Evidence map›Paper›PMID 35274713›Full record

ArticleThe oncologist2022

Liquid Biopsy-based Precision Therapy in Patients with Advanced Solid Tumors: A Real-world Experience from a Community-based Oncology Practice.

Khalil Choucair, Bassam Ibrahim Mattar, Quoc Van Truong, Travis Koeneke, Phu Van Truong, Christopher Dakhil, Michael W Cannon, Seth Joel Page, Jeremy Michael Deutsch, Eric Carlson and 5 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Observational
  7. Review
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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

15 authors at 2 institutions in 1 country.

Khalil ChoucairKansas University School of Medicine, Wichita, KS, USA.ORCID 0000-0001-8145-3754
Bassam Ibrahim MattarCancer Center of Kansas, Wichita, KS, USA.
Quoc Van TruongCancer Center of Kansas, Wichita, KS, USA.
Travis KoenekeCancer Center of Kansas, Wichita, KS, USA.
Phu Van TruongCancer Center of Kansas, Wichita, KS, USA.
Christopher DakhilCancer Center of Kansas, Wichita, KS, USA.
Michael W CannonCancer Center of Kansas, Wichita, KS, USA.
Seth Joel PageCancer Center of Kansas, Wichita, KS, USA.
Jeremy Michael DeutschCancer Center of Kansas, Wichita, KS, USA.
Eric CarlsonCancer Center of Kansas, Wichita, KS, USA.
Dennis Frederic MooreCancer Center of Kansas, Wichita, KS, USA.
Nassim H NabboutCancer Center of Kansas, Wichita, KS, USA.
K James KallailKansas University School of Medicine, Wichita, KS, USA.
Shaker R DakhilCancer Center of Kansas, Wichita, KS, USA.
Pavan S ReddyCancer Center of Kansas, Wichita, KS, USA.ORCID 0000-0002-8168-7873
Cancer Center of Kansas · USWichita State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiquid biopsy testing offers a significant potential in selecting signal-matched therapies for advanced solid malignancies. The feasibility of liquid biopsy testing in a community-based oncology practice, and its actual impact on selecting signal-matched therapies, and subsequent survival effects have not previously been reported. PATIENTS AND

methodsA retrospective chart review was conducted on adult patients with advanced solid cancer tested with a liquid-biopsy assay between December 2018 and 2019, in a community oncology practice. The impact of testing on treatment assignment and survival was assessed at 1-year follow-up.

resultsA total of 178 patients underwent testing. A positive test was reported in 140/178 patients (78.7%), of whom 75% had an actionable mutation. The actual overall signal-based matching rate was 17.8%. While 85.7% of patients with no actionable mutation had a signal-based clinical trial opportunity, only 10% were referred to a trial. Survival analysis of lung, breast, and colorectal cancer patients with actionable mutations who received any therapy (n = 66) revealed a survival advantage for target-matched (n = 22) compared to unmatched therapy (n = 44): patients who received matched therapy had significantly longer progression-free survival (PFS) (mPFS: 12 months; 95%CI, 10.6-13.4 vs. 5.0 months; 95%CI, 3.4-6.6; P = .029), with a tendency towards longer overall survival (OS) (mOS: 15 months; 95%CI, 13.5-16.5 vs. 13 months; 95%CI: 11.3-14.7; P = .087).

conclusionsImplementation of liquid biopsy testing is feasible in a US community practice and impacts therapeutic choices in patients with advanced malignancies. Receipt of liquid biopsy-generated signal-matched therapies conferred added survival benefits.

Indexed as

NeoplasmsAdultBiopsyHumansLiquid BiopsyMedical OncologyRetrospective Studiesbiomarkersliquid biopsyneoplasmprecision oncologysurvival benefit

Identifiers

PMID35274713
PMCPMC8914479
OpenAlexW4210528214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.