Evidence map›Paper›PMID 32392735›Full record

ArticleCancers2020

The Impact of Whole Genome Data on Therapeutic Decision-Making in Metastatic Prostate Cancer: A Retrospective Analysis.

Megan Crumbaker, Eva K F Chan, Tingting Gong, Niall Corcoran, Weerachai Jaratlerdsiri, Ruth J Lyons, Anne-Maree Haynes, Anna A Kulidjian, Anton M F Kalsbeek, Desiree C Petersen and 6 more

Abstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

16 authors.

Megan CrumbakerGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Eva K F ChanGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Tingting GongGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Niall CorcoranAustralian Prostate Cancer Research Centre Epworth, Richmond VIC 3121, Australia.
Weerachai JaratlerdsiriGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Ruth J LyonsGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Anne-Maree HaynesGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Anna A KulidjianDepartment of Orthopedic Surgery, Scripps Clinic, La Jolla, CA 92037, USA..
Anton M F KalsbeekGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Desiree C PetersenThe Centre for Proteomic and Genomic Research, Cape Town 7925, South Africa.
Phillip D StrickerDepartment of Urology, St. Vincent's Hospital, Darlinghurst NSW 2010, Australia.
Christina A M JamiesonDepartment of Urology, Moores Cancer Center, University of California, San Diego, La Jolla, CA 92037, USA.
Peter I CroucherGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.
Christopher M HovensAustralian Prostate Cancer Research Centre Epworth, Richmond VIC 3121, Australia.
Anthony M JoshuaGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.ORCID 0000-0001-5159-4580
Vanessa M HayesGarvan Institute of Medical Research, Darlinghurst NSW 2010, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile critical insights have been gained from evaluating the genomic landscape of metastatic prostate cancer, utilizing this information to inform personalized treatment is in its infancy. We performed a retrospective pilot study to assess the current impact of precision medicine for locally advanced and metastatic prostate adenocarcinoma and evaluate how genomic data could be harnessed to individualize treatment.

methodsDeep whole genome-sequencing was performed on 16 tumour-blood pairs from 13 prostate cancer patients; whole genome optical mapping was performed in a subset of 9 patients to further identify large structural variants. Tumour samples were derived from prostate, lymph nodes, bone and brain.

resultsMost samples had acquired genomic alterations in multiple therapeutically relevant pathways, including DNA damage response (11/13 cases), PI3K (7/13), MAPK (10/13) and Wnt (9/13). Five patients had somatic copy number losses in genes that may indicate sensitivity to immunotherapy (

conclusionsMost cases, whether primary or metastatic, harboured therapeutically relevant alterations, including those associated with PARP inhibitor sensitivity, immunotherapy sensitivity and resistance to androgen pathway targeting agents. The observed intra-patient heterogeneity and presence of genomic alterations in multiple growth pathways in individual cases suggests that a precision medicine model in prostate cancer needs to simultaneously incorporate multiple pathway-targeting agents. Our whole genome approach allowed for structural variant assessment in addition to the ability to rapidly reassess an individual's molecular landscape as knowledge of relevant biomarkers evolve. This retrospective oncological assessment highlights the genomic complexity of prostate cancer and the potential impact of assessing genomic data for an individual at any stage of the disease.

Indexed as

optical mappingprecision medicineprostate cancertherapywhole genome sequencing

Identifiers

PMID32392735
PMCPMC7280976

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.