Evidence map›Paper›PMID 32591580›Full record

ArticleScientific reports2020

Real world data analysis of next generation sequencing and protein expression in metastatic breast cancer patients.

Dirk Hempel, Florian Ebner, Arun Garg, Zeljka Trepotec, Armin Both, Werner Stein, Andreas Gaumann, Lucia Güttler, Wolfgang Janni, Amelie DeGregorio and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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  4. Dosimetric advantage of ipsilateral lung and cardiac sparing of left breast cancer prone position compared with supine free breathing in the COVID-19 era and personalized medicine.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Article
  5. Rare Breast Cancers Review.Healthcare (Basel, Switzerland) · 2024
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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

12 authors at 6 institutions in 2 countries.

Dirk Hempel *Cancer Center Dachau-Donauwoerth/Steinbeishochschule, Berlin, Germany.
Florian Ebner *O&G Department, Cancer Center Dachau, Dachau/Universität Ulm, Krankenhausstr. 15, 85221, Dachau, Germany. Florian.ebner@helios-gesundheit.de.
Arun GargCancer Center Dachau-Donauwoerth/Steinbeishochschule, Berlin, Germany.
Zeljka TrepotecCancer Center Dachau-Donauwoerth/Steinbeishochschule, Berlin, Germany.
Armin BothDonauauries Klinik Donauwoerth, Donauwörth, Germany.
Werner SteinDonauauries Klinik Donauwoerth, Donauwörth, Germany.
Andreas GaumannPathologie Suedbayern, Penzberg, Germany.
Lucia GüttlerFacharztzentrum Fuerstenfeldbruck, Fürstenfeldbruck, Germany.
Wolfgang JanniFrauenklinik der Universität Ulm, Ulm, Germany.
Amelie DeGregorioFrauenklinik der Universität Ulm, Ulm, Germany.
Louisa HempelSigmund Freud University Vienna, Vienna, Austria.
Valeria MilaniFacharztzentrum Fuerstenfeldbruck, Fürstenfeldbruck, Germany.
Steinbeis University Berlin · DEKlinik Donaustauf · DEUniversitäts Frauenklinik · DEHelios Amper-Klinikum Dachau · DEKreisklinik Trostberg · DESigmund Freud University Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Next generation sequencing (NGS) together with protein expression analysis is back bone of molecularly targeted therapy in precision medicine. Our retrospective study shows our experience with NGS of 324 genes in combination with protein expression in patients with advanced breast cancer (aBC). The primary purpose was to analyze the prevalence of individual genetic alterations combined with protein expression to define potential targets for an individualized therapy. Between April 2018 and September 2019, 41 patients with aBC were offered a NGS test. The test was used to detect clinically relevant genomic alterations and to support further targeted therapy decisions. Hormone receptors, ERBB2 of tumors and PD-L1 was stained by immunohistochemistry. The data was recorded up to September 2019. After prior consent 41 results were available for further analysis. The most common BC subtypes were triple-negative (n = 16), HR+/ERBB2- (n = 15), and ERBB2+ (n = 9), with one missing data of the primary tumor. 27 patients had more than one genetic alteration. The most common alterations were PIK3CA (n = 14) and ERBB2 alterations (n = 11). Followed by ESR1 (n = 10), FGFR1 (n = 7) and PTEN (n = 7). 68% of the alterations were clinically relevant (tier I and II of ESCAT classification). The most common treatment recommendation was ERBB2-directed therapy (single or double blockade, trastuzumab emtansine and lapatinib) followed by alpelisib in combination with fulvestrant. Comprehensive genomic profiling combined with protein expression analysis in aBC allowed a guided personalized therapy for half of our patients. So far there are no well-defined tools allowing interpretations of genomic alterations detected by NGS in combination with protein expression and other factors.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsClass I Phosphatidylinositol 3-KinasesErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaFemaleGene Expression Regulation, NeoplasticHigh-Throughput Nucleotide SequencingHumansMiddle AgedMutationNeoplasm ProteinsReceptor, Fibroblast Growth Factor, Type 1Retrospective StudiesClass I Phosphatidylinositol 3-KinasesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesESR1 protein, humanEstrogen Receptor alphaFGFR1 protein, humanNeoplasm ProteinsPIK3CA protein, humanReceptor, Fibroblast Growth Factor, Type 1

Identifiers

PMID32591580
PMCPMC7319999
OpenAlexW3037094849

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.