Evidence map›Paper›PMID 36900180›Full record

ArticleCancers2023

Predicting Response to Radical Chemoradiotherapy with Circulating HPV DNA (cHPV-DNA) in Locally Advanced Uterine Cervix Cancer.

Susan Lalondrelle, Jen Lee, Rosalind J Cutts, Isaac Garcia Murillas, Nik Matthews, Nicholas Turner, Kevin Harrington, Katherine Vroobel, Emily Moretti, Shreerang A Bhide

Open access · goldFull text read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Liquid Biopsy Biomarkers for Cervical Cancer: A Systematic Review.International journal of molecular sciences · 2025
    Pooled it
  2. Review
  3. Review
  4. Clinical Validation of Human Papilloma Virus Circulating Tumor DNA for Early Detection of Residual Disease After Chemoradiation in Cervical Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  5. 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 3 institutions in 1 country.

Susan LalondrelleThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.ORCID 0000-0002-1147-3618
Jen LeeThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Rosalind J CuttsThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Isaac Garcia MurillasThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Nik MatthewsImperial College London, South Kengsington Campus, SW7 2AZ, UK.
Nicholas TurnerThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Kevin HarringtonThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.
Katherine VroobelThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Emily MorettiThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Shreerang A BhideThe Institute of Cancer Research, Fulham Road, London SW3 6JB, UK.ORCID 0000-0001-6535-6516
Royal Marsden NHS Foundation Trust · GBInstitute of Cancer Research · GBImperial College London · GB

Funding

Cancer Research UK 28724
6 · The paper itself

Abstract

backgroundThe majority of locally advanced cervical cancers (LaCC) are causally related to HPV. We sought to investigate the utility of an ultra-sensitive HPV-DNA next generation sequencing (NGS) assay-panHPV-detect-in LaCC treated with chemoradiotherapy, as a marker of treatment response and persistent disease.

methodSerial blood samples were collected from 22 patients with LaCC before, during and after chemoradiation. The presence of circulating HPV-DNA was correlated with clinical and radiological outcomes.

resultsThe panHPV-detect test demonstrated a sensitivity and specificity of 88% (95% CI-70-99%) and 100% (95% CI-30-100%), respectively, and correctly identified the HPV-subtype (16, 18, 45, 58). After a median follow up of 16 months, and three relapses all had detectable cHPV-DNA at 3 months post-CRT despite complete response on imaging. Another four patients with radiological partial or equivocal response and undetectable cHPV-DNA at the 3-month time point did not go on to develop relapse. All patients with radiological CR and undetectable cHPV-DNA at 3-months remained disease free.

conclusionsThese results demonstrate that the panHPV-detect test shows high sensitivity and specificity for detecting cHPV-DNA in plasma. The test has potential applications in assessment of the response to CRT and in monitoring for relapse, and these initial findings warrant validation in a larger cohort.

Indexed as

cervical cancercirculating DNAnext generation sequencingplasma HPV DNAresponse prediction

Identifiers

PMID36900180
PMCPMC10000151
OpenAlexW4321599903

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read30
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.