Evidence map›Paper›PMID 31902686›Full record

ArticleGynecologic oncology2020

Therapeutic options for mucinous ovarian carcinoma.

Kylie L Gorringe, Dane Cheasley, Matthew J Wakefield, Georgina L Ryland, Prue E Allan, Kathryn Alsop, Kaushalya C Amarasinghe, Sumitra Ananda, David D L Bowtell, Michael Christie and 30 more

Open access · bronzeAbstract read
In one paragraph

Article in Gynecologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Ovarian cancer.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Cellular origins of mucinous ovarian carcinoma.The Journal of pathology · 2025
    Review
  12. The Role ofInternational journal of women's health · 2025
    Article
  13. Frontiers in oncology · 2025
    Article
  14. Genomics of ovarian cancers and the potential of precision medicine.Therapeutic advances in medical oncology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

40 authors at 14 institutions in 4 countries.

Kylie L GorringePeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia. Electronic address: kylie.gorringe@petermac.org.
Dane CheasleyPeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
Matthew J WakefieldThe University of Melbourne, Melbourne, Australia; Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Georgina L RylandPeter MacCallum Cancer Centre, Melbourne, Australia.
Prue E AllanPeter MacCallum Cancer Centre, Melbourne, Australia.
Kathryn AlsopPeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
Kaushalya C AmarasinghePeter MacCallum Cancer Centre, Melbourne, Australia.
Sumitra AnandaPeter MacCallum Cancer Centre, Melbourne, Australia; Western Health, St. Albans, Australia.
David D L BowtellPeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
Michael ChristieThe University of Melbourne, Melbourne, Australia; Royal Melbourne Hospital, Parkville, Australia.
Yoke-Eng ChiewDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, Australia; The Westmead Institute for Medical Research, Sydney, Australia.
Michael ChurchmanNicola Murray Centre for Ovarian Cancer Research, Cancer Research UK Edinburgh Centre, University of Edinburgh, UK.
Anna DeFazioDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, Australia; The Westmead Institute for Medical Research, Sydney, Australia; The University of Sydney, Sydney, Australia.
Sian FeredayPeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
C Blake GilksUniversity of British Columbia, Vancouver, Canada.
Charlie GourleyNicola Murray Centre for Ovarian Cancer Research, Cancer Research UK Edinburgh Centre, University of Edinburgh, UK.
Alison M HadleyRoyal Brisbane and Womens Hospital, Brisbane, Australia.
Joy HendleyPeter MacCallum Cancer Centre, Melbourne, Australia.
Sally M HunterPeter MacCallum Cancer Centre, Melbourne, Australia.
Scott H KaufmannMayo Clinic, Rochester, MN, USA.
Catherine J KennedyDepartment of Gynaecological Oncology, Westmead Hospital, Sydney, Australia.
Martin KöbelThe University of Calgary, Calgary, Canada.
Cecile Le PageCRCHUM, Montreal, Canada.
Jason LiPeter MacCallum Cancer Centre, Melbourne, Australia.
Richard LupatPeter MacCallum Cancer Centre, Melbourne, Australia.
Orla M McNallyWalter and Eliza Hall Institute of Medical Research, Parkville, Australia; Royal Womens Hospital, Parkville, Australia.
Jessica N McAlpineUniversity of British Columbia, Vancouver, Canada.
Jan PymanRoyal Womens Hospital, Parkville, Australia; Royal Children's Hospital, Flemington, Australia.
Simone M RowleyPeter MacCallum Cancer Centre, Melbourne, Australia.
Carolina SalazarPeter MacCallum Cancer Centre, Melbourne, Australia.
Hugo SaundersPeter MacCallum Cancer Centre, Melbourne, Australia.
Timothy SemplePeter MacCallum Cancer Centre, Melbourne, Australia.
Andrew N StephensHudson Institute of Medical Research, Clayton, Australia.
Niko ThioPeter MacCallum Cancer Centre, Melbourne, Australia.
Michelle C TorresPeter MacCallum Cancer Centre, Melbourne, Australia.
Nadia TraficantePeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
Magnus ZethovenPeter MacCallum Cancer Centre, Melbourne, Australia.
Yoland C AntillCabrini Health, Malvern, Australia; Frankston Hospital, Frankston, Australia.
Ian G CampbellPeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia.
Clare L ScottPeter MacCallum Cancer Centre, Melbourne, Australia; The University of Melbourne, Melbourne, Australia; Walter and Eliza Hall Institute of Medical Research, Parkville, Australia; Royal Melbourne Hospital, Parkville, Australia; Royal Womens Hospital, Parkville, Australia.
Peter MacCallum Cancer Centre · AUThe University of Melbourne · AUEdinburgh Cancer Research · GBThe Royal Melbourne Hospital · AUUniversity of British Columbia · CAWestmead Hospital · AUFrankston Hospital · AUHudson Institute of Medical Research · AUMayo Clinic in Arizona · USRoyal Brisbane and Women's Hospital · AURoyal Children's Hospital · AURoyal Women's Hospital · AUThe University of Sydney · AUUniversity of Calgary · CA

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI Zhenkun Lou · 2009 to 2026
$37.0M
Genetic Variation in the NF-kappaB Pathway and Ovarian Cancer EtiologyR01CA122443 · NCI · MAYO CLINIC ROCHESTER · PI GOODE, ELLEN L. · 2007 to 2012
$2.7M
NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA136393NCI NIH HHS R01 CA122443
6 · The paper itself

Abstract

objectiveMucinous ovarian carcinoma (MOC) is an uncommon ovarian cancer histotype that responds poorly to conventional chemotherapy regimens. Although long overall survival outcomes can occur with early detection and optimal surgical resection, recurrent and advanced disease are associated with extremely poor survival. There are no current guidelines specifically for the systemic management of recurrent MOC. We analyzed data from a large cohort of women with MOC to evaluate the potential for clinical utility from a range of systemic agents.

methodsWe analyzed gene copy number (n = 191) and DNA sequencing data (n = 184) from primary MOC to evaluate signatures of mismatch repair deficiency and homologous recombination deficiency, and other genetic events. Immunohistochemistry data were collated for ER, CK7, CK20, CDX2, HER2, PAX8 and p16 (n = 117-166).

resultsMolecular aberrations noted in MOC that suggest a match with current targeted therapies include amplification of ERBB2 (26.7%) and BRAF mutation (9%). Observed genetic events that suggest potential efficacy for agents currently in clinical trials include: KRAS/NRAS mutations (66%), TP53 missense mutation (49%), RNF43 mutation (11%), ARID1A mutation (10%), and PIK3CA/PTEN mutation (9%). Therapies exploiting homologous recombination deficiency (HRD) may not be effective in MOC, as only 1/191 had a high HRD score. Mismatch repair deficiency was similarly rare (1/184).

conclusionsAlthough genetically diverse, MOC has several potential therapeutic targets. Importantly, the lack of response to platinum-based therapy observed clinically corresponds to the lack of a genomic signature associated with HRD, and MOC are thus also unlikely to respond to PARP inhibition.

Indexed as

Adenocarcinoma, MucinousAgedCohort StudiesDNA Mismatch RepairErb-b2 Receptor Tyrosine KinasesFemaleHomologous RecombinationHumansImmunohistochemistryMutationNeoplasm StagingOvarian NeoplasmsReceptor, ErbB-3ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesERBB3 protein, humanReceptor, ErbB-3GenomicMolecular targeted therapyOvarian cancerPrecision oncologySequencingTherapy

Identifiers

PMID31902686
PMCPMC7056511
OpenAlexW2996972368

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.