Evidence map›Paper›PMID 33864051›Full record

ReviewNature reviews. Clinical oncology2021

Precision oncology in metastatic colorectal cancer - from biology to medicine.

Federica Di Nicolantonio, Pietro Paolo Vitiello, Silvia Marsoni, Salvatore Siena, Josep Tabernero, Livio Trusolino, Rene Bernards, Alberto Bardelli

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 2 pooled it
16.8field-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

146 citing papers in PubMed, 2 syntheses or guidelines pooled it, 241 citations in OpenAlex.

  1. Pooled it
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  5. Intermittent or Continuous Panitumumab Plus Fluorouracil, Leucovorin, and Irinotecan for First-Line Treatment ofJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  9. Review
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  15. Efficacy of dual KRASCell death & disease · 2026
    Article
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  18. Article
  19. Article
  20. Article

86 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

8 authors at 7 institutions in 3 countries.

Federica Di Nicolantonio *Department of Oncology, University of Torino, Candiolo, Italy. federica.dinicolantonio@unito.it.ORCID http://orcid.org/0000-0001-9618-2010
Pietro Paolo Vitiello *Department of Oncology, University of Torino, Candiolo, Italy.
Silvia MarsoniIstituto FIRC di Oncologia Molecolare, Milan, Italy.ORCID http://orcid.org/0000-0002-5361-7122
Salvatore SienaNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID http://orcid.org/0000-0002-2681-2846
Josep TaberneroVall d'Hebron University Hospital and Institute of Oncology, IOB-Quiron, UVic-UCC, Barcelona, Spain.ORCID http://orcid.org/0000-0002-2495-8139
Livio TrusolinoDepartment of Oncology, University of Torino, Candiolo, Italy.
Rene BernardsDivision of Molecular Carcinogenesis, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-8677-3423
Alberto BardelliDepartment of Oncology, University of Torino, Candiolo, Italy. alberto.bardelli@unito.it.ORCID http://orcid.org/0000-0003-1647-5070
Candiolo Cancer Institute · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCollegio Carlo Alberto · ITThe Netherlands Cancer Institute · NLUniversitat de Vic - Universitat Central de Catalunya · ESUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Remarkable progress has been made in the development of biomarker-driven targeted therapies for patients with multiple cancer types, including melanoma, breast and lung tumours, although precision oncology for patients with colorectal cancer (CRC) continues to lag behind. Nonetheless, the availability of patient-derived CRC models coupled with in vitro and in vivo pharmacological and functional analyses over the past decade has finally led to advances in the field. Gene-specific alterations are not the only determinants that can successfully direct the use of targeted therapy. Indeed, successful inhibition of BRAF or KRAS in metastatic CRCs driven by activating mutations in these genes requires combinations of drugs that inhibit the mutant protein while at the same time restraining adaptive resistance via CRC-specific EGFR-mediated feedback loops. The emerging paradigm is, therefore, that the intrinsic biology of CRC cells must be considered alongside the molecular profiles of individual tumours in order to successfully personalize treatment. In this Review, we outline how preclinical studies based on patient-derived models have informed the design of practice-changing clinical trials. The integration of these experiences into a common framework will reshape the future design of biology-informed clinical trials in this field.

Indexed as

Precision MedicineAnimalsColorectal NeoplasmsEvidence-Based MedicineHumansNeoplasm MetastasisTranslational Research, Biomedical

Identifiers

PMID33864051
OpenAlexW3153990830

What OpenQuestion holds

Textmetadata
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.