Evidence map›Paper›PMID 36254756›Full record

Observational studyCancer science2023

Japanese nationwide observational multicenter study of tumor BRCA1/2 variant testing in advanced ovarian cancer.

Katsutoshi Oda, Daisuke Aoki, Hitoshi Tsuda, Hiroshi Nishihara, Hisanori Aoyama, Hyoe Inomata, Muneaki Shimada, Takayuki Enomoto

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Trial
  2. Review
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  5. Article
  6. Article
  7. Observational
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  11. Review
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  13. Combination ofFrontiers in oncology · 2025
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  14. Article
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  16. Article
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  18. Observational
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.

Katsutoshi OdaDivision of Integrative Genomics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Daisuke AokiDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9596-8326
Hitoshi TsudaDepartment of Basic Pathology, National Defense Medical College, Saitama, Japan.
Hiroshi NishiharaKeio Cancer Center, Keio University School of Medicine, Tokyo, Japan.
Hisanori AoyamaMedical Department, AstraZeneca K.K., Osaka, Japan.
Hyoe InomataMedical Department, AstraZeneca K.K., Osaka, Japan.
Muneaki ShimadaDepartment of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
Takayuki EnomotoDepartment of Obstetrics and Gynecology, Niigata University Medical School, Niigata, Japan.ORCID https://orcid.org/0000-0003-4538-5541

Funding

AstraZeneca and Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc.
6 · The paper itself

Abstract

The association between germline BRCA1 and BRCA2 pathogenic variants (mutations: gBRCAm) and ovarian cancer risk is well established. Germline testing alone cannot detect somatic BRCA1/2 pathogenic variants (sBRCAm), which is calculated based on the proportion of tumor BRCAm (tBRCAm) from tumor samples and gBRCAm. Homologous recombination deficiency (HRD) results mainly from genetic/epigenetic alterations in homologous recombination repair-related genes and can be evaluated by genomic instability status. In Japan, the prevalence of tBRCAm, sBRCAm, and HRD remains unclear. This multicenter, cross-sectional, observational study, CHaRacterIzing the croSs-secTional approach to invEstigate the prevaLence of tissue BRCA1/2 mutations in newLy diagnosEd advanced ovarian cancer patients (CHRISTELLE), evaluated the prevalence of tBRCAm, sBRCAm, and HRD in tumor specimens from newly diagnosed patients with ovarian cancer who underwent gBRCA testing. Of the 205 patients analyzed, 26.8% had a tBRCAm, including tBRCA1m (17.6%) and tBRCA2m (9.3%). The overall prevalence of tBRCAm, gBRCAm, sBRCAm, and HRD-positive status was 26.8%, 21.5%, 6.3%, and 60.0%, respectively. The calculated sBRCAm/tBRCAm ratio was 23.6% (13/55), and the prevalence of gBRCA variant of uncertain significance was 3.9%. These results suggest gBRCA testing alone cannot clearly identify the best course of treatment, highlighting the importance of sBRCA testing in Japan. The present results also suggest that testing for tBRCA and HRD should be encouraged in advanced ovarian cancer patients to drive precision medicine.

Indexed as

East Asian PeopleOvarian NeoplasmsBRCA1 ProteinCarcinoma, Ovarian EpithelialFemaleGenes, BRCA2Germ-Line MutationHumansMutationBRCA1 ProteinBRCA1 protein, humanBRCAepithelial ovarian cancergenetic testinggermline pathogenic varianthomologous recombination

Identifiers

PMID36254756
PMCPMC9807512

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.