Evidence map›Paper›PMID 32891793›Full record

ReviewAnnals of oncology : official journal of the European Society for Medical Oncology2020

Diagnosis and management of tropomyosin receptor kinase (TRK) fusion sarcomas: expert recommendations from the World Sarcoma Network.

G D Demetri, C R Antonescu, B Bjerkehagen, J V M G Bovée, K Boye, M Chacón, A P Dei Tos, J Desai, J A Fletcher, H Gelderblom and 38 more

Open access · hybridAbstract readReview
In one paragraph

Review in Annals of oncology : official journal of the European Society for Medical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 5 pooled it
13.0field-weighted citation impact, top 1% 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

75 citing papers in PubMed, 5 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Future oncology (London, England) · 2025
    Pooled it
  2. Guideline
  3. Guideline
  4. SEOM-GEIS clinical guideline for gastrointestinal stromal tumors (2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Guideline
  5. Pooled it
  6. Trial
  7. Review
  8. Article
  9. Article
  10. High-Grade Endometrial Stromal Sarcoma withJournal of clinical medicine · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

48 authors at 20 institutions in 17 countries.

G D DemetriDana-Farber Cancer Institute and Ludwig Center at Harvard Medical School, Boston, USA.
C R AntonescuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA.
B BjerkehagenDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
J V M G BovéeDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
K BoyeDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
M ChacónOncology Service Chair, Instituto Alexander Fleming, Buenos Aires, Argentina.
A P Dei TosDepartment of Pathology, University of Padua, Padova, Italy.
J DesaiPeter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia.
J A FletcherDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, USA.
H GelderblomDepartment of Medical Oncology, Leiden University Medical Centre, Leiden, The Netherlands.
S GeorgeMedical Oncology, Dana-Farber Cancer Institute, Boston, USA.
A GronchiDepartment of Surgery, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
R L HaasDepartment of Radiotherapy, Netherlands Cancer Institute, Amsterdam, The Netherlands.
N HindiInstitute of Biomedicine of Sevilla (IBIS, HUVR, CSIC, Universidad de Sevilla), Sevilla, Spain; Medical Oncology Department, University Hospital Virgen del Rocio, Sevilla, Spain.
P HohenbergerDivision of Surgical Oncology and Thoracic Surgery, Mannheim University Medical Center, Mannheim, Germany.
H JoensuuDepartment of Oncology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
R L JonesSarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK; Division of Clinical Studies, Institute of Cancer Research, London, UK.
I JudsonDivision of Clinical Studies, Institute of Cancer Research, London, UK.
Y-K KangDepartment of Oncology, University of Ulsan College of Medicine, Seoul, Korea.
A KawaiDepartment of Musculoskeletal Oncology, National Cancer Center, Tokyo, Japan.
A J LazarPathology, The University of Texas MD Anderson Cancer Center, Houston, USA.
A Le CesneMedical Oncology, Insitut Gustave Roussy, Villejuif, Ile-de-France, France.
R MaestroUnit of Oncogenetics and Functional Oncogenomics, Centro di Riferimento Oncologico di Aviano (CRO Aviano) IRCCS, National Cancer Institute, Aviano, Italy.
R G MakiAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
J MartínInstitute of Biomedicine of Sevilla (IBIS, HUVR, CSIC, Universidad de Sevilla), Sevilla, Spain; Medical Oncology Department, University Hospital Virgen del Rocio, Sevilla, Spain.
S PatelDepartment of Sarcoma Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, USA.
F Penault-LlorcaCentre Jean Perrin, Clermont-Ferrand, France.
C Premanand RautDivision of Surgical Oncology, Brigham and Women's Hospital, Center for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
P RutkowskiDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
A SafwatDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
M SbaragliaDepartment of Pathology, University of Padua, Padova, Italy.
I-M SchaeferDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, USA.
