Evidence map›Paper›PMID 34632253›Full record

Observational studyJCO precision oncology2021

Clinical Utility of Plasma-Based Comprehensive Molecular Profiling in Advanced Non-Small-Cell Lung Cancer.

Robert D Schouten, Daan C L Vessies, Linda J W Bosch, Nicole P Barlo, Anne S R van Lindert, Saskia A G M Cillessen, Daan van den Broek, Michel M van den Heuvel, Kim Monkhorst

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06105177 (Implementation of Up-front ctDNA Analysis Into Lung Cancer Care and Development of Liquid Biopsy-based Decision Support Models - the Lungmarker² Study), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 32% 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.

NCT06105177 recruitingnot on this mapstarted 2023, after this paper: background citation

Implementation of Up-front ctDNA Analysis Into Lung Cancer Care and Development of Liquid Biopsy-based Decision Support Models - the Lungmarker² Study

Typeobservational_patient_registrySponsorCatharina Ziekenhuis EindhovenRan2023 to 2026Enrolled800ConditionsLung Cancer
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Advances in laboratory medicine · 2025
    Article
  3. Integrating ctDNA testing forAdvances in laboratory medicine · 2025
    Review
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
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

9 authors at 5 institutions in 1 country.

Robert D SchoutenNetherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-7014-470X
Daan C L VessiesNetherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-7372-6625
Linda J W BoschNetherlands Cancer Institute, Amsterdam, the Netherlands.
Nicole P BarloNoordwest Ziekenhuisgroep, Alkmaar, the Netherlands.
Anne S R van LindertUniversity Medical Centre Utrecht, Utrecht, the Netherlands.
Saskia A G M CillessenAmsterdam University Medical Centres, Amsterdam, the Netherlands.ORCID 0000-0003-4314-6280
Daan van den BroekNetherlands Cancer Institute, Amsterdam, the Netherlands.
Michel M van den HeuvelRadboud University Medical Centre, Nijmegen, the Netherlands.ORCID 0000-0002-6372-2153
Kim MonkhorstNetherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-8690-3811
The Netherlands Cancer Institute · NLAmsterdam University Medical Centers · NLNoordwest Ziekenhuisgroep · NLRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Comprehensive molecular profiling (CMP) plays an essential role in clinical decision making in metastatic non-small-cell lung cancer (mNSCLC). Circulating tumor DNA (ctDNA) analysis provides possibilities for molecular tumor profiling. In this study, we aim to explore the additional value of centralized ctDNA profiling next to current standard-of-care protocolled tissue-based molecular profiling (SoC-TMP) in the primary diagnostic setting of mNSCLC in the Netherlands.

methodsPretreatment plasma samples from 209 patients with confirmed mNSCLC were analyzed retrospectively using the NGS AVENIO ctDNA Targeted Kit (Roche Diagnostics, Basel, Switzerland) and compared with paired prospective pretreatment tissue-based molecular profiling from patient records. The AVENIO panel is designed to detect single-nucleotide variants, copy-number variations, insertions or deletions, and tyrosine kinase fusion in 17 genes.

resultsPotentially targetable drivers were detected with SoC-TMP alone in 34.4% of patients. Addition of clonal hematopoiesis of indeterminate potential-corrected, plasma-based CMP increased this to 39.7% (

conclusionPlasma-CMP is a reliable tool in the primary diagnostic setting, although it cannot fully replace SoC-TMP. Complementary profiling by combined SoC-TMP and plasma-CMP increased the proportion of patients who are eligible for targeted treatment.

Indexed as

Biomarkers, TumorCarcinogenesisCarcinoma, Non-Small-Cell LungCirculating Tumor DNADNA Copy Number VariationsHigh-Throughput Nucleotide SequencingHumansLung NeoplasmsNetherlandsProspective StudiesBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID34632253
PMCPMC8277301
OpenAlexW3182219181

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.