Evidence map›Paper›PMID 31221522›Full record

ArticleClinical lung cancer2019

Early Detection of Recurrence in Patients With Locally Advanced Non-Small-Cell Lung Cancer via Circulating Tumor Cell Analysis.

Chimbu Chinniah, Louise Aguarin, Phillip Cheng, Cristina Decesaris, Alicia Cutillo, Abigail T Berman, Melissa Frick, Abigail Doucette, Keith A Cengel, William Levin and 4 more

Abstract read
In one paragraph

Article in Clinical lung cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Comparative assessment of radiation therapy-induced vasculitis using [European journal of nuclear medicine and molecular imaging · 2024
    Observational
  5. Network approach in liquidomics landscape.Journal of experimental & clinical cancer research : CR · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Early Diagnosis and Screening for Lung Cancer.Cold Spring Harbor perspectives in medicine · 2021
    Review
  11. Article
  12. Multiblock Discriminant Analysis of IntegrativeInternational journal of radiation oncology, biology, physics · 2021
    Article
  13. Review
  14. Article
  15. Article
  16. 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

14 authors.

Chimbu ChinniahDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Louise AguarinDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Phillip ChengDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Cristina DecesarisDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Alicia CutilloDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Abigail T BermanDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Melissa FrickDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Abigail DoucetteDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Keith A CengelDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
William LevinDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Stephen HahnDepartment of Radiation Oncology, M.D. Anderson Cancer Center, Houston, TX.
Jay F DorseyDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Charles B SimoneNew York Proton Center, New York, NY. Electronic address: csimone@nyproton.com.
Gary D KaoDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA. Electronic address: Gary.Kao@uphs.upenn.edu.

Funding

Circulating Tumor Cells Analyses and Molecular Profiling for Patients Receiving Radiation TherapyR01CA201071 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DORSEY, JAY FITZGERALD, KAO, GARY D · 2016 to 2020
$2.2M
Targeted Modulation of the Death Receptor as a Therapeutic Strategy for GliomaK08NS076548 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DORSEY, JAY FITZGERALD · 2011 to 2015
$932k
NCI NIH HHS R01 CA201071NINDS NIH HHS K08 NS076548
6 · The paper itself

Abstract

backgroundAssays to identify circulating tumor cells (CTCs) might allow for noninvasive and sequential monitoring of lung cancer. We investigated whether serial CTC analysis could complement conventional imaging for detecting recurrences after treatment in patients with locally advanced non-small-cell lung cancer (LA-NSCLC). PATIENTS AND

methodsPatients with LA-NSCLC (stage II-III) who definitively received concurrent chemoradiation were prospectively enrolled, with CTCs from peripheral blood samples identified using an adenoviral probe that detects elevated telomerase activity present in nearly all lung cancer cells. A "detectable" CTC level was defined as 1.3 green flourescent protein-positive cells per milliliter of collected blood. Samples were obtained before, during (at weeks 2, 4, and 6), and after treatment (post-radiation therapy [RT]; at months 1, 3, 6, 12, 18, and 24).

resultsForty-eight patients were enrolled. At a median follow-up of 10.9 months, 22 (46%) patients had disease recurrence at a median time of 7.6 months post-RT (range, 1.3-32.0 months). Of the 20 of 22 patients for whom post-RT samples were obtained, 15 (75%) had an increase in CTC counts post-RT. In 10 of these 15 patients, CTCs were undetectable on initial post-RT draw but were then detected again before radiographic detection of recurrence, with a median lead time of 6.2 months and mean lead time of 6.1 months (range, 0.1-12.0 months) between CTC count increase and radiographic evidence of recurrence. One patient with an early recurrence (4.7 months) had persistently elevated detectable CTC levels during and after treatment.

conclusionThese results indicate that longitudinal CTC monitoring in patients with LA-NSCLC treated with chemoradiation is feasible, and that detectable CTC levels in many patients meaningfully precede radiologic evidence of disease recurrence.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCell CountChemoradiotherapyFeasibility StudiesFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingNeoplastic Cells, CirculatingCTCLA-NSCLCLung cancerProspective trialRadiation oncology

Identifiers

PMID31221522
PMCPMC6703908

What OpenQuestion holds

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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.