Evidence map›Paper›PMID 36788537›Full record

Trial reportRespiratory research2023

A novel, accurate, and non-invasive liquid biopsy test to measure cellular immune responses as a tool to diagnose early-stage lung cancer: a clinical trials study.

Shafrira Shai, Fernando Patolsky, Hagai Drori, Eyal J Scheinman, Eyal Davidovits, Giora Davidovits, Shoval Tirman, Nadir Arber, Amit Katz, Yochai Adir

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Respiratory research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Liquid biopsy techniques and lung cancer: diagnosis, monitoring and evaluation.Journal of experimental & clinical cancer research : CR · 2024
    Review
  6. Article
  7. Article
  8. Article
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

10 authors at 5 institutions in 2 countries.

Shafrira ShaiSavicell Diagnostics Ltd., Matam Advanced Technology Park, Building #23, P.O. Box 15050, 3190501, Haifa, Israel. shafis@savicell.com.
Fernando PatolskySchool of Chemistry, Faculty of Exact Sciences, Tel Aviv University, 69978, Tel Aviv, Israel.
Hagai DroriSavicell Diagnostics Ltd., Matam Advanced Technology Park, Building #23, P.O. Box 15050, 3190501, Haifa, Israel.
Eyal J ScheinmanSavicell Diagnostics Ltd., Matam Advanced Technology Park, Building #23, P.O. Box 15050, 3190501, Haifa, Israel.
Eyal DavidovitsSavicell Diagnostics Ltd., Matam Advanced Technology Park, Building #23, P.O. Box 15050, 3190501, Haifa, Israel.
Giora DavidovitsSavicell Diagnostics Ltd., Matam Advanced Technology Park, Building #23, P.O. Box 15050, 3190501, Haifa, Israel.
Shoval TirmanSavicell Diagnostics Ltd., Matam Advanced Technology Park, Building #23, P.O. Box 15050, 3190501, Haifa, Israel.
Nadir ArberIntegrated Cancer Prevention Center, Tel Aviv Sourasky Medical Center, 6 Weizmann St., 6423906, Tel Aviv, Israel.
Amit KatzDepartment of General Thoracic Surgery, Rambam Health Care Campus, 8 HaAliya HaShniya St., PO Box 9602, 31096, Haifa, Israel.
Yochai AdirPulmonary Division, Faculty of Medicine, Lady Davis Carmel Medical Center, Mikhal Street 7, 3436212, Haifa, Israel.
Carmel Medical Center · ILRambam Health Care Campus · ILSave the Children · USTel Aviv Sourasky Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLung cancer remains the leading cause of death from cancer, worldwide. Developing early detection diagnostic methods, especially non-invasive methods, is a critical component to raising the overall survival rate and prognosis for lung cancer. The purpose of this study is to evaluate two protocols of a novel in vitro cellular immune response test to detect lung cancer. The test specifically quantifies the glycolysis metabolism pathway, which is a biomarker for the activation level of immune cells. It summarizes the results of two clinical trials, where each deploys a different protocol's version of this test for the detection of lung cancer. In the later clinical trial, an improved test protocol is applied.

methodThe test platform is based on changes in the metabolic pathways of the immune cells following their activation by antigenic stimuli associated with Lung cancer. Peripheral Blood Mononuclear Cells are loaded on a multiwell plate together with various lung tumor associated antigens and a fluorescent probe that exhibits a pH-dependent absorption shift. The acidification process in the extracellular fluid is monitored by a commercial fluorescence plate reader device in continuous reading for 3 h at 37 °C to document the fluorescent signal received from each well.

resultsIn the later clinical trial, an improved test protocol was applied and resulted in increased test accuracy. Specificity of the test increased to 94.0% and test sensitivity increased to 97.3% in lung cancer stage I, by using the improved protocol.

conclusionThe improved protocol of the novel cellular immune metabolic response based test detects stage I and stage II of lung cancer with high specificity and sensitivity, with low material costs and fast results.

Indexed as

Leukocytes, MononuclearLung NeoplasmsHumansImmunity, CellularLiquid BiopsyPrognosisBiomarkerEarly stageImmune cells metabolismLiquid biopsyTumor associated antigens

Identifiers

PMID36788537
PMCPMC9927051
OpenAlexW4320726014

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.