Evidence map›Paper›PMID 34807979›Full record

Trial reportBlood advances2022

Biomarker signatures in cancer patients with and without venous thromboembolism events: a substudy of CASSINI.

Alok A Khorana, John Barnard, Ted Wun, Ujjwala Vijapurkar, C V Damaraju, Kenneth Todd Moore, Peter Wildgoose, Keith R McCrae

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02555878 (Efficacy and Safety of Rivaroxaban Prophylaxis Compared With Placebo in Ambulatory Cancer Patients Initiating Systemic Cancer Therapy and at High Risk for Venous Thromboembolism), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 11% 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.

NCT02555878 phase3completednot on this map

Efficacy and Safety of Rivaroxaban Prophylaxis Compared With Placebo in Ambulatory Cancer Patients Initiating Systemic Cancer Therapy and at High Risk for Venous Thromboembolism

TypeinterventionalSponsorJanssen Research & Development, LLCRan2015 to 2018Enrolled841ConditionsNeoplasmsArmsRivaroxaban, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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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

8 authors at 4 institutions in 2 countries.

Alok A KhoranaTaussig Cancer Institute and Case Comprehensive Cancer Center, and.
John BarnardDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.ORCID 0000-0003-2403-8268
Ted WunDivision of Hematology and Oncology, University of California Davis School of Medicine, Sacramento, CA; and.ORCID 0000-0001-6383-7172
Ujjwala VijapurkarJanssen Scientific Affairs, LLC, Titusville, NJ.
C V DamarajuJanssen Scientific Affairs, LLC, Titusville, NJ.
Kenneth Todd MooreJanssen Scientific Affairs, LLC, Titusville, NJ.ORCID 0000-0001-7505-102X
Peter WildgooseJanssen Scientific Affairs, LLC, Titusville, NJ.
Keith R McCraeTaussig Cancer Institute and Case Comprehensive Cancer Center, and.ORCID 0000-0001-7340-475X
Janssen (United States) · USCancer Institute (WIA) · INCleveland Clinic Lerner College of Medicine · USUniversity of California, Davis · US

Funding

Novel approaches to improve prediction of cancer-associated thrombosisU01HL143402 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI KHORANA, ALOK A, MCCRAE, KEITH R. · 2018 to 2022
$4.7M
Mechanisms of cancer immunotherapy-associated thrombosisR01HL164516 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI Claudia Marcela Diaz-Montero, ALOK A KHORANA · 2023 to 2026
$2.9M
NHLBI NIH HHS R01 HL164516NHLBI NIH HHS U01 HL143402
6 · The paper itself

Abstract

Cancer is associated with an increased risk of venous thromboembolism (VTE). In the CASSINI study, ambulatory cancer patients with a Khorana risk score ≥2 had a reduced risk of VTE while receiving rivaroxaban. This analysis used blood samples from CASSINI to compare biomarker levels between patients with and without VTE. VTE occurred in 62 patients during the 6 months of CASSINI (cases), and they were matched by age, sex, cancer type, tumor stage, and Khorana score to 62 controls. Baseline blood samples were analyzed for 280 biomarkers, and biomarker distribution was compared using the Wilcoxon rank-sum test between groups defined by VTE occurrence and vital status. Sparse Bayesian regression modeling was used to select a joint panel of potential VTE biomarkers. Biomarkers with the largest differences in baseline distribution among cancer patients with and without VTE included decreases in stromal cell-derived factor-1 (SDF-1), thyroid-stimulating hormone (TSH), and monocyte chemotactic protein 4 and increases in growth hormone (GH) and interleukin-1 receptor type 1 (IL-1R1). Between survivors and those who died, significantly different biomarkers included ST2, IL-8, and C-reactive protein. Regression analyses also identified decreases in SDF-1 and TSH. Pathway analysis indicated enrichment of cytokine and chemokine activity with IL-1R1, SDF-1, and GH, which are the strongest predictors of VTE or death. Our analyses highlight the interactions between hemostatic and inflammatory processes and identify candidate biomarkers of cancer-associated VTE. Prospective studies will determine clinical relevance of these biomarkers. This trial was registered at www.ClinicalTrials.gov as #NCT02555878.

Indexed as

NeoplasmsVenous ThromboembolismBayes TheoremBiomarkersFemaleHumansMaleProspective StudiesThyrotropinBiomarkersThyrotropin

Identifiers

PMID34807979
PMCPMC8864658
OpenAlexW3213380248

What OpenQuestion holds

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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.