Evidence map›Paper›PMID 39202766›Full record

ArticleLife (Basel, Switzerland)2024

Methylated DNA Markers in Voided Urine for the Identification of Clinically Significant Prostate Cancer.

Paras Shah, William R Taylor, Brianna J Negaard, Benjamin R Gochanour, Douglas W Mahoney, Sara S Then, Mary E Devens, Patrick H Foote, Karen A Doering, Kelli N Burger and 6 more

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  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

16 authors.

Paras ShahDepartment of Urology, Mayo Clinic, Rochester, MN 55905, USA.
William R TaylorDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Brianna J NegaardDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-7592-8952
Benjamin R GochanourDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN 55905, USA.
Douglas W MahoneyDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-5144-0645
Sara S ThenDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Mary E DevensDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Patrick H FooteDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Karen A DoeringDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-4769-5175
Kelli N BurgerDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0003-9522-2334
Brandon NikolaiExact Sciences Corporation, Madison, WI 53719, USA.
Michael W KaiserExact Sciences Corporation, Madison, WI 53719, USA.
Hatim T AllawiExact Sciences Corporation, Madison, WI 53719, USA.
John C ChevilleDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-8202-6268
John B KisielDivision of Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Matthew T GettmanDepartment of Urology, Mayo Clinic, Rochester, MN 55905, USA.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Lila J. Rutten · 1985 to 2026
$151.3M
Multi-site Gastrointestinal Cancer Detection by Stool DNA MethylationR37CA214679 · NCI · MAYO CLINIC ROCHESTER · PI KISIEL, JOHN · 2018 to 2024
$2.8M
Multi-cancer Early DetectionR01CA214679 · NCI · MAYO CLINIC ROCHESTER · PI John Kisiel, Niloy Jewel Samadder · 2025 to 2026
$891k
exact sciences not applicableNCI NIH HHS CA015083NCI NIH HHS CA214679NCI NIH HHS P30 CA015083NCI NIH HHS R01 CA214679NCI NIH HHS R37 CA214679
6 · The paper itself

Abstract

introductionNon-invasive assays are needed to better discriminate patients with prostate cancer (PCa) to avoid over-treatment of indolent disease. We analyzed 14 methylated DNA markers (MDMs) from urine samples of patients with biopsy-proven PCa relative to healthy controls and further studied discrimination of clinically significant PCa (csPCa) from healthy controls and Gleason 6 cancers.

methodsTo evaluate the panel, urine from 24 healthy male volunteers with no clinical suspicion for PCa and 24 men with biopsy-confirmed disease across all Gleason scores was collected. Blinded to clinical status, DNA from the supernatant was analyzed for methylation signal within specific DNA sequences across 14 genes (

resultsUtilizing an overall specificity cut-off of 100% for discriminating normal controls from PCa cases across the MDM panel resulted in 71% sensitivity (95% CI: 49-87%) for PCa detection (4/7 Gleason 6, 8/12 Gleason 7, 5/5 Gleason 8+) and 76% (50-92%) for csPCa (Gleason ≥ 7). At 100% specificity for controls and Gleason 6 patients combined, MDM panel sensitivity was 59% (33-81%) for csPCa (5/12 Gleason 7, 5/5 Gleason 8+).

conclusionsMDMs assayed in urine offer high sensitivity and specificity for detection of clinically significant prostate cancer. Prospective evaluation is necessary to estimate discrimination of patients as first-line screening and as an adjunct to prostate-specific antigen (PSA) testing.

Indexed as

DNA methylationliquid biopsyprostate neoplasms/prevention and controlurinalysis

Identifiers

PMID39202766
PMCPMC11355912

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Registered trials

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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.