L ShenDepartment of GI Oncology, Peking University Cancer Hospital and Institute, Beijing, China.
C SerranoSarcoma Translational Research Program, Vall d'Hebron Institute of Oncology, Barcelona, Spain; Medical Oncology Department, Vall d'Hebron Hospital, Barcelona, Spain.
P SchöffskiDepartment of General Medical Oncology, Leuven Cancer Institute, University Hospitals Leuven, Leuven, Belgium.
S StacchiottiCancer Medicine Department, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
K Sundby HallDepartment of Oncology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
W D TapMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, USA.
D M ThomasThe Kinghorn Cancer Centre and Cancer Theme, Garvan Institute of Medical Research, Darlinghurst, Australia.
J TrentSylvester Comprehensive Cancer Center at University of Miami Miller School of Medicine, Miami, USA.
C ValverdeMedical Oncology Department, Vall d'Hebron Hospital, Barcelona, Spain.
W T A van der GraafDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Medical Oncology, Radboud University Medical Centre, Nijmegen, The Netherlands.
M von MehrenDepartment of Hematology and Medical Oncology, Fox Chase Cancer Center, Philadelphia, USA.
A WagnerDana-Farber Cancer Institute and Harvard Medical School, Boston, USA.
E WardelmannGerhard Domagk Institute of Pathology, University of Münster, Münster, Germany.
Y NaitoNational Cancer Center Hospital East, Kashiwa, Japan.
J ZalcbergDepartment of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Medical Oncology, Alfred Health, Melbourne, Australia.
J-Y BlayCentre Léon Bérard, Unicancer, LYRICAN and Université Claude Bernard Lyon 1, Lyon, France. Electronic address: jean-yves.blay@lyon.unicancer.fr.
Harvard University · USOslo University Hospital · NODana-Farber Cancer Institute · USFondazione IRCCS Istituto Nazionale dei Tumori · ITLeiden University Medical Center · NLThe University of Texas MD Anderson Cancer Center · USUniversity of Padua · ITVall d'Hebron Hospital Universitari · ESAarhus University Hospital · DKBrigham and Women's Hospital · USCentre Jean Perrin · FRCentre Léon Bérard · FRCentro di Riferimento Oncologico · ITCornell University · USFox Chase Cancer Center · USHeidelberg University · DEHospital Universitario Virgen del Rocío · ESInstitute of Cancer Research · GBInstitut Gustave Roussy · FRInstituto Alexander Fleming · AR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Targeting cell cycle dysregulation in GISTK08CA241085 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHAEFER, INGA-MARIE · 2019 to 2023
$1.5M
NCI NIH HHS K08 CA241085NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Sarcomas are a heterogeneous group of malignancies with mesenchymal lineage differentiation. The discovery of neurotrophic tyrosine receptor kinase (NTRK) gene fusions as tissue-agnostic oncogenic drivers has led to new personalized therapies for a subset of patients with sarcoma in the form of tropomyosin receptor kinase (TRK) inhibitors. NTRK gene rearrangements and fusion transcripts can be detected with different molecular pathology techniques, while TRK protein expression can be demonstrated with immunohistochemistry. The rarity and diagnostic complexity of NTRK gene fusions raise a number of questions and challenges for clinicians. To address these challenges, the World Sarcoma Network convened two meetings of expert adult oncologists and pathologists and subsequently developed this article to provide practical guidance on the management of patients with sarcoma harboring NTRK gene fusions. We propose a diagnostic strategy that considers disease stage and histologic and molecular subtypes to facilitate routine testing for TRK expression and subsequent testing for NTRK gene fusions.

Indexed as

SarcomaTropomyosinAdultGene FusionHumansOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, trkAOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, trkATropomyosinentrectiniblarotrectinibneurotrophic tyrosine receptor kinasesarcomatropomyosin receptor kinase

Identifiers

PMID32891793
PMCPMC7985805
OpenAlexW3081579143

What OpenQuestion holds

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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.