Evidence map›Paper›PMID 34206554›Full record

ReviewCancers2021

Tumor Mutational Burden as a Potential Biomarker for Immunotherapy in Pancreatic Cancer: Systematic Review and Still-Open Questions.

Rita T Lawlor, Paola Mattiolo, Andrea Mafficini, Seung-Mo Hong, Maria L Piredda, Sergio V Taormina, Giuseppe Malleo, Giovanni Marchegiani, Antonio Pea, Roberto Salvia and 6 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07173374 (Stereotactic Centralized Ablative Radiotherapy for Locally Advanced Pancreatic Cancer), which is not on this map. Cited by 87 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 3 pooled it
9.8field-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.

NCT07173374 phase1suspendednot on this mapstarted 2025, after this paper: background citation

Stereotactic Centralized Ablative Radiotherapy for Locally Advanced Pancreatic Cancer: A Single-Arm Phase I Safety and Feasibility Study

TypeinterventionalSponsorShandong Cancer Hospital and InstituteRan2025 to 2028Enrolled24ConditionsPancreatic Cancer, Locally Advanced Pancreatic CancerArmsSCART Dose Escalation Arm
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 3 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. miRNAs Related to Immune Checkpoint Inhibitor Response: A Systematic Review.International journal of molecular sciences · 2024
    Pooled it
  3. Pooled it
  4. Trial
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  7. Review
  8. Article
  9. Review
  10. Research progress in diagnosis and treatment of pancreatic cancer with mismatch repair and microsatellite instability.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  11. Review
  12. Article
  13. Article
  14. Article
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  16. Review
  17. Review
  18. Article
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  20. Review

27 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

16 authors at 4 institutions in 4 countries.

Rita T LawlorARC-Net Research Center, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0003-3160-0634
Paola MattioloDepartment of Diagnostics and Public Health, Section of Pathology, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0002-5601-0879
Andrea MafficiniARC-Net Research Center, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0002-7471-3121
Seung-Mo HongAsan Medical Center, Department of Pathology, University of Ulsan College of Medicine, Seoul 05505, Korea.
Maria L PireddaARC-Net Research Center, University and Hospital Trust of Verona, 37134 Verona, Italy.
Sergio V TaorminaARC-Net Research Center, University and Hospital Trust of Verona, 37134 Verona, Italy.
Giuseppe MalleoDepartment of Surgery, The Pancreas Institute, University and Hospital Trust of Verona, 37134 Verona, Italy.
Giovanni MarchegianiDepartment of Surgery, The Pancreas Institute, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0002-6824-4533
Antonio PeaDepartment of Surgery, The Pancreas Institute, University and Hospital Trust of Verona, 37134 Verona, Italy.
Roberto SalviaDepartment of Surgery, The Pancreas Institute, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0002-3514-8473
Valentyna KryklyvaDepartment of Pathology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul 120-752, Korea.ORCID 0000-0003-2326-1820
Lodewijk A BrosensDepartment of Pathology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Michele MilellaDepartment of Medicine, Section of Oncology, University and Hospital Trust of Verona, 37134 Verona, Italy.
Aldo ScarpaARC-Net Research Center, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0003-1678-739X
Claudio LuchiniDepartment of Diagnostics and Public Health, Section of Pathology, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0003-4901-4908
University of Verona · ITRadboud University Nijmegen · NLUlsan College · KRYonsei University · KR

Funding

Associazione Italiana per la Ricerca sul Cancro 12182Fondazione Cariverona: Oncology Biobank Project "Antonio Schiavi" 203885/2017Fondazione Italiana Malattie Pancreas (FIMP-Ministero Salute) J38D19000690001Italian Ministry of Health RF CO-2019-12369662: CUP: B39C21000370001
6 · The paper itself

Abstract

Tumor mutational burden (TMB) is a numeric index that expresses the number of mutations per megabase (muts/Mb) harbored by tumor cells in a neoplasm. TMB can be determined using different approaches based on next-generation sequencing. In the case of high values, it indicates a potential response to immunotherapy. In this systematic review, we assessed the potential predictive role of high-TMB in pancreatic ductal adenocarcinoma (PDAC), as well as the histo-molecular features of high-TMB PDAC. High-TMB appeared as a rare but not-negligible molecular feature in PDAC, being present in about 1.1% of cases. This genetic condition was closely associated with mucinous/colloid and medullary histology (

Indexed as

immunotherapypancreatic cancerPD-1PD-L1TMBTMLtumor mutation burden

Identifiers

PMID34206554
PMCPMC8269341
OpenAlexW3176534616

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.