Evidence map›Paper›PMID 31528835›Full record

ArticleJCO precision oncology2019

Low Abundance of Circulating Tumor DNA in Localized Prostate Cancer.

S Thomas Hennigan, Shana Y Trostel, Nicholas T Terrigino, Olga S Voznesensky, Rachel J Schaefer, Nichelle C Whitlock, Scott Wilkinson, Nicole V Carrabba, Rayann Atway, Steven Shema and 10 more

Open access · hybridAbstract read
In one paragraph

Article in JCO precision oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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3 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

20 authors at 2 institutions in 1 country.

S Thomas HenniganNational Institutes of Health, Bethesda, MD.
Shana Y TrostelNational Institutes of Health, Bethesda, MD.
Nicholas T TerriginoNational Institutes of Health, Bethesda, MD.
Olga S VoznesenskyBeth Israel Deaconess Medical Center, Boston, MA.
Rachel J SchaeferBeth Israel Deaconess Medical Center, Boston, MA.
Nichelle C WhitlockNational Institutes of Health, Bethesda, MD.
Scott WilkinsonNational Institutes of Health, Bethesda, MD.
Nicole V CarrabbaNational Institutes of Health, Bethesda, MD.
Rayann AtwayNational Institutes of Health, Bethesda, MD.
Steven ShemaNational Institutes of Health, Bethesda, MD.
Ross LakeNational Institutes of Health, Bethesda, MD.
Amalia R SweetBeth Israel Deaconess Medical Center, Boston, MA.
David J EinsteinBeth Israel Deaconess Medical Center, Boston, MA.
Fatima KarzaiNational Institutes of Health, Bethesda, MD.
James L GulleyNational Institutes of Health, Bethesda, MD.
Peter ChangBeth Israel Deaconess Medical Center, Boston, MA.
Glenn J BubleyBeth Israel Deaconess Medical Center, Boston, MA.
Steven P BalkBeth Israel Deaconess Medical Center, Boston, MA.
Huihui YeBeth Israel Deaconess Medical Center, Boston, MA.
Adam G SowalskyNational Institutes of Health, Bethesda, MD.
National Institutes of Health · USBeth Israel Deaconess Medical Center · US

Funding

Tumor and Circulating Markers as Links Between Obesity and Lethal Prostate CanceP50CA090381 · NCI · DANA-FARBER CANCER INSTITUTE · PI KANTOFF, PHILIP W · 2002 to 2017
$36.2M
Molecular alterations driving the development of primary prostate cancersZIABC011679 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SOWALSKY, ADAM · 2016 to 2025
$6.9M
Mechanisms of resistance to treatment in aggressive prostate cancersZIABC011838 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SOWALSKY, ADAM · 2018 to 2025
$5.7M
Early detection of prostate cancer using circulating tumor DNAZIABC011680 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SOWALSKY, ADAM · 2016 to 2025
$2.7M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA BC011679Intramural NIH HHS ZIA BC011680Intramural NIH HHS ZIA BC011838NCI NIH HHS P50 CA090381
6 · The paper itself

Abstract

purposeDespite decreased screening-based detection of clinically insignificant tumors, most diagnosed prostate cancers are still indolent, indicating a need for better strategies for detection of clinically significant disease before treatment. We hypothesized that patients with detectable circulating tumor DNA (ctDNA) were more likely to harbor aggressive disease.

methodsWe applied ultra-low-pass whole-genome sequencing to profile cell-free DNA from 112 patients diagnosed with localized prostate cancer and performed targeted resequencing of plasma DNA for somatic mutations previously identified in matched solid tumor in nine cases. We also performed similar analyses of data from patients with metastatic prostate cancer.

resultsIn all cases of localized prostate cancer, even in clinically high-risk patients who subsequently had recurrent disease, ultra-low-pass whole-genome sequencing and targeted resequencing did not detect ctDNA in plasma acquired before surgery or before recurrence. In contrast, using both approaches, ctDNA was detected in patients with metastatic prostate cancer.

conclusionOur findings demonstrate clear differences between localized and advanced prostate cancer with respect to the dissemination and detectability of ctDNA. Because allele-specific alterations in ctDNA are below the threshold for detection in localized prostate cancer, other approaches to identify cell-free nucleic acids of tumor origin may demonstrate better specificity for aggressive disease.

Identifiers

PMID31528835
PMCPMC6746181
OpenAlexW2972685983

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.