Evidence map›Paper›PMID 32438515›Full record

Trial reportThoracic cancer2020

Gender differences in molecular-guided therapy recommendations for metastatic malignant mesothelioma.

Hossein Taghizadeh, Sabine Zöchbauer-Müller, Robert M Mader, Leonhard Müllauer, Thomas Klikovits, Thomas Bachleitner-Hofmann, Mir A Hoda, Gerald W Prager

Abstract readClinical Trial
In one paragraph

Trial report in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

8 authors.

Hossein TaghizadehDivision of Clinical Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0927-6498
Sabine Zöchbauer-MüllerDivision of Clinical Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Robert M MaderDivision of Clinical Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Leonhard MüllauerClinical Institute of Pathology, Medical University Vienna, Vienna, Austria.
Thomas KlikovitsComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Thomas Bachleitner-HofmannComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Mir A HodaComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Gerald W PragerDivision of Clinical Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant mesothelioma is an aggressive cancer and has a poor prognosis. Here, we analyzed the feasibility, molecular and gender aspects of targeted therapy recommendations for malignant mesothelioma based on the individual molecular tumor profile.

methodsIn this single-center, real-world retrospective analysis of our platform for precision medicine, we evaluated the molecular profiling of malignant mesothelioma in 14 patients, including nine men and five women. Tumor samples of the patients were examined with a 50 gene next-generation sequencing (NGS) panel, immunohistochemistry, and fluorescence in situ hybridization, to detect possible molecular aberrations which may be targeted by off-label therapy custom-tailored to the individual patient.

resultsIn total, we identified 11 mutations in six of the 14 patients, including BAP1, FANCA, NF1, NF2, PD-L1, RAD52D, SETD2, SRC, and TP53. No mutation was detected in eight of the 14 patients. Targeted therapy was recommended for 11 out of the 14 patients. All recommendations were mainly based on the molecular characteristics determined by immunohistochemistry. Targeted therapy recommendations were significantly more often for men than women due to gender-specific differences in PDGFRα expression. Eventually, four patients received the targeted therapy, of whom one patient subsequently achieved stable disease.

conclusionsOur observations suggest that a molecular-guided treatment approach is feasible for the management of advanced malignant mesothelioma. Our analysis revealed gender specific differences in PDGFRα expression that should be further evaluated in clinical trials.

Indexed as

MutationPatient SelectionAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHigh-Throughput Nucleotide SequencingHumansMaleMesothelioma, MalignantMiddle AgedMolecular Targeted TherapyNeoplasm Recurrence, LocalPeritoneal NeoplasmsPrecision MedicineBiomarkers, TumorGenomic aberrationsmalignant mesotheliomamolecular profilingmutationsprecision medicine

Identifiers

PMID32438515
PMCPMC7327667

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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.