Evidence map›Paper›PMID 34064221›Full record

ArticleCancers2021

A Prospective Feasibility Trial to Challenge Patient-Derived Pancreatic Cancer Organoids in Predicting Treatment Response.

Alica K Beutel, Lena Schütte, Jeanette Scheible, Elodie Roger, Martin Müller, Lukas Perkhofer, Annika M T U Kestler, Johann M Kraus, Hans A Kestler, Thomas F E Barth and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 5% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

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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.

Alica K BeutelDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Lena SchütteDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Jeanette ScheibleDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Elodie RogerDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0002-4930-6292
Martin MüllerDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Lukas PerkhoferDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0003-0484-0974
Annika M T U KestlerInstitute of Medical Systems Biology, Ulm University, 89081 Ulm, Germany.
Johann M KrausInstitute of Medical Systems Biology, Ulm University, 89081 Ulm, Germany.
Hans A KestlerInstitute of Medical Systems Biology, Ulm University, 89081 Ulm, Germany.ORCID 0000-0002-4759-5254
Thomas F E BarthInstitute of Pathology, University Hospital Ulm, 89081 Ulm, Germany.
Johannes LemkeDepartment of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0003-2142-6097
Marko KornmannDepartment of General and Visceral Surgery, University Hospital Ulm, 89081 Ulm, Germany.
Thomas J EttrichDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0002-7654-2442
Johann GoutDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Thomas SeufferleinDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Alexander KlegerDepartment of Internal Medicine, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0003-0592-5232
University Hospital Ulm · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Real-time isolation, propagation, and pharmacotyping of patient-derived pancreatic cancer organoids (PDOs) may enable treatment response prediction and personalization of pancreatic cancer (PC) therapy. In our methodology, PDOs are isolated from 54 patients with suspected or confirmed PC in the framework of a prospective feasibility trial. The drug response of single agents is determined by a viability assay. Areas under the curves (AUC) are clustered for each drug, and a prediction score is developed for combined regimens. Pharmacotyping profiles are obtained from 28 PDOs (efficacy 63.6%) after a median of 53 days (range 21-126 days). PDOs exhibit heterogeneous responses to the standard-of-care drugs, and are classified into high, intermediate, or low responder categories. Our developed prediction model allows a successful response prediction in treatment-naïve patients with an accuracy of 91.1% for first-line and 80.0% for second-line regimens, respectively. The power of prediction declines in pretreated patients (accuracy 40.0%), particularly with more than one prior line of chemotherapy. Progression-free survival (PFS) is significantly longer in previously treatment-naïve patients receiving a predicted tumor sensitive compared to a predicted tumor resistant regimen (mPFS 141 vs. 46 days;

Indexed as

drug response predictionorganoidspancreatic cancerpersonalized medicinepharmacotyping

Identifiers

PMID34064221
PMCPMC8196829
OpenAlexW3163569031

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.