Evidence map›Paper›PMID 38606821›Full record

ArticleJournal of gynecologic oncology2024

Comprehensive characterization of genomic features and clinical outcomes following targeted therapy and secondary cytoreductive surgery in OCCC: a single center experience.

Silvana Talisa Wijaya, Natalie Yl Ngoi, Jerold Wz Loh, Tuan Zea Tan, Diana Lim, Irfan Sagir Khan, Yee Liang Thian, Alexa Lai, Bertrand Wl Ang, Pearl Tong and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of gynecologic oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
6.4field-weighted citation impact, top 3% 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, 12 citations in OpenAlex.

  1. Article
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  5. Infiltration of CD8Scientific reports · 2025
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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

16 authors at 4 institutions in 1 country.

Silvana Talisa Wijaya *Department of Haematology-Oncology, National University Cancer Institute Singapore, Singapore.ORCID 0000-0003-4674-9802
Natalie Yl Ngoi *Department of Haematology-Oncology, National University Cancer Institute Singapore, Singapore.ORCID 0000-0003-2071-0715
Jerold Wz LohDepartment of Haematology-Oncology, National University Cancer Institute Singapore, Singapore.ORCID 0000-0003-1981-6221
Tuan Zea TanCancer Science Institute of Singapore, National University of Singapore, Singapore.ORCID 0000-0001-6624-1593
Diana LimDepartment of Pathology, National University Health System, Singapore.ORCID 0000-0003-4669-4346
Irfan Sagir KhanDepartment of Pathology, National University Health System, Singapore.ORCID 0009-0000-6950-5101
Yee Liang ThianDepartment of Diagnostic Imaging, National University Health System, Singapore.ORCID 0000-0001-9899-205X
Alexa LaiDepartment of Haematology-Oncology, National University Cancer Institute Singapore, Singapore.ORCID 0009-0003-6673-2570
Bertrand Wl AngDepartment of Diagnostic Imaging, National University Health System, Singapore.ORCID 0000-0002-6417-3475
Pearl TongDivision of Gynaecologic Oncology, Department of Obstetrics & Gynaecology, National University Hospital, Singapore.ORCID 0000-0003-0243-8009
Joseph NgDivision of Gynaecologic Oncology, Department of Obstetrics & Gynaecology, National University Hospital, Singapore.ORCID 0000-0002-8901-9212
Jeffrey Jh LowDivision of Gynaecologic Oncology, Department of Obstetrics & Gynaecology, National University Hospital, Singapore.ORCID 0000-0002-1992-7389
Arunachalam IlancheranDivision of Gynaecologic Oncology, Department of Obstetrics & Gynaecology, National University Hospital, Singapore.ORCID 0000-0002-2673-0912
Siew Eng LimDepartment of Haematology-Oncology, National University Cancer Institute Singapore, Singapore.ORCID 0000-0002-5959-8743
Yi Wan LimDepartment of Haematology-Oncology, National University Cancer Institute Singapore, Singapore.ORCID 0000-0003-4823-5151
David Sp TanCancer Science Institute of Singapore, National University of Singapore, Singapore.ORCID 0000-0001-9087-5262
National University Cancer Institute, Singapore · SGNational University Health System · SGNational University Hospital · SGNational University of Singapore · SG

Funding

NMRC CSASI21jun-0003Pangestu Family Foundation Gynaecological Cancer Research Fund
6 · The paper itself

Abstract

objectiveOvarian clear cell carcinoma (OCCC) is associated with chemoresistance. Limited data exists regarding the efficacy of targeted therapies such as immune checkpoint inhibitors (ICI) and bevacizumab, and the role of secondary cytoreductive surgery (SCS).

methodsWe retrospectively analyzed genomic features and treatment outcomes of 172 OCCC patients treated at our institution from January 2000 to May 2022. Next-generation sequencing (NGS) was performed where sufficient archival tissue was available.

results64.0% of patients were diagnosed at an early stage, and 36.0% at an advanced stage. Patients with advanced/relapsed OCCC who received platinum-based chemotherapy plus bevacizumab followed by maintenance bevacizumab had a median first-line progression-free survival (PFS) of 12.2 months, compared with 9.3 months for chemotherapy alone (hazard ratio=0.69; 95% confidence interval [CI]=0.33, 1.45). In 27 patients who received an ICI, the overall response rate was 18.5% and median duration of response was 7.4 months (95% CI=6.5, 8.3). In 17 carefully selected patients with fewer than 3 sites of relapse, median PFS was 35 months (95% CI=0, 73.5) and median overall survival was 96.8 months (95% CI=44.6, 149.0) after SCS. NGS on 58 tumors revealed common mutations in

conclusionOur study demonstrates encouraging outcomes with bevacizumab and ICI, and SCS in select relapsed OCCC patients. Prospective trials are warranted.

Indexed as

BevacizumabCytoreduction Surgical ProceduresOvarian NeoplasmsAdenocarcinoma, Clear CellAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsClass I Phosphatidylinositol 3-KinasesDNA-Binding ProteinsFemaleHigh-Throughput Nucleotide SequencingHumansImmune Checkpoint InhibitorsMiddle AgedMolecular Targeted TherapyARID1A protein, humanBevacizumabClass I Phosphatidylinositol 3-KinasesDNA-Binding ProteinsImmune Checkpoint InhibitorsNuclear ProteinsPIK3CA protein, humanTranscription FactorsAdenocarcinoma, Clear CellBevacizumabCytoreduction Surgical ProceduresImmunotherapyOvarian Neoplasms

Identifiers

PMID38606821
PMCPMC11390249
OpenAlexW4394001310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.