Evidence map›Paper›PMID 37296922›Full record

ArticleCancers2023

Predictive Biomarkers of Pathological Response to Neoadjuvant Chemoradiotherapy for Locally Advanced Soft Tissue Sarcomas.

Anna Szumera-Ciećkiewicz, Klaudia Bobak, Mateusz J Spałek, Kamil Sokół, Michał Wągrodzki, Daria Owczarek, Monika Kawecka, Beata Puton, Hanna Koseła-Paterczyk, Piotr Rutkowski and 1 more

Registry-linked trialOpen access · goldAbstract 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. It is linked to trial NCT03651375 (Hypofractionated 5x5 Gy Radiotherapy With Sequential Doxorubicin and Ifosfamide-based Chemotherapy in Marginally Resectable Soft Tissue Sarcomas of Extremities or Trunk Wall), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT03651375 phase2unknown statusnot on this map

Hypofractionated 5x5 Gy Radiotherapy With Sequential Doxorubicin and Ifosfamide-based Chemotherapy in Marginally Resectable Soft Tissue Sarcomas of Extremities or Trunk Wall

TypeinterventionalSponsorMaria Sklodowska-Curie National Research Institute of OncologyRan2017 to 2022Enrolled46ConditionsSarcoma, Fibrosarcoma, Leiomyosarcoma, LiposarcomaArmsSequential chemotherapy - 3 courses of AI, Hypofractionated radiotherapy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

11 authors at 2 institutions in 1 country.

Anna Szumera-CiećkiewiczDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.ORCID 0000-0001-5028-3422
Klaudia BobakDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.
Mateusz J SpałekDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.ORCID 0000-0002-3960-7673
Kamil SokółDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.
Michał WągrodzkiDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.
Daria OwczarekDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.
Monika KaweckaDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.
Beata PutonDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.
Hanna Koseła-PaterczykDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.ORCID 0000-0003-4008-5435
Piotr RutkowskiDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.ORCID 0000-0002-8920-5429
Anna M CzarneckaDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, 02781 Warsaw, Poland.ORCID 0000-0002-2107-3810
The Maria Sklodowska-Curie National Research Institute of Oncology · PLInstytut Hematologii i Transfuzjologi · PL

Funding

Ministry of Science and Higher Education SN/GW06/2020Ministry of Science and Higher Education SN/GW20/2017
6 · The paper itself

Abstract

backgroundMarginally resectable and unresectable soft tissue sarcomas (STS) remain a therapy challenge due to the lack of highly active treatment. The aim of the study was to identify a biomarker to predict the pathological response (PR) to preplanned treatment of these STSs.

methodsIn the phase II clinical trial (NCT03651375), locally advanced STS patients received preoperative treatment with a combination of doxorubicin-ifosfamide chemotherapy and 5 × 5 Gy radiotherapy. PR to the treatment was classified using the European Organization for Research and Treatment of Cancer-Soft Tissue and Bone Sarcoma Group recommendations. We have chosen HIF-1α, CD163, CD68, CD34, CD105, and γH2AFX proteins, rendering different biological phenomena, for biomarker study.

resultsNineteen patients were enrolled and in four cases a good PR was reported. The high expression of HIF-1α before surgery showed a negative correlation with PR, which means a poor response to therapy. Furthermore, the samples after surgery had decreased expression of HIF-1α, which confirmed the correlation with PR. However, high expression of γH2AFX positively correlated with PR, which provides better PR. The high number of positive-staining TAMs and the high IMVD did not correlate with PR.

conclusionsHIF1α and γH2AFX could be potential biomarkers for PR prediction after neoadjuvant treatment in STS.

Indexed as

HIF1αimmunohistochemistryneoadjuvant chemoradiotherapypathological responsepredictive biomarkerssoft tissue sarcomastumor-infiltrating macrophagestumor microenvironmentγH2AFX

Identifiers

PMID37296922
PMCPMC10252106
OpenAlexW4378716787

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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.