Evidence map›Paper›PMID 33548159›Full record

Trial reportCancer science2021

Advanced colorectal cancer subtypes (aCRCS) help select oxaliplatin-based or irinotecan-based therapy for colorectal cancer.

Shin Takahashi, Yasuhiro Sakamoto, Tadamichi Denda, Atsuo Takashima, Yoshito Komatsu, Masato Nakamura, Hisatsugu Ohori, Tatsuro Yamaguchi, Yoshimitsu Kobayashi, Hideo Baba and 12 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
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

22 authors at 16 institutions in 1 country.

Shin TakahashiDepartment of Medical Oncology, Tohoku University Hospital, Miyagi, Japan.ORCID https://orcid.org/0000-0001-6695-3099
Yasuhiro SakamotoDepartment of Medical Oncology, Osaki Citizen Hospital, Miyagi, Japan.
Tadamichi DendaDivision of Gastroenterology, Chiba Cancer Center, Chiba, Japan.
Atsuo TakashimaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Yoshito KomatsuDepartment of Cancer Chemotherapy, Hokkaido University Hospital Cancer Center, Hokkaido, Japan.
Masato NakamuraAizawa Comprehensive Cancer Center, Aizawa Hospital, Nagano, Japan.
Hisatsugu OhoriDepartment of Medical Oncology, Japanese Red Cross Ishinomaki Hospital, Miyagi, Japan.
Tatsuro YamaguchiDepartment of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Yoshimitsu KobayashiGastroenterology and Medical Oncology, KKR Sapporo Medical Center, Hokkaido, Japan.
Hideo BabaDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.ORCID https://orcid.org/0000-0002-3474-2550
Masanori KotakeDepartment of Surgery, Kouseiren Takaoka Hospital, Toyama, Japan.
Kenji AmagaiDivision of Gastroenterology, Ibaraki Prefectural Central Hospital, Ibaraki, Japan.
Hitoshi KondoDivision of Gastroenterology, Tonan Hospital, Hokkaido, Japan.
Ken ShimadaDepartment of Internal Medicine, Division of Medical Oncology, Showa University Koto Toyosu Hospital, Tokyo, Japan.
Atsushi SatoDepartment of Medical Oncology, Hirosaki University Graduate School of Medicine, Aomori, Japan.
Satoshi YukiDepartment of Gastroenterology and Hepatology, Hokkaido University Hospital, Hokkaido, Japan.
Akira OkitaDepartment of Medical Oncology, Tohoku University Hospital, Miyagi, Japan.
Kota OuchiDepartment of Medical Oncology, Tohoku University Hospital, Miyagi, Japan.
Keigo KomineDepartment of Medical Oncology, Tohoku University Hospital, Miyagi, Japan.
Mika WatanabeDepartment of Pathology, Tohoku University Hospital, Miyagi, Japan.
Satoshi MoritaDepartment of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Chikashi IshiokaDepartment of Medical Oncology, Tohoku University Hospital, Miyagi, Japan.ORCID https://orcid.org/0000-0002-3023-1227
Tohoku University · JPHokkaido University Hospital · JPAizawa Hospital · JPChiba Cancer Center · JPHirosaki University · JPIbaraki Prefectural Central Hospital · JPKouseiren Takaoka Hospital · JPKumamoto University · JPKyoto University · JPNational Cancer Center Hospital East · JPNTT Medical Center · JPOsaki Citizen Hospital · JPShowa University · JPTohoku University Hospital · JPTokyo Metropolitan Komagome Hospital · JPTonan Hospital · JP

Funding

Japan Agency for Medical Research and Development 11110018Japan Agency for Medical Research and Development 16770660Tokyo Cooperative Oncology Group
6 · The paper itself

Abstract

Oxaliplatin (OX) and irinotecan (IRI) are used as key drugs for the first-line treatment of metastatic colorectal cancer (mCRC). However, no biomarkers have been identified to decide which of the drugs is initially used. In this translational research (TR) of the TRICOLORE trial, the advanced colorectal cancer subtype (aCRCS) was analyzed as a potential biomarker for the selection of OX or IRI. We collected 335 (68.8%) formalin-fixed, paraffin-embedded (FFPE) primary tumor specimens from 487 patients registered in the TRICOLORE trial and performed direct sequencing and immunohistochemical staining of CRC-related genes, comprehensive gene-expression analysis, and genome-wide methylation analysis. The progression-free survival (PFS) of the IRI group was significantly better compared with the OX group in BRAF wild-type (WT), PTEN-positive, and aCRCS A1 patients. Among the molecular factors, aCRCS were only associated with the PFS of OX and IRI groups. The PFS of the IRI group was significantly better compared with the OX group in aCRCS A1 + B1 (hazard ratio [HR] = 0.58; 95% confidence interval [CI] = 0.41-0.82; P = .0023). In contrast, the OX group had better PFS compared with the IRI group in aCRCS B2, although this was not statistically significant (HR = 1.66; 95% CI = 0.94-2.96; P = .083). Nearly half of patients with mCRC (46.8%, aCRCS A1 + B1) respond well to IRI, while only about 18.5% (aCRCS B2) of patients with mCRC responded well to OX. In conclusion, the aCRCS might be a predictive factor for the clinical outcomes of OX-based and IRI-based therapies.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorColorectal NeoplasmsDisease-Free SurvivalFemaleHumansIrinotecanMaleMiddle AgedOxaliplatinProgression-Free SurvivalYoung AdultBiomarkers, TumorIrinotecanOxaliplatinaCRCSirinotecanoxaliplatinpredictive biomarkerTRICOLORE

Identifiers

PMID33548159
PMCPMC8019218
OpenAlexW3129030645

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.