Evidence map›Paper›PMID 32717408›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2020

Multi-Institutional Prospective Validation of Prognostic mRNA Signatures in Early Stage Squamous Lung Cancer (Alliance).

Raphael Bueno, William G Richards, David H Harpole, Karla V Ballman, Ming-Sound Tsao, Zhengming Chen, Xiaofei Wang, Guoan Chen, Lucian R Chirieac, M Herman Chui and 13 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

23 authors.

Raphael BuenoDepartment of Surgery, Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts. Electronic address: rbueno@bwh.harvard.edu.
William G RichardsDepartment of Surgery, Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts.
David H HarpoleDuke Cancer Institute, Duke University, Durham, North Carolina.
Karla V BallmanDivision of Biostatistics and Epidemiology, Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York.
Ming-Sound TsaoDepartment of Laboratory Medicine and Pathobiology, University Health Network/Princess Margaret Cancer Centre and University of Toronto, Toronto, Canada.
Zhengming ChenDivision of Biostatistics and Epidemiology, Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York.
Xiaofei WangAlliance Statistics and Data Center, Duke University, Durham, North Carolina.
Guoan ChenDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Lucian R ChirieacDepartment of Pathology, Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts.
M Herman ChuiDepartment of Pathology, University Health Network/Princess Margaret Cancer Centre and University of Toronto, Toronto, Canada.
Wilbur A FranklinDepartment of Pathology, University of Colorado Denver, Aurora, Colorado.
Thomas J GiordanoDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.
Ramaswamy GovindanDivision of Oncology, Washington University School of Medicine, St. Louis, Missouri.
Mary-Beth JoshiDuke Cancer Institute, Duke University, Durham, North Carolina.
Daniel T MerrickDepartment of Pathology, University of Colorado Denver, Aurora, Colorado.
Christopher J RivardDivision of Medical Oncology, University of Colorado Denver, Aurora, Colorado.
Thomas SpornDuke Cancer Institute, Duke University, Durham, North Carolina.
Adrie van BokhovenDepartment of Pathology, University of Colorado Denver, Aurora, Colorado.
Hui YuDivision of Medical Oncology, University of Colorado Denver, Aurora, Colorado.
Frances A ShepherdDivision of Medical Oncology, University Health Network/Princess Margaret Cancer Centre and University of Toronto, Toronto, Canada.
Mark A WatsonDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.
David G BeerDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Fred R HirschDivision of Medical Oncology, University of Colorado Denver, Aurora, Colorado; Tisch Cancer Institute, Mount Sinai Health System, New York, New York.

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
UM LAPs -UG1 GrantUG1CA233160 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANNE F SCHOTT · 2019 to 2026
$5.4M
NCI National Clinical Trials Network - Lead Academic Participating SiteUG1CA233324 · NCI · UNIVERSITY OF COLORADO DENVER · PI ANTHONY D ELIAS · 2019 to 2026
$5.2M
The Duke University - Duke Cancer Institute National Clinical Trials Network LAPS (UG1) Support GrantUG1CA233253 · NCI · DUKE UNIVERSITY · PI John H Strickler, Alexandra Thomas · 2019 to 2026
$3.7M
Squamous Cell Carcinoma of the Lung: Validation of Molecular Signatures for PrognU01CA157715 · NCI · UNIVERSITY OF COLORADO DENVER · PI HIRSCH, FRED R · 2012 to 2016
$2.9M
NCI NIH HHS P30 CA046592NCI NIH HHS U01 CA157715NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180882NCI NIH HHS U24 CA196171NCI NIH HHS UG1 CA233160NCI NIH HHS UG1 CA233253NCI NIH HHS UG1 CA233324NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

introductionSurgical resection is curative for some patients with early lung squamous cell carcinoma. Staging and clinical factors do not adequately predict recurrence risk. We sought to validate the discriminative performance of proposed prognostic gene expression signatures at a level of rigor sufficient to support clinical use.

methodsThe two-stage validation used independent core laboratories, objective quality control standards, locked test parameters, and large multi-institutional specimen and data sets. The first stage validation confirmed a signature's ability to stratify patient survival. The second-stage validation determined which signature(s) optimally improved risk discrimination when added to baseline clinical predictors. Participants were prospectively enrolled in institutional (cohort I) or cooperative group (cohort II) biospecimen and data collection protocols. All cases underwent a central review of clinical, pathologic, and biospecimen parameters using objective criteria to determine final inclusion (cohort I: n = 249; cohort II: n = 234). Primary selection required that a signature significantly predict a 3-year survival after surgical resection in cohort I. Signatures meeting this criterion were further tested in cohort II, comparing risk prediction using baseline risk factors alone versus in combination with the signature.

resultsMale sex, advanced age, and higher stage were associated with shorter survival in cohort I and established a baseline clinical model. Of the three signatures validated in cohort I, one signature was validated in cohort II and statistically significantly enhanced the prognosis relative to the baseline model (C-index difference 0.122; p < 0.05).

conclusionsThese results represent the first rigorous validation of a test appropriate to direct adjuvant treatment or clinical trials for patients with lung squamous cell carcinoma.

Indexed as

Carcinoma, Squamous CellLung NeoplasmsHumansLungMaleNeoplasm StagingPrognosisProspective StudiesRNA, MessengerRNA, MessengerClinical prognostic test validationEarly stage NSCLCLung squamous cell carcinomaPrognostic gene expression signatureSurgery

Identifiers

PMID32717408
PMCPMC8278226

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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.