Evidence map›Paper›PMID 35986087›Full record

ArticleBritish journal of cancer2022

Precision oncology for intrahepatic cholangiocarcinoma in clinical practice.

Aurelie Tomczak, Christoph Springfeld, Michael T Dill, De-Hua Chang, Daniel Kazdal, Ursula Wagner, Arianeb Mehrabi, Antje Brockschmidt, Tom Luedde, Patrick Naumann and 3 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  18. Discovery of lirafugratinib (RLY-4008), a highly selective irreversible small-molecule inhibitor of FGFR2.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  19. Molecular diagnostics of hepatobiliary and pancreatic neoplasias.Virchows Archiv : an international journal of pathology · 2024
    Review
  20. Molecular Profile of Intrahepatic Cholangiocarcinoma.International journal of molecular sciences · 2023
    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

13 authors at 4 institutions in 1 country.

Aurelie TomczakInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Christoph SpringfeldLiver Cancer Centre Heidelberg, Heidelberg, Germany.
Michael T DillLiver Cancer Centre Heidelberg, Heidelberg, Germany.
De-Hua ChangLiver Cancer Centre Heidelberg, Heidelberg, Germany.
Daniel KazdalInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8187-3281
Ursula WagnerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Arianeb MehrabiLiver Cancer Centre Heidelberg, Heidelberg, Germany.
Antje BrockschmidtLiver Cancer Centre Heidelberg, Heidelberg, Germany.
Tom LueddeClinic for Gastroenterology, Hepatology and Infectious Disease, University Hospital Düsseldorf, Düsseldorf, Germany.ORCID http://orcid.org/0000-0002-6288-8821
Patrick NaumannLiver Cancer Centre Heidelberg, Heidelberg, Germany.
Albrecht StenzingerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Peter SchirmacherInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Thomas LongerichInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. thomas.longerich@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0001-8888-1030
Heidelberg University · DENational Center for Tumor Diseases · DEDüsseldorf University Hospital · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced cholangiocarcinoma has a poor prognosis. Molecular targeted approaches have been proposed for patients after progression under first-line chemotherapy treatment. Here, molecular profiling of intrahepatic cholangiocarcinoma in combination with a comprehensive umbrella concept was applied in a real-world setting.

methodsIn total, 101 patients received molecular profiling and matched treatment based on interdisciplinary tumour board decisions in a tertiary care setting. Parallel DNA and RNA sequencing of formalin-fixed paraffin-embedded tumour tissue was performed using large panels.

resultsGenetic alterations were detected in 77% of patients and included gene fusions in 21 patients. The latter recurrently involved the FGFR2 and the NRG1 gene loci. The most commonly altered genes were BAP1, ARID1A, FGFR2, IDH1, CDKN2A, CDKN2B, PIK3CA, TP53, ATM, IDH2, BRAF, SMARCA4 and FGFR3. Molecular targets were detected in 59% of patients. Of these, 32% received targeted therapy. The most relevant reason for not initiating therapy was the deterioration of performance status. Patients receiving a molecular-matched therapy showed a significantly higher survival probability compared to patients receiving conventional chemotherapy only (HR: 2.059, 95% CI: 0.9817-4.320, P < 0.01).

conclusionsMolecular profiling can be successfully translated into clinical treatment of intrahepatic cholangiocarcinoma patients and is associated with prolonged survival of patients receiving a molecular-matched treatment.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaBile Ducts, IntrahepaticClass I Phosphatidylinositol 3-KinasesDNA HelicasesFormaldehydeHumansMutationNuclear ProteinsPrecision MedicineProto-Oncogene Proteins B-rafTranscription FactorsClass I Phosphatidylinositol 3-KinasesDNA HelicasesFormaldehydeNuclear ProteinsProto-Oncogene Proteins B-rafSMARCA4 protein, humanTranscription Factors

Identifiers

PMID35986087
PMCPMC9390961
OpenAlexW4292387035

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.