Evidence map›Paper›PMID 31118201›Full record

Trial reportCancer research2019

Toward Personalized Computer Simulation of Breast Cancer Treatment: A Multiscale Pharmacokinetic and Pharmacodynamic Model Informed by Multitype Patient Data.

Xiaoran Lai, Oliver M Geier, Thomas Fleischer, Øystein Garred, Elin Borgen, Simon W Funke, Surendra Kumar, Marie E Rognes, Therese Seierstad, Anne-Lise Børresen-Dale and 4 more

Open access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Cancer research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  8. Treatment of evolving cancers will require dynamic decision support.Annals of oncology : official journal of the European Society for Medical Oncology · 2023
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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

14 authors at 3 institutions in 1 country.

Xiaoran LaiOslo Centre for Biostatistics and Epidemiology, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-7364-3993
Oliver M GeierDepartment of Diagnostic Physics, Clinic of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Thomas FleischerDepartment of Genetics, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-0985-8460
Øystein GarredDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Elin BorgenDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Simon W FunkeCenter for Biomedical Computing, Simula Research Laboratory, Lysaker, Norway.ORCID 0000-0003-4709-8415
Surendra KumarDepartment of Genetics, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-5396-5509
Marie E RognesCenter for Biomedical Computing, Simula Research Laboratory, Lysaker, Norway.ORCID 0000-0002-6872-3710
Therese SeierstadDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Anne-Lise Børresen-DaleDepartment of Genetics, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Vessela N KristensenDepartment of Genetics, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Olav EngebraatenDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Alvaro Köhn-LuqueOslo Centre for Biostatistics and Epidemiology, Faculty of Medicine, University of Oslo, Oslo, Norway.
Arnoldo FrigessiOslo Centre for Biostatistics and Epidemiology, Faculty of Medicine, University of Oslo, Oslo, Norway. arnoldo.frigessi@medisin.uio.no.
Oslo University Hospital · NOSimula Research Laboratory · NOUniversity of Oslo · NO

Funding

European Research Council 714892
6 · The paper itself

Abstract

The usefulness of mechanistic models to disentangle complex multiscale cancer processes, such as treatment response, has been widely acknowledged. However, a major barrier for multiscale models to predict treatment outcomes in individual patients lies in their initialization and parametrization, which needs to reflect individual cancer characteristics accurately. In this study, we use multitype measurements acquired routinely on a single breast tumor, including histopathology, MRI, and molecular profiling, to personalize parts of a complex multiscale model of breast cancer treated with chemotherapeutic and antiangiogenic agents. The model accounts for drug pharmacokinetics and pharmacodynamics. We developed an open-source computer program that simulates cross-sections of tumors under 12-week therapy regimens and used it to individually reproduce and elucidate treatment outcomes of 4 patients. Two of the tumors did not respond to therapy, and model simulations were used to suggest alternative regimens with improved outcomes dependent on the tumor's individual characteristics. It was determined that more frequent and lower doses of chemotherapy reduce tumor burden in a low proliferative tumor while lower doses of antiangiogenic agents improve drug penetration in a poorly perfused tumor. Furthermore, using this model, we were able to correctly predict the outcome in another patient after 12 weeks of treatment. In summary, our model bridges multitype clinical data to shed light on individual treatment outcomes. SIGNIFICANCE: Mathematical modeling is used to validate possible mechanisms of tumor growth, resistance, and treatment outcome.

Indexed as

AdultBevacizumabBreast NeoplasmsComputer SimulationFemaleHumansMiddle AgedModels, BiologicalPrecision MedicineTreatment OutcomeBevacizumab

Identifiers

PMID31118201
PMCPMC7617071
OpenAlexW2951983408

What OpenQuestion holds

Textmetadata
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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.