Evidence map›Paper›PMID 33139244›Full record

ArticleCancer discovery2020

Tumor Mutational Burden as a Predictive Biomarker in Solid Tumors.

Dan Sha, Zhaohui Jin, Jan Budczies, Klaus Kluck, Albrecht Stenzinger, Frank A Sinicrope

Open access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 568 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
568citing papers in PubMed, 3 pooled it
35.6field-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

568 citing papers in PubMed, 3 syntheses or guidelines pooled it, 835 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. TAPISTRY: A Phase II Study of Atezolizumab in Patients with Tumor Mutational Burden-High Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  5. Long-term Survival and Molecular Biomarker Evaluation of a Phase II Cetuximab and Nivolumab Clinical Trial in Recurrent/Metastatic Head and Neck Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
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  9. Review
  10. Article
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  15. Article
  16. From Tumour to Bloodstream: Advancing PD-L1 Testing With Liquid Biopsies in Non-Small Cell Lung Cancer.Cytopathology : official journal of the British Society for Clinical Cytology · 2026
    Review
  17. Review
  18. Review
  19. Article
  20. Article

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

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

6 authors at 2 institutions in 2 countries.

Dan ShaDepartments of Medicine and Gastrointestinal Research Unit, Mayo Clinic, Rochester, Minnesota.
Zhaohui JinDepartment of Oncology, Mayo Clinic, Rochester, Minnesota.ORCID https://orcid.org/0000-0001-7844-5833
Jan BudcziesInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Klaus KluckInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Albrecht StenzingerInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Frank A SinicropeDepartments of Medicine and Gastrointestinal Research Unit, Mayo Clinic, Rochester, Minnesota. sinicrope.frank@mayo.edu.ORCID https://orcid.org/0000-0002-2907-1000
German Cancer Research Center · DEMayo Clinic · US

Funding

Integration of Genomic and Clinical Data to Enhance Subtyping of Colon CancerR01CA210509 · NCI · MAYO CLINIC ROCHESTER · PI SINICROPE, FRANK A. · 2017 to 2021
$2.0M
NCI NIH HHS R01 CA210509
6 · The paper itself

Abstract

Tumor mutational burden (TMB), defined as the number of somatic mutations per megabase of interrogated genomic sequence, varies across malignancies. Panel sequencing-based estimates of TMB have largely replaced whole-exome sequencing-derived TMB in the clinic. Retrospective evidence suggests that TMB can predict the efficacy of immune checkpoint inhibitors, and data from KEYNOTE-158 led to the recent FDA approval of pembrolizumab for the TMB-high tumor subgroup. Unmet needs include prospective validation of TMB cutoffs in relationship to tumor type and patient outcomes. Furthermore, standardization and harmonization of TMB measurement across test platforms are important to the successful implementation of TMB in clinical practice. SIGNIFICANCE: Evaluation of TMB as a predictive biomarker creates the need to harmonize panel-based TMB estimation and standardize its reporting. TMB can improve the predictive accuracy for immunotherapy outcomes, and has the potential to expand the candidate pool of patients for treatment with immune checkpoint inhibitors.

Indexed as

Biomarkers, TumorHumansNeoplasmsTumor BurdenBiomarkers, Tumor

Identifiers

PMID33139244
PMCPMC7710563
OpenAlexW3096112873

What OpenQuestion holds

Textmetadata
LicenceTDM
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.