Evidence map›Paper›PMID 33277683›Full record

ArticleArchives of gynecology and obstetrics2021

NGS-guided precision oncology in metastatic breast and gynecological cancer: first experiences at the CCC Munich LMU.

Elena Sultova, C Benedikt Westphalen, Andreas Jung, Joerg Kumbrink, Thomas Kirchner, Doris Mayr, Martina Rudelius, Steffen Ormanns, Volker Heinemann, Klaus H Metzeler and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 33% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  8. Lessons learned: the first consecutive 1000 patients of the CCCMunichJournal of cancer research and clinical oncology · 2023
    Review
  9. Article
  10. Adlay Seed (Molecules (Basel, Switzerland) · 2022
    Article
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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

16 authors at 2 institutions in 1 country.

Elena SultovaDepartment of Obstetrics and Gynecology and CCC Munich LMU University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
C Benedikt WestphalenDepartment of Internal Medicine III and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Andreas JungInstitute of Pathology and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Joerg KumbrinkInstitute of Pathology and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Thomas KirchnerInstitute of Pathology and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Doris MayrInstitute of Pathology and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Martina RudeliusInstitute of Pathology and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Steffen OrmannsInstitute of Pathology and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Volker HeinemannDepartment of Internal Medicine III and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Klaus H MetzelerDepartment of Internal Medicine III and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Philipp A GreifDepartment of Internal Medicine III and CCC Munich LMU, University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Alexander BurgesDepartment of Obstetrics and Gynecology and CCC Munich LMU University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Fabian TrillschDepartment of Obstetrics and Gynecology and CCC Munich LMU University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Sven MahnerDepartment of Obstetrics and Gynecology and CCC Munich LMU University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Nadia HarbeckDepartment of Obstetrics and Gynecology and CCC Munich LMU University Hospital, Ludwig Maximilians University (LMU), Munich, Germany.
Rachel WuerstleinDepartment of Obstetrics and Gynecology and CCC Munich LMU University Hospital, Ludwig Maximilians University (LMU), Munich, Germany. Rachel.Wuerstlein@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7268-0840
Ludwig-Maximilians-Universität München · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComprehensive genomic profiling identifying actionable molecular alterations aims to enable personalized treatment for cancer patients. The purpose of this analysis was to retrospectively assess the impact of personalized recommendations made by a multidisciplinary tumor board (MTB) on the outcome of patients with breast or gynecological cancers, who had progressed under standard treatment. Here, first experiences of our Comprehensive Cancer Center Molecular Tumor Board are reported.

methodsAll patients were part of a prospective local registry. 95 patients diagnosed with metastatic breast cancer or gynecological malignancies underwent extended molecular profiling. From May 2017 through March 2019, the MTB reviewed all clinical cases considering tumor profile and evaluated molecular alterations regarding further diagnostic and therapeutic recommendations.

results95 patients with metastatic breast or gynecological cancers were discussed in the MTB (68% breast cancer, 20% ovarian cancer, 5% cervical cancer, 3% endometrial cancer and 4% others). Genes with highest mutation rate were PIK3CA and ERBB2. Overall, 34 patients (36%) received a biomarker-based targeted therapy recommendation. Therapeutic recommendations were implemented in nine cases; four patients experienced clinical benefit with a partial response or disease stabilization lasting over 4 months.

conclusionIn the setting of a multidisciplinary molecular tumor board, a small but clinically meaningful group of breast and gynecological cancer patients benefits from comprehensive genomic profiling. Broad and successful implementation of precision medicine is complicated by patient referral at late stage disease and limited access to targeted agents and early clinical trials. TRIAL REGISTRATION NUMBER: 284-10 (03.05.2018).

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsFemaleGenital Neoplasms, FemaleGermanyHumansMiddle AgedNeoplasm MetastasisPathology, MolecularPrecision MedicineYoung AdultBiomarkerBreast cancerMolecular diagnosticMolecular tumor boardOvarian cancerPersonalized medicine

Identifiers

PMID33277683
PMCPMC8053190
OpenAlexW3106807606

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.