Evidence map›Paper›PMID 34965954›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Plasma Protein Biomarkers in Advanced or Metastatic Colorectal Cancer Patients Receiving Chemotherapy With Bevacizumab or Cetuximab: Results from CALGB 80405 (Alliance).

Andrew B Nixon, Alexander B Sibley, Yingmiao Liu, Ace J Hatch, Chen Jiang, Flora Mulkey, Mark D Starr, John C Brady, Donna Niedzwiecki, Alan P Venook and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Characterization of the Biological Variability of the Angiome Biomarkers over Time in Healthy Participants.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  7. CD73 promotes non-small cell lung cancer metastasis by regulating Axl signaling independent of GAS6.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  8. Article
  9. Article
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  11. Observational
  12. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 2 countries.

Andrew B NixonDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0003-3971-2964
Alexander B SibleyDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0003-4552-1865
Yingmiao LiuDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0003-3516-5844
Ace J HatchDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Chen JiangAlliance Statistics and Data Center, Duke University, Durham, North Carolina.
Flora MulkeyAlliance Statistics and Data Center, Duke University, Durham, North Carolina.
Mark D StarrDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
John C BradyDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Donna NiedzwieckiDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina.
Alan P VenookUCSF Medical Center - Mission Bay, San Francisco, California.ORCID 0000-0001-9749-6548
Luis Baez-DiazSan Juan City Hospital, Puerto Rico MUNCORP, San Juan, Puerto Rico.ORCID 0000-0001-9814-9070
Heinz-Josef LenzUSC Norris Comprehensive Cancer Center, Los Angeles, California.ORCID 0000-0003-2178-9568
Bert H O'NeilIndiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.
Federico InnocentiUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jeffrey A MeyerhardtDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Eileen M O'ReillyWeill Cornell Medical College, Cornell University and Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-8076-9199
Kouros OwzarDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina.
Herbert I HurwitzDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0003-3242-9197
Duke University · USDana-Farber Cancer Institute · USDuke Medical Center · USIndiana University Health · USMemorial Sloan Kettering Cancer Center · USSan Juan City Hospital · PRUniversity of California San Francisco Medical Center · USUniversity of North Carolina at Chapel Hill · USUSC Norris Comprehensive Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Michael L. LeBlanc · 2014 to 2026
$115.2M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
Puerto Rico NCI Community Oncology Research Program (Puerto Rico NCORP)UG1CA189862 · NCI · COMPREHENSIVE CANCER CENTER/ UNIV/PR · PI Luis Baez-Vallecillo, Alexis Cruz · 2014 to 2026
$10.8M
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareUG1CA233180 · NCI · DANA-FARBER CANCER INST · PI Harold John Burstein · 2019 to 2026
$8.6M
Yale Cancer Center NCTN LAPSUG1CA233337 · NCI · YALE UNIVERSITY · PI ANNE C CHIANG · 2019 to 2026
$6.0M
The Duke University - Duke Cancer Institute National Clinical Trials Network LAPS (UG1) Support GrantUG1CA233253 · NCI · DUKE UNIVERSITY · PI John H Strickler, Alexandra Thomas · 2019 to 2026
$3.7M
NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180882NCI NIH HHS U10 CA180888NCI NIH HHS U24 CA196171NCI NIH HHS UG1 CA180830NCI NIH HHS UG1 CA189862NCI NIH HHS UG1 CA233180NCI NIH HHS UG1 CA233253NCI NIH HHS UG1 CA233290NCI NIH HHS UG1 CA233337NCI NIH HHS UG1 CA233373
6 · The paper itself

Abstract

purposeCALGB 80405 compared the combination of first-line chemotherapy with cetuximab or bevacizumab in the treatment of advanced or metastatic colorectal cancer (mCRC). Although similar clinical outcomes were observed in the cetuximab-chemotherapy group and the bevacizumab-chemotherapy group, biomarkers could identify patients deriving more benefit from either biologic agent. PATIENTS AND

methodsIn this exploratory analysis, the Angiome, a panel of 24 soluble protein biomarkers were measured in baseline plasma samples in CALGB 80405. Prognostic biomarkers were determined using univariate Cox proportional hazards models. Predictive biomarkers were identified using multivariable Cox regression models including interaction between biomarker level and treatment.

resultsIn the total population, high plasma levels of Ang-2, CD73, HGF, ICAM-1, IL6, OPN, TIMP-1, TSP-2, VCAM-1, and VEGF-R3 were identified as prognostic of worse progression-free survival (PFS) and overall survival (OS). PlGF was identified as predictive of lack of PFS benefit from bevacizumab [bevacizumab HR, 1.51; 95% confidence interval (CI), 1.10-2.06; cetuximab HR, 0.94; 95% CI, 0.71-1.25; Pinteraction = 0.0298] in the combined FOLFIRI/FOLFOX regimens. High levels of VEGF-D were predictive of lack of PFS benefit from bevacizumab in patients receiving FOLFOX regimen only (FOLFOX/bevacizumab HR, 1.70; 95% CI, 1.19-2.42; FOLFOX/cetuximab HR, 0.92; 95% CI, 0.68-1.24; Pinteraction = 0.0097).

conclusionsIn this exploratory, hypothesis-generating analysis, the Angiome identified multiple prognostic biomarkers and two potential predictive biomarkers for patients with mCRC enrolled in CALGB 80405. PlGF and VEGF-D predicted lack of benefit from bevacizumab in a chemo-dependent manner. See related commentaries by Mishkin and Kohn, p. 2722 and George and Bertagnolli, p. 2725.

Indexed as

Colonic NeoplasmsColorectal NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkersCetuximabFluorouracilGenotypeHumansLeucovorinPhenotypeVascular Endothelial Growth Factor DBevacizumabBiomarkersCetuximabFluorouracilLeucovorinVascular Endothelial Growth Factor D

Identifiers

PMID34965954
PMCPMC9240111
OpenAlexW4200493332

What OpenQuestion holds

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Registered trials

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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.