline, weekly during CRT, and at follow-up visits. Optimized multianalyte digital PCR assays were used to quantify ctHPVDNA (types 16/18/31/33/35) in plasma. A control cohort of 55 healthy volunteers and 60 patients with non-HPV-associated malignancy was also analyzed.

resultsBaseline plasma ctHPVDNA had high specificity (97%) and high sensitivity (89%) for detecting newly diagnosed HPV-associated OPSCC. Pretreatment ctHPV16DNA copy number correlated with disease burden, tumor HPV copy number, and HPV integration status. We define a ctHPV16DNA favorable clearance profile as having high baseline copy number (>200 copies/mL) and >95% clearance of ctHPV16DNA by day 28 of CRT. Nineteen of 67 evaluable patients had a ctHPV16DNA favorable clearance profile, and none had persistent or recurrent regional disease after CRT. In contrast, patients with adverse clinical risk factors (T4 or >10 pack years) and an unfavorable ctHPV16DNA clearance profile had a 35% actuarial rate of persistent or recurrent regional disease after CRT (

conclusionsA rapid clearance profile of ctHPVDNA may predict likelihood of disease control in patients with HPV-associated OPSCC patients treated with definitive CRT and may be useful in selecting patients for deintensified therapy.

Indexed as

Case-Control StudiesChemoradiotherapyCirculating Tumor DNADNA, ViralFemaleHumansKineticsMaleMiddle AgedOropharyngeal NeoplasmsPapillomaviridaePapillomavirus InfectionsPrognosisProspective StudiesSurvival RateCirculating Tumor DNADNA, Viral

Identifiers

PMID31088830
PMCPMC6679766
OpenAlexW2945478948

What OpenQuestion holds

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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.