Evidence map›Paper›PMID 32397669›Full record

ArticleCancers2020

mTOR Pathway Expression as Potential Predictive Biomarker in Patients with Advanced Neuroendocrine Tumors Treated with Everolimus.

Fabio Gelsomino, Andrea Casadei-Gardini, Francesco Caputo, Giulio Rossi, Federica Bertolini, Tiziana Petrachi, Andrea Spallanzani, Elisa Pettorelli, Shaniko Kaleci, Gabriele Luppi

Open access · goldAbstract 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 11 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

10 authors at 2 institutions in 1 country.

Fabio GelsominoDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Andrea Casadei-GardiniDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Francesco CaputoDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Giulio RossiPathology Unit, Azienda USL della Romagna, 48121 Ravenna, Italy.
Federica BertoliniDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Tiziana PetrachiScientific and Technological Park of Medicine "Mario Veronesi", 41037 Mirandola (MO), Italy.
Andrea SpallanzaniDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Elisa PettorelliDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.
Shaniko KaleciDepartment of Diagnostic Medicine, Clinical and Public Health, University Hospital of Modena, 41124 Modena, Italy.
Gabriele LuppiDepartment of Oncology and Hematology, University Hospital of Modena, 41124 Modena, Italy.ORCID 0000-0001-8520-1351
University of Modena and Reggio Emilia · ITAzienda Unità Sanitaria Locale Della Romagna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEverolimus (Eve), which is a mammalian target of Rapamicin (mTOR) inhibitor, is part of the therapeutic armamentarium of neuroendocrine tumors (NETs). Currently, there are no validated biomarkers predicting Eve efficacy in NETs. In this study, we explore whether the expression of phosphorilated (p)-mTOR and p70S6-kinase (S6K), a downstream effector of mTOR, correlates with the outcome of patients with NET that were treated with Eve.

methodsTissue specimens that were derived from NETs treated with Eve at our Institution were examined for the expression levels of p-mTOR and p-S6K by immunohistochemistry. Response rate (RR), progression-free survival (PFS), and overall survival (OS) were analyzed in two groups: p-mTOR/p-S6K positive (group 1) and p-mTOR/p-S6K negative (group 2). Univariate and multivariate Cox regression analysis were performed.

resultsTwenty-four patients with advanced NETs that were treated with Eve were included in the analysis. Eight out 24 (33.3%) patients were both p-mTOR and p-S6K positive. A better median PFS and OS in group 1 (18.2 and 39.9 months) as compared to group 2 (13 and 32.4 months) was depicted, with a toxicity profile that was comparable with data literature.

conclusionsOur study suggests that the activation of mTOR pathway can predict better outcomes in patients with NET treated with Eve. However, these results warrant further confirmation in a prospective setting.

Indexed as

everolimusmTOR inhibitorneuroendocrine tumorsprognosissurvival prediction

Identifiers

PMID32397669
PMCPMC7281483
OpenAlexW3021715479

What OpenQuestion holds

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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.