Evidence map›Paper›PMID 31570105›Full record

Trial reportJournal of translational medicine2019

Circulating DNA as prognostic biomarker in patients with advanced hepatocellular carcinoma: a translational exploratory study from the SORAMIC trial.

Marianna Alunni-Fabbroni, Kerstin Rönsch, Thomas Huber, Clemens C Cyran, Max Seidensticker, Julia Mayerle, Maciej Pech, Bristi Basu, Chris Verslype, Julia Benckert and 2 more

Abstract readClinical Trial
In one paragraph

Trial report in Journal of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing 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

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

  1. Utility of Liquid Biopsy Analysis in Detection of Hepatocellular Carcinoma, Determination of Prognosis, and Disease Monitoring: A Systematic Review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Pooled it
  2. Review
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  8. Lasso-Cox interpretable model of AFP-negative hepatocellular carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  9. Review
  10. Article
  11. Review
  12. Article
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  15. Article
  16. Liquid Liver Biopsy for Disease Diagnosis and Prognosis.Journal of clinical and translational hepatology · 2023
    Review
  17. Review
  18. Is Cell-Free DNA Testing in Hepatocellular Carcinoma Ready for Prime Time?International journal of molecular sciences · 2023
    Review
  19. Article
  20. Review
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

12 authors.

Marianna Alunni-FabbroniDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, Munich, Germany. Marianna.Alunni@med.uni-muenchen.de.ORCID 0000-0002-9710-1662
Kerstin RönschEurofins Genomics Europe Sequencing GmbH, Constance, Germany.
Thomas HuberDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, Munich, Germany.
Clemens C CyranDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, Munich, Germany.
Max SeidenstickerDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, Munich, Germany.
Julia MayerleDepartment of Medicine II, University Hospital, LMU Munich, Munich, Germany.
Maciej PechUniversity Clinic for Radiology, University of Magdeburg, Magdeburg, Germany.
Bristi BasuDepartment of Oncology, University of Cambridge, Cambridge, UK.
Chris VerslypeUZ Leuven, Campus Gasthuisberg, Louvain, Belgium.
Julia BenckertDepartment of Hepatology and Gastroenterology, Charité University Hospital, Berlin, Germany.
Peter MalfertheinerDepartment of Medicine II, University Hospital, LMU Munich, Munich, Germany.
Jens RickeDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiquid biopsy based on cell-free DNA circulating in plasma has shown solid results as a non-invasive biomarker. In the present study we evaluated the utility of circulating free DNA (cfDNA) and the sub-type tumor DNA (ctDNA) in hepatocellular cancer (HCC) patients to assess therapy response and clinical outcome.

methodsA cohort of 13 patients recruited in the context of the SORAMIC trial with unresectable, advanced HCC and different etiological and clinicopathological characteristics was included in this exploratory study. Plasma samples were collected between liver micro-intervention and beginning of sorafenib-based systemic therapy and then in correspondence of three additional follow-ups. DNA was isolated from plasma and next generation sequencing (NGS) was performed on a panel of 597 selected cancer-relevant genes.

resultscfDNA levels showed a significant correlation with the presence of metastases and survival. In addition cfDNA kinetic over time revealed a trend with the clinical history of the patients, supporting its use as a biomarker to monitor therapy. NGS-based analysis on ctDNA identified 28 variants, detectable in different combinations at the different time points. Among the variants, HNF1A, BAX and CYP2B6 genes showed the highest mutation frequency and a significant association with the patients' clinicopathological characteristics, suggesting a possible role as driver genes in this specific clinical setting.

conclusionsTaken together, the results support the prognostic value of cfDNA/ctDNA in advanced HCC patients with the potential to predict therapy response. These findings support the clinical utility of liquid biopsy in advanced HCC improving individualized therapy and possible earlier identification of treatment responders.

Indexed as

Translational Research, BiomedicalAgedAged, 80 and overBiomarkers, TumorCarcinoma, HepatocellularCell-Free Nucleic AcidsFemaleHumansLiver NeoplasmsMaleMiddle AgedMutationPrognosisSurvival AnalysisTreatment OutcomeBiomarkers, TumorCell-Free Nucleic AcidsBiomarkersCirculating tumor DNAHepatocellular carcinomaLiquid biopsy

Identifiers

PMID31570105
PMCPMC6771167

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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.