Evidence map›Paper›PMID 34194620›Full record

ArticleOncotarget2021

Human papilloma virus circulating tumor DNA assay predicts treatment response in recurrent/metastatic head and neck squamous cell carcinoma.

Catherine T Haring, Chandan Bhambhani, Collin Brummel, Brittany Jewell, Emily Bellile, Molly E Heft Neal, Erin Sandford, Ryan M Spengler, Apurva Bhangale, Matthew E Spector and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 5 pooled it
4.8field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 5 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Phase I/II Study of the Aurora Kinase A Inhibitor Alisertib and Pembrolizumab in Refractory, Rb-Deficient Head and Neck Squamous Cell Carcinomas.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  8. Early HPV ctDNA Kinetics and Imaging Biomarkers Predict Therapeutic Response in p16+ Oropharyngeal Squamous Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial
  9. Article
  10. Review
  11. Review
  12. Targeting innate immunity to overcome immune evasion in HPV-associated cancers.Frontiers in cellular and infection microbiology · 2026
    Review
  13. Review
  14. Article
  15. Review
  16. Circulating Tumour DNA as a Complementary Tool for Treatment Evaluation in HPV-Associated Head and Neck Squamous Cell Carcinoma: An Observational Cohort Study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Observational
  17. Review
  18. Article
  19. Review
  20. 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

17 authors at 2 institutions in 1 country.

Catherine T HaringUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Chandan BhambhaniUniversity of Michigan, Department of Internal Medicine, Division of Hematology and Oncology, Ann Arbor, MI 48109, USA.
Collin BrummelUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Brittany JewellUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Emily BellileUniversity of Michigan, Department of Biostatistics, Ann Arbor, MI 48109, USA.
Molly E Heft NealUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Erin SandfordUniversity of Michigan, Department of Internal Medicine, Division of Hematology and Oncology, Ann Arbor, MI 48109, USA.
Ryan M SpenglerUniversity of Michigan, Department of Internal Medicine, Division of Hematology and Oncology, Ann Arbor, MI 48109, USA.
Apurva BhangaleUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Matthew E SpectorUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Jonathan McHughUniversity of Michigan, Rogel Cancer Center, Ann Arbor, MI 48109, USA.
Mark E PrinceUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
Michelle MierzwaUniversity of Michigan, Rogel Cancer Center, Ann Arbor, MI 48109, USA.
Francis P WordenUniversity of Michigan, Department of Internal Medicine, Division of Hematology and Oncology, Ann Arbor, MI 48109, USA.
Muneesh TewariUniversity of Michigan, Department of Internal Medicine, Division of Hematology and Oncology, Ann Arbor, MI 48109, USA.
Paul L SwiecickiUniversity of Michigan, Department of Internal Medicine, Division of Hematology and Oncology, Ann Arbor, MI 48109, USA.
J Chad BrennerUniversity of Michigan, Department of Otolaryngology-Head and Neck Surgery, Ann Arbor, MI 48109, USA.
University of Michigan–Ann Arbor · USU-M Rogel Cancer Center

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
Molecular Mechanisms of Tumor Behavior and Response to Therapy in HPV-positive Oropharyngeal CancerR01CA194536 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAREY, THOMAS E. · 2016 to 2021
$2.8M
NCI NIH HHS P30 CA046592NCI NIH HHS R01 CA194536
6 · The paper itself

Abstract

Despite the rising incidence of human papillomavirus related (HPV+) oropharyngeal squamous cell carcinoma (OPSCC), treatment of metastatic disease remains palliative. Even with new treatments such as immunotherapy, response rates are low and can be delayed, while even mild tumor progression in the face of an ineffective therapy can lead to rapid death. Real-time biomarkers of response to therapy could improve outcomes by guiding early change of therapy in the metastatic setting. Herein, we developed and analytically validated a new droplet digital PCR (ddPCR)-based assay for HPV16 circulating tumor DNA (ctDNA) and evaluated plasma HPV16 ctDNA for predicting treatment response in metastatic HPV+ OPSCC. We found that longitudinal changes HPV16 ctDNA correlate with treatment response and that ctDNA responses are observed earlier than conventional imaging (average 70 days, range: 35-166). With additional validation in multi-site studies, this assay may enable early identification of treatment failure, allowing patients to be directed promptly toward clinical trials or alternative therapies.

Indexed as

circulating tumor DNActDNAhead and neck cancerHPVoropharyngeal cancer

Identifiers

PMID34194620
PMCPMC8238244
OpenAlexW3176179663

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.