Evidence map›Paper›PMID 39078735›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2024

Clinical Value of Liquid Biopsy in Patients with FGFR2 Fusion-Positive Cholangiocarcinoma During Targeted Therapy.

Alberto González-Medina, Maria Vila-Casadesús, Marina Gomez-Rey, Carles Fabregat-Franco, Alexandre Sierra, Tian V Tian, Florian Castet, Gloria Castillo, Judit Matito, Paola Martinez and 5 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

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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

15 authors.

Alberto González-MedinaCancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-2819-9053
Maria Vila-CasadesúsCancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0001-6597-7953
Marina Gomez-ReyCancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-9636-3281
Carles Fabregat-FrancoGastrointestinal and Endocrine Tumor Unit, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0003-2292-2690
Alexandre SierraGastrointestinal and Endocrine Tumor Unit, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-8579-617X
Tian V TianUpper Gastrointestinal and Endocrine Tumor Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-9906-0980
Florian CastetGastrointestinal and Endocrine Tumor Unit, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-5416-5383
Gloria CastilloGastrointestinal and Endocrine Tumor Unit, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0001-3820-2965
Judit MatitoCancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0001-7560-7737
Paola MartinezMolecular Oncology Lab, Vall d'Hebron Institute of Oncology, Barcelona, Spain.ORCID 0009-0007-4377-8946
Josep M MiquelVall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-9262-4464
Paolo NuciforoMolecular Oncology Lab, Vall d'Hebron Institute of Oncology, Barcelona, Spain.ORCID 0000-0003-1380-0990
Raquel Pérez-LópezRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-9176-0130
Teresa Macarulla *Gastrointestinal and Endocrine Tumor Unit, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-5856-4082
Ana Vivancos *Cancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0003-2888-6512

Funding

Agencia Estatal de Investigación (AEI) FJC2019-039770-ICRIS Cancer Foundation (CRIS Foundation) TALENT19-05Fundación Científica Asociación Española Contra el Cáncer (AECC) PRYCO211023SERRFundación Fero (Fundació Fero)Instituto de Salud Carlos III (ISCIII) PI18/01395Instituto de Salud Carlos III (ISCIII) PI20/01112Prostate Cancer Foundation (PCF) 18YOUN19
6 · The paper itself

Abstract

purposeFGFR2 fusions occur in 10% to 15% of patients with intrahepatic cholangiocarcinoma (iCCA), potentially benefiting from FGFR inhibitors (FGFRi). We aimed to assess the feasibility of detecting FGFR2 fusions in plasma and explore plasma biomarkers for managing FGFRi treatment. EXPERIMENTAL

designWe conducted a retrospective study in 18 patients with iCCA and known FGFR2 fusions previously identified in tissue samples from prior FGFRi treatment. Both tissue and synchronous plasma samples were analyzed using a custom hybrid capture gene panel with next-generation sequencing (VHIO-iCCA panel) and validated against commercial vendor results. Longitudinal plasma analysis during FGFRi was performed. Subsequently, we explored the correlation between plasma biomarkers, liver enzymes, tumor volume, and clinical outcomes.

resultsSixteen patients (88.9%) were positive for FGFR2 fusion events in plasma. Remarkably, the analysis of plasma suggests that lower levels of ctDNA are linked to clinical benefits from targeted therapy and result in improved progression-free survival and overall survival. Higher concentrations of cell-free DNA before FGFRi treatment were linked to worse overall survival, correlating with impaired liver function and indicating compromised cell-free DNA removal by the liver. Additionally, increased ctDNA or the emergence of resistance mutations allowed earlier detection of disease progression compared with standard radiologic imaging methods.

conclusionsVHIO-iCCA demonstrated accurate detection of FGFR2 fusions in plasma. The integration of information from various plasma biomarkers holds the potential to predict clinical outcomes and identify treatment failure prior to radiologic progression, offering valuable guidance for the clinical management of patients with iCCA.

Indexed as

Bile Duct NeoplasmsBiomarkers, TumorCholangiocarcinomaReceptor, Fibroblast Growth Factor, Type 2AdultAgedCirculating Tumor DNAFemaleHigh-Throughput Nucleotide SequencingHumansLiquid BiopsyMaleMiddle AgedMolecular Targeted TherapyOncogene Proteins, FusionPrognosisBiomarkers, TumorCirculating Tumor DNAFGFR2 protein, humanOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, Fibroblast Growth Factor, Type 2

Identifiers

PMID39078735
PMCPMC11443220

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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.