Evidence map›Paper›PMID 37936126›Full record

Observational studyBMC cancer2023

Trajectories of immune-related serum proteins and quality of life in patients with pancreatic and other periampullary cancer: the CHAMP study.

Sofie Olsson Hau, Maja Svensson, Alexandra Petersson, Jakob Eberhard, Karin Jirström

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03724994 (Chemotherapy, Host Response and Molecular Dynamics in Periampullary Cancer), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 22% 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.

NCT03724994 completednot on this map

Chemotherapy, Host Response and Molecular Dynamics in Periampullary Cancer

Typeobservational_patient_registrySponsorLund UniversityRan2018 to 2024Enrolled201ConditionsPeriampullary Adenocarcinoma, Periampullary Cancer, Pancreatic CancerArmsGemcitabine
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. 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

5 authors at 1 institution in 1 country.

Sofie Olsson HauDivision of Oncology and Therapeutic Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden. sofie.olsson_hau@med.lu.se.ORCID http://orcid.org/0000-0002-1702-9884
Maja SvenssonDivision of Oncology and Therapeutic Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Alexandra PeterssonDivision of Oncology and Therapeutic Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Jakob EberhardDivision of Oncology and Therapeutic Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Karin JirströmDivision of Oncology and Therapeutic Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Lund University · SE

Funding

Cancerfonden CAN2018/418, 21 1596 PjVetenskapsrådet 2015-03598, 2018-02441
6 · The paper itself

Abstract

backgroundThere is still a profound lack of efficient therapeutic strategies against pancreatic and other periampullary adenocarcinoma. Surgery is seldom possible, leaving palliative chemotherapy the only option for most patients. Chemotherapy treatment is however often accompanied by serious side-effects, and the identification of biomarkers for early prediction of disease and treatment-associated symptoms could help alleviate patient suffering. This study investigated the dynamic interrelationship between immune-related serum proteins, routine biomarkers, and health-related quality of life (HRQoL) factors during chemotherapy treatment of patients enrolled in the prospective, observational study Chemotherapy, Host response And Molecular dynamics in Periampullary cancer (CHAMP).

methodsProximity extension assay was applied to analyse 92 immune-associated proteins in longitudinal serum samples from 75 patients, 18 treated with curative and 57 with palliative intent. HRQoL data were available from all patients at baseline (BL), from 41 patients at three months, and from 23 patients at six months. Information on routine laboratory parameters albumin, CA19-9, CEA and CRP were collected from medical charts.

resultsIn total nine proteins; chemokine (C-C motif) ligand 23 (CCL23), cluster of differentiation 4 (CD4), cluster of differentiation 28 (CD28), decorin (DCN), galectin-1 (Gal-1), granzyme B (GZMB), granzyme H (GZMH), matrix metallopeptidase 7 (MMP7), and monocyte chemotactic protein-1 (MCP-1) were strongly correlated (Spearman's Rho ≤ -0.6 or ≥ 0.6) with either cognitive functioning (DCN), emotional functioning (DCN, MCP-1), dyspnoea (CD28, GZMB, GZMH) or insomnia (CCL23, CD4, Gal-1, MMP7) during treatment. Associations between routine laboratory parameters (CA 19-9, CA-125, CRP, CEA and albumin) and HRQoL factors were overall weaker. None of the investigated proteins were associated with pain.

conclusionsThis is, to our knowledge, the first study exploring associations between serum biomarkers and HRQoL in patients with pancreatic or other periampullary cancer, and some findings merit further validation. The associations of DCN and MCP-1with impaired cognitive and/or emotional functioning are of particular interest, given their established link to various neurodegenerative conditions. Chemotherapy is known to cause persistent cognitive dysfunction with effects on memory and executive function, referred to as "chemo brain". It would therefore be of great value to identify biomarkers for early detection and management of this debilitating condition.

trial registrationClinical Trial Registration: NCT03724994.

Indexed as

Ampulla of VaterDuodenal NeoplasmsPancreatic NeoplasmsAlbuminsBenzamidesBlood ProteinsCD28 AntigensHumansMatrix Metalloproteinase 7Prospective StudiesQuality of LifeTyrosine1-nitrohydroxyphenyl-N-benzoylalanineAlbuminsBenzamidesBlood ProteinsCD28 AntigensMatrix Metalloproteinase 7TyrosineCD28DecorinGZMBGZMHHealth related quality of lifeImmune-associated serum proteinsMCP-1Pancreatic cancerPeriampullary cancerRoutine biomarkers

Identifiers

PMID37936126
PMCPMC10629201
OpenAlexW4388464027

What OpenQuestion holds

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LicenceCC BY
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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.