Evidence map›Paper›PMID 31366977›Full record

Trial reportScientific reports2019

Pyrosequencing versus methylation-specific PCR for assessment of MGMT methylation in tumor and blood samples of glioblastoma patients.

Anna Estival, Carolina Sanz, Jose-Luis Ramirez, Jose Maria Velarde, Marta Domenech, Cristina Carrato, Ramón de Las Peñas, Miguel Gil-Gil, Juan Sepúlveda, Roser Armengol and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  12. The C250T Mutation ofCancers · 2024
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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

15 authors at 9 institutions in 1 country.

Anna EstivalMedical Oncology Service, Catalan Institute of Oncology Badalona, Hospital Germans Trias i Pujol, Applied Research Group in Oncology (B-ARGO Group), Badalona, Spain.
Carolina SanzPathology Service, University Hospital Germans Trias i Pujol, Badalona, Spain.
Jose-Luis RamirezMedical Oncology Service, Catalan Institute of Oncology Badalona, Hospital Germans Trias i Pujol, Applied Research Group in Oncology (B-ARGO Group), Badalona, Spain.
Jose Maria VelardeStatistical Unit, Applied Research Group in Oncology (B-ARGO Group), Institut Investigació Germans Trias i Pujol (IGTP), Badalona, Spain.
Marta DomenechMedical Oncology Service, Catalan Institute of Oncology Badalona, Hospital Germans Trias i Pujol, Applied Research Group in Oncology (B-ARGO Group), Badalona, Spain.
Cristina CarratoPathology Service, University Hospital Germans Trias i Pujol, Badalona, Spain.
Ramón de Las PeñasMedical Oncology Service, Hospital Provincial de Castellón, Castellón, Spain.
Miguel Gil-GilMedical Oncology Service, Catalan Institute of Oncology l'Hospitalet de LLobregat, Bellvitge Biomedical Research Institute (IDIBELL) l'Hospitalet de Llobregat, Barcelona, Spain.
Juan SepúlvedaMedical Oncology Service, University Hospital 12 de Octubre, Madrid, Spain.
Roser ArmengolNeurosurgery Service, Hospital Germans Trias i Pujol, Badalona, Spain.
Isaac CardielNeurosurgery Service, Hospital Germans Trias i Pujol, Badalona, Spain.
Alfonso BerrocalMedical Oncology Service, University Hospital General de Valencia, Valencia, Spain.
Raquel LuqueMedical Oncology Service, University Hospital Virgen de las Nieves, Granada, Spain.
Ana HerreroMedical Oncology Service, Hospital Miguel Servet, Zaragoza, Spain.
Carmen BalanaMedical Oncology Service, Catalan Institute of Oncology Badalona, Hospital Germans Trias i Pujol, Applied Research Group in Oncology (B-ARGO Group), Badalona, Spain. cbalana@iconcologia.net.ORCID http://orcid.org/0000-0003-0771-0390
Hospital Universitari Germans Trias i Pujol · ESInstitut Català d'Oncologia · ESBellvitge University Hospital · ESFundación Hospital Provincial de Castellón · ESHospital General Universitario De Valencia · ESHospital Universitario Miguel Servet · ESHospital Universitario Virgen de las Nieves · ESInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circulating biomarkers in blood may provide an interesting alternative to risky tissue biopsies in the diagnosis and follow-up of glioblastoma patients. We have assessed MGMT methylation status in blood and tissue samples from unresected glioblastoma patients who had been included in the randomized GENOM-009 trial. Paired blood and tissue samples were assessed by methylation-specific PCR (MSP) and pyrosequencing (PYR). After establishing the minimum PYR cut-off that could yield a significant difference in overall survival, we assessed the sensitivity, specificity, positive predictive value and negative predictive value (NPV) of the analyses. Methylation could be detected in cfDNA by both MSP and PYR but with low concordance with results in tissue. Sensitivity was low for both methods (31% and 38%, respectively), while specificity was higher for MSP in blood than for PYR in plasma (96% vs 76%) and NPV was similar (56 vs 57%). Concordance of results in tissue by MSP and PYR was 84.3% (P < 0.001) and correlated with outcome. We conclude that detection of cfDNA in the blood of glioblastoma patients can be an alternative when tumor tissue is not available but methods for the detection of cfDNA in blood must improve before it can replace analysis in tumor tissue.

Indexed as

BiomarkersBrain NeoplasmsDNA MethylationDNA Modification MethylasesDNA Repair EnzymesFemaleGlioblastomaHumansMaleMiddle AgedPolymerase Chain ReactionSensitivity and SpecificityTumor Suppressor ProteinsBiomarkersDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTumor Suppressor Proteins

Identifiers

PMID31366977
PMCPMC6668570
OpenAlexW2966418733

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.