Evidence map›Paper›PMID 36984856›Full record

ArticleMetabolites2023

Primary Treatment Effects for High-Grade Serous Ovarian Carcinoma Evaluated by Changes in Serum Metabolites and Lipoproteins.

Cecilie Fredvik Torkildsen, Marie Austdal, Ann-Charlotte Iversen, Tone Frost Bathen, Guro Fanneløb Giskeødegård, Elisabeth Berge Nilsen, Grete Alræk Iversen, Ragnar Kvie Sande, Line Bjørge, Liv Cecilie Vestrheim Thomsen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Metabolites, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03378297 (IMPACT), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

NCT03378297 early_phase1completednot on this map

IMPACT: A Phase 0 Randomized Window-of-Opportunity Study of Novel and Repurposed Therapeutic Agents in Women Triaged to Primary Surgery for Advanced Epithelial Ovarian Cancer in Stages IIIa - IV.

TypeinterventionalSponsorHaukeland University HospitalRan2018 to 2023Enrolled26ConditionsOvarian CancerArmsMetformin, Acetylsalicylic acid, Olaparib, Letrozole
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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.

Cecilie Fredvik TorkildsenDepartment of Obstetrics and Gynecology, Stavanger University Hospital, 4068 Stavanger, Norway.ORCID 0000-0002-8676-3046
Marie AustdalDepartment of Research, Stavanger University Hospital, 4068 Stavanger, Norway.ORCID 0000-0001-7285-103X
Ann-Charlotte IversenCentre of Molecular Inflammation Research (CEMIR), Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway.ORCID 0000-0001-7726-7684
Tone Frost BathenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0002-8582-6965
Guro Fanneløb GiskeødegårdK.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway.ORCID 0000-0003-2157-8824
Elisabeth Berge NilsenDepartment of Obstetrics and Gynecology, Stavanger University Hospital, 4068 Stavanger, Norway.
Grete Alræk IversenDepartment of Obstetrics and Gynecology, Haukeland University Hospital, 5021 Bergen, Norway.
Ragnar Kvie SandeDepartment of Obstetrics and Gynecology, Stavanger University Hospital, 4068 Stavanger, Norway.
Line BjørgeCentre for Cancer Biomarkers CCBIO, Department of Clinical Science, University of Bergen, 5020 Bergen, Norway.ORCID 0000-0002-0240-2770
Liv Cecilie Vestrheim ThomsenCentre for Cancer Biomarkers CCBIO, Department of Clinical Science, University of Bergen, 5020 Bergen, Norway.ORCID 0000-0002-6787-8518
Stavanger University Hospital · NOHaukeland University Hospital · NONorwegian University of Science and Technology · NO

Funding

Folke Hermansens Funding 423204Stavanger University Hospital 501809Western Norway Regional Health Authority 912278, 91217, F-12183/4800003665, F11635-D11698
6 · The paper itself

Abstract

High-grade serous ovarian carcinoma (HGSOC) is the most common and deadliest ovarian cancer subtype. Despite advances in treatment, the overall prognosis remains poor. Regardless of efforts to develop biomarkers to predict surgical outcome and recurrence risk and resistance, reproducible indicators are scarce. Exploring the complex tumor heterogeneity, serum profiling of metabolites and lipoprotein subfractions that reflect both systemic and local biological processes were utilized. Furthermore, the overall impact on the patient from the tumor and the treatment was investigated. The aim was to characterize the systemic metabolic effects of primary treatment in patients with advanced HGSOC. In total 28 metabolites and 112 lipoproteins were analyzed by nuclear magnetic resonance (NMR) spectroscopy in longitudinal serum samples (n = 112) from patients with advanced HGSOC (n = 24) from the IMPACT trial with linear mixed effect models and repeated measures ANOVA simultaneous component analysis. The serum profiling revealed treatment-induced changes in both lipoprotein subfractions and circulating metabolites. The development of a more atherogenic lipid profile throughout the treatment, which was more evident in patients with short time to recurrence, indicates an enhanced systemic inflammation and increased risk of cardiovascular disease after treatment. The findings suggest that treatment-induced changes in the metabolome reflect mechanisms behind the diversity in disease-related outcomes.

Indexed as

cytoreductive surgeryHGSOClipoproteinsmetabolitesmetabolomicspersonalized medicinephenotypesprecision medicine

Identifiers

PMID36984856
PMCPMC10053757
OpenAlexW4324058050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.