Evidence map›Paper›PMID 31597339›Full record

ArticleCancers2019

Clinical Practice Use of Liquid Biopsy to Identify RAS/BRAF Mutations in Patients with Metastatic Colorectal Cancer (mCRC): A Single Institution Experience.

Pietro Paolo Vitiello, Vincenzo De Falco, Emilio Francesco Giunta, Davide Ciardiello, Claudia Cardone, Pasquale Vitale, Nicoletta Zanaletti, Carola Borrelli, Luca Poliero, Marinella Terminiello and 16 more

Abstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–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

35 citing papers in PubMed.

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  7. ConcomitantJournal of the anus, rectum and colon · 2026
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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

26 authors.

Pietro Paolo VitielloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. pietropaolo.vitiello@gmail.com.
Vincenzo De FalcoDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. vincenzodefalc@gmail.com.
Emilio Francesco GiuntaDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. emiliofrancescogiunta@gmail.com.
Davide CiardielloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. davideciardiello@yahoo.it.
Claudia CardoneDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. claudia.cardone88@gmail.com.
Pasquale VitaleDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. vitale.pasquale.89@gmail.com.
Nicoletta ZanalettiDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. nicolettazanaletti@gmail.com.
Carola BorrelliDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. carola.bor@libero.it.
Luca PolieroDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. luca.poliero@libero.it.
Marinella TerminielloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. marinella.terminiello@gmail.com.
Gianluca ArrichielloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. gluca.arrichiello@gmail.com.
Vincenza CaputoDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. vincenza.caputo.92@gmail.com.
Vincenzo FamigliettiDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. vincenzo.famiglietti@yahoo.it.
Valentina Mattera IaconoDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. vmatteraiacono@gmail.com.
Francesca MarroneDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. francesca.marrone@email.it.
Alessandra Di LielloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. dilielloalessandra@gmail.com.
Giulia MartiniDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. giulia.mart14@gmail.com.
Stefania NapolitanoDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. stenap@fastwebnet.it.
Michele CaragliaDepartment of Experimental Medicine, Università della Campania "Luigi Vanvitelli", 80138 Napoli, Italy. michele.caraglia@unicampania.it.
Angela LombardiDepartment of Experimental Medicine, Università della Campania "Luigi Vanvitelli", 80138 Napoli, Italy. angela.lombardi@unicampania.it.
Renato FrancoDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, Università della Campania "Luigi Vanvitelli", 80138 Napoli, Italy. renato.franco@unicampania.it.
Ferdinando De VitaDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. ferdinando.devita@unicampania.it.
Floriana MorgilloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. floriana.morgillo@unicampania.it.
Teresa TroianiDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. teresa.troiani@unicampania.it.
Fortunato CiardielloDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy.
Erika MartinelliDepartment of Precision Medicine, Università della Campania "Luigi Vanvitelli", 80131 Napoli, Italy. erika.martinelli@unicampania.it.

Funding

Associazione Italiana per la Ricerca sul Cancro IG-2013-ID:14800Regione Campania Cancer Research Campaign I-Cure Grant
6 · The paper itself

Abstract

Tumor heterogeneity represents a possible cause of error in detecting predictive genetic alterations on tumor tissue and can be overcome by testing alterations in circulating tumor DNA (ctDNA) using liquid biopsy. We assessed 72 consecutive patients with a diagnosis of metastatic colorectal cancer (mCRC) using Idylla™ Biocartis, a fully automated platform that evaluates the most frequent mutations of KRAS, NRAS and BRAF genes. We correlated the results of liquid biopsy and standard tissue-based next generation sequencing (NGS) analyses to patient clinical features. The overall agreement was 81.94%. Concordance was 85.71% and 96.15% in treatment-naïve patients and in the patient subgroup with liver metastases, respectively. In liver metastases positive, treatment-naïve patients, sensitivity, specificity and positive predictive value (PPV) were 92.31%, 100% and 100%, respectively. Circulating mutational fraction (CMF) was significantly higher in patients with liver metastases and high carcinoembryonic antigen (CEA) levels. In a subgroup of patients pre-treated with anti-Epidermal Growth Factor Receptor (EGFR) agents, emerging KRAS mutations were evidenced in 33% of cases. Testing RAS/BRAF mutations on plasma using the Idylla™ Biocartis platform is feasible and reliable in mCRC patients in clinical practice.

Indexed as

acquired resistanceanti-EGFRclonal evolutioncolorectal cancerliquid biopsyRAS testing

Identifiers

PMID31597339
PMCPMC6827157

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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.