Evidence map›Paper›PMID 32371537›Full record

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

NSABP B-41, a Randomized Neoadjuvant Trial: Genes and Signatures Associated with Pathologic Complete Response.

Sandra M Swain, Gong Tang, Heather Ann Brauer, David S Goerlitz, Peter C Lucas, André Robidoux, Brent T Harris, Hanna Bandos, Yuqi Ren, Charles E Geyer and 3 more

Open access · greenAbstract readRandomized 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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 61 citations in OpenAlex.

  1. Computationally Derived Spatial Immune Signature Identifies Trastuzumab Responders in HER2+ Breast Cancer: NSABP B-41 Clinical Trial Validation.Clinical cancer research : an official journal of the American Association for Cancer Research · 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

13 authors at 6 institutions in 2 countries.

Sandra M SwainLombardi Comprehensive Cancer Center, Georgetown University Medical Center, MedStar Health, Washington, DC. sms248@georgetown.edu.ORCID 0000-0002-1320-3830
Gong TangNSABP Foundation, Pittsburgh, Pennsylvania.
Heather Ann BrauerNanoString Technologies, Inc., Seattle, Washington.
David S GoerlitzLombardi Comprehensive Cancer Center, Georgetown University Medical Center, MedStar Health, Washington, DC.
Peter C LucasNSABP Foundation, Pittsburgh, Pennsylvania.
André RobidouxNSABP Foundation, Pittsburgh, Pennsylvania.
Brent T HarrisLombardi Comprehensive Cancer Center, Georgetown University Medical Center, MedStar Health, Washington, DC.
Hanna BandosNSABP Foundation, Pittsburgh, Pennsylvania.
Yuqi RenNanoString Technologies, Inc., Seattle, Washington.
Charles E GeyerNSABP Foundation, Pittsburgh, Pennsylvania.
Priya RastogiNSABP Foundation, Pittsburgh, Pennsylvania.
Eleftherios P MamounasNSABP Foundation, Pittsburgh, Pennsylvania.
Norman WolmarkNSABP Foundation, Pittsburgh, Pennsylvania.
University of Pittsburgh · USGeorgetown University · USNanostring Technologies (United States) · USHouston Methodist · USOrlando Health · USPittsburgh Foundation · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
NRG Oncology Biospecimen BankU24CA196067 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Tanner J. Freeman, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$42.6M
NSABP Biological Specimen BanksU24CA114732 · NCI · NSABP FOUNDATION, INC. · PI WOLMARK, NORMAN · 2005 to 2014
$9.4M
NCI NIH HHS P30 CA051008NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA114732NCI NIH HHS U24 CA196067
6 · The paper itself

Abstract

purposeIn NSABP B-41, pathologic complete response (pCR) was associated with prolonged survival among women with HER2-positive operable breast cancer treated with neoadjuvant chemotherapy and lapatinib, trastuzumab, or the combination. We used a large human breast cancer gene expression panel to select candidate prognostic biomarkers for pCR among women treated with trastuzumab in NSABP B-41. PATIENTS AND

methodsEligible patients had a baseline preadjuvant treatment core biopsy sample, known pCR status, and no withdrawal of consent. We analyzed extracted RNA using the human nCounter Breast Cancer 360 gene expression panel. Gene counts were normalized to housekeeping genes and transformed into logarithmic scale with base 2. To screen for candidate genes and metagene signatures prognostic of pCR, we used univariate logistic regression. Variable selection was done by multivariable logistic regression with lasso regularization.

resultsAnalyses of data from 130 patients revealed that a composite of gene expression from 19 genes and one gene signature appeared to predict pCR in women with HER2-positive early-stage breast cancer undergoing neoadjuvant chemotherapy with trastuzumab-containing regimens. The identified genes are involved in important pathways such as epithelial-mesenchymal transition, adhesion and migration, estrogen receptor signaling, DNA damage and repair, apoptosis, and proliferation. The AUC from a 10-fold cross-validation on predicting pCR, with these 20 genomic markers in a logistic regression model, was 0.73.

conclusionsThe expression level of

Indexed as

Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesNeoplasm ProteinsTrastuzumabAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCell ProliferationChemotherapy, AdjuvantDNA DamageEpithelial-Mesenchymal TransitionEstrogen Receptor alphaFemaleGene Expression Regulation, NeoplasticHumansLapatinibMiddle AgedBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesESR1 protein, humanEstrogen Receptor alphaLapatinibNeoplasm ProteinsTrastuzumab

Identifiers

PMID32371537
PMCPMC7724952
OpenAlexW3021570777

What OpenQuestion holds

Textmetadata
LicenceTDM
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.