Evidence map›Paper›PMID 31919134›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2020

Analysis of Pre- and Posttreatment Tissues from the SWOG S0800 Trial Reveals an Effect of Neoadjuvant Chemotherapy on the Breast Cancer Genome.

Ryan L Powles, Vikram B Wali, Xiaotong Li, William E Barlow, Zeina Nahleh, Alastair M Thompson, Andrew K Godwin, Christos Hatzis, Lajos Pusztai

Open access · greenAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 30% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Ryan L PowlesBreast Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut.
Vikram B WaliBreast Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut.
Xiaotong LiBreast Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut.
William E BarlowSWOG Statistical Center, Seattle, Washington.
Zeina NahlehCleveland Clinic Florida, Maroone Cancer Center, Weston, Florida.
Alastair M ThompsonBaylor College of Medicine, Houston, Texas.
Andrew K GodwinUniversity of Kansas, Kansas City, Kansas.
Christos HatzisBreast Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut.
Lajos PusztaiBreast Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut. lajos.pusztai@yale.edu.
Baylor College of Medicine · US

Funding

SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Michael L. LeBlanc · 2014 to 2026
$115.2M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Kalyani Pyaram, Steven Allan Soper · 2019 to 2026
$21.5M
Yale Cancer Center NCTNU10CA180826 · NCI · YALE UNIVERSITY · PI FUCHS, CHARLES S · 2014 to 2018
$3.4M
NCATS NIH HHS UL1 TR001863NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180826NCI NIH HHS U10 CA180888NIGMS NIH HHS P20 GM130423
6 · The paper itself

Abstract

purposeWe performed whole-exome sequencing (WES) of pre- and posttreatment cancer tissues to assess the somatic mutation landscape of tumors before and after neoadjuvant taxane and anthracycline chemotherapy with or without bevacizumab. EXPERIMENTAL

designTwenty-nine pretreatment biopsies from the SWOG S0800 trial were subjected to WES to identify mutational patterns associated with response to neoadjuvant chemotherapy. Nine matching samples with residual cancer after therapy were also analyzed to assess changes in mutational patterns in response to therapy.

resultsIn pretreatment samples, a higher proportion of mutation signature 3, a BRCA-mediated DNA repair deficiency mutational signature, was associated with higher rate of pathologic complete response (pCR; median signature weight 24%, range 0%-38% in pCR vs. median weight 0%, range 0%-19% in residual disease, Wilcoxon rank sum, Bonferroni

conclusionsThese results suggest that genomic disturbances in BRCA-related DNA repair mechanisms, reflected by a dominant mutational signature 3, confer increased chemotherapy sensitivity. Cancers that survive neoadjuvant chemotherapy frequently have alterations in cell-cycle-regulating genes but different genes of the same pathways are affected in different patients.

Indexed as

MutationAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorDNA Repair-Deficiency DisordersFemaleGenomicsHumansNeoadjuvant TherapyPrognosisTriple Negative Breast NeoplasmsBiomarkers, Tumor

Identifiers

PMID31919134
PMCPMC7717064
OpenAlexW3000264986

What OpenQuestion holds

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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.