Evidence map›Paper›PMID 33020649›Full record

Trial reportNature medicine2020

Clinical utility of circulating tumor DNA sequencing in advanced gastrointestinal cancer: SCRUM-Japan GI-SCREEN and GOZILA studies.

Yoshiaki Nakamura, Hiroya Taniguchi, Masafumi Ikeda, Hideaki Bando, Ken Kato, Chigusa Morizane, Taito Esaki, Yoshito Komatsu, Yasuyuki Kawamoto, Naoki Takahashi and 29 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Nature medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 240 papers.

0numbers the graph read from it
0cells of the map it votes in
240citing 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

240 citing papers in PubMed.

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  10. Article
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  12. Network-Integrated Platform for Clinical Trial Navigation from the New South Wales Early Phase Clinical Trials Alliance.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  13. Review
  14. Article
  15. Emerging Immune-Based Therapeutic Strategies in Hepatocellular Carcinoma.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  16. Article
  17. Observational
  18. Review
  19. Article
  20. Observational

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors.

Yoshiaki Nakamura *Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Hiroya Taniguchi *Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID http://orcid.org/0000-0003-1407-6682
Masafumi IkedaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID http://orcid.org/0000-0002-4050-2086
Hideaki BandoDepartment of Clinical Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.ORCID http://orcid.org/0000-0001-5041-2765
Ken KatoDepartment of Gastrointestinal Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1733-5072
Chigusa MorizaneDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Taito EsakiDepartment of Gastrointestinal and Medical Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Yoshito KomatsuDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan.
Yasuyuki KawamotoDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan.
Naoki TakahashiDepartment of Gastroenterology, Saitama Cancer Center, Kitaadachi-gun, Japan.
Makoto UenoDepartment of Gastroenterology, Hepatobiliary and Pancreatic Medical Oncology Division, Kanagawa Cancer Center, Yokohama, Japan.ORCID http://orcid.org/0000-0003-4480-0029
Yoshinori KagawaDepartment of Colorectal Surgery, Kansai Rosai Hospital, Amagasaki, Japan.
Tomohiro NishinaDepartment of Gastrointestinal Medical Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Japan.
Takeshi KatoDepartment of Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Yoshiyuki YamamotoDepartment of Gastroenterology and Hepatology, University of Tsukuba Hospital, Tsukuba, Japan.
Junji FuruseDepartment of Medical Oncology, Kyorin University Hospital, Mitaka, Japan.
Tadamichi DendaDivision of Gastroenterology, Chiba Cancer Center, Chiba, Japan.
Hisato KawakamiDepartment of Medical Oncology, Kindai University Hospital, Osakasayama, Japan.ORCID http://orcid.org/0000-0002-3280-4850
Eiji OkiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID http://orcid.org/0000-0002-9763-9366
Takako NakajimaDepartment of Medical Oncology, St. Marianna University School of Medicine, Kawasaki, Japan.
Naohiro NishidaDepartment of Frontier Science for Cancer and Chemotherapy, Graduate School of Medicine, Osaka University, Suita, Japan.
Kensei YamaguchiDepartment of Gastroenterological Chemotherapy, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Hisateru YasuiDepartment of Medical Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.
Masahiro GotoCancer Chemotherapy Center, Osaka Medical College Hospital, Takatsuki, Japan.ORCID http://orcid.org/0000-0003-4279-8682
Nobuhisa MatsuhashiDepartment of Surgical Oncology, Graduate School of Medicine, Gifu University, Gifu, Japan.
Koushiro OhtsuboDivision of Medical Oncology, Cancer Research Institute, Kanazawa University, Kanazawa, Japan.
Kentaro YamazakiDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shunto-gun, Japan.
Akihito TsujiDepartment of Clinical Oncology, Kagawa University Hospital, Kita-gun, Japan.ORCID http://orcid.org/0000-0003-4034-1945
Wataru OkamotoTranslational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan.
Katsuya TsuchiharaTranslational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan.
Takeharu YamanakaDivision of Biostatistics, National Cancer Center Hospital East, Kashiwa, Japan.
Izumi MikiTranslational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan.
Yasutoshi SakamotoTranslational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan.
Hiroko IchikiTranslational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan.
Masayuki HataTranslational Research Support Section, National Cancer Center Hospital East, Kashiwa, Japan.
Riu YamashitaDivision of Translational Informatics, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan.
Atsushi OhtsuDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Justin I OdegaardGuardant Health, Redwood City, CA, USA.
Takayuki YoshinoDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan. tyoshino@east.ncc.go.jp.ORCID http://orcid.org/0000-0002-0489-4756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Comprehensive genomic profiling enables genomic biomarker detection in advanced solid tumors. Here, to evaluate the utility of circulating tumor DNA (ctDNA) genotyping, we compare trial enrollment using ctDNA sequencing in 1,687 patients with advanced gastrointestinal (GI) cancer in SCRUM-Japan GOZILA (no. UMIN000016343), an observational ctDNA-based screening study, to enrollment using tumor tissue sequencing in the same centers and network (GI-SCREEN, 5,621 patients). ctDNA genotyping significantly shortened the screening duration (11 versus 33 days, P < 0.0001) and improved the trial enrollment rate (9.5 versus 4.1%, P < 0.0001) without compromising treatment efficacy compared to tissue genotyping. We also describe the clonal architecture of ctDNA profiles in ~2,000 patients with advanced GI cancer, which reinforces the relevance of many targetable oncogenic drivers and highlights multiple new drivers as candidates for clinical development. ctDNA genotyping has the potential to accelerate innovation in precision medicine and its delivery to individual patients.

Indexed as

Precision MedicineAdultBiomarkers, TumorCirculating Tumor DNADNA, NeoplasmGastrointestinal NeoplasmsGenotypeHigh-Throughput Nucleotide SequencingHumansJapanMaleMiddle AgedMutationBiomarkers, TumorCirculating Tumor DNADNA, Neoplasm

Identifiers

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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.