Evidence map›Paper›PMID 39315676›Full record

ArticleCancer medicine2024

Real-world assessment of comprehensive genome profiling impact on clinical outcomes: A single-institution study in Japan.

Kei Kunimasa, Naotoshi Sugimoto, Tomoyuki Yamasaki, Yoji Kukita, Fumie Fujisawa, Tazuko Inoue, Yuko Yamaguchi, Mitsuko Kitasaka, Daisuke Sakai, Keiichiro Honma and 9 more

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

19 authors.

Kei KunimasaDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.ORCID https://orcid.org/0000-0002-5241-3486
Naotoshi SugimotoDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Tomoyuki YamasakiDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Yoji KukitaDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Fumie FujisawaDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Tazuko InoueDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Yuko YamaguchiDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Mitsuko KitasakaDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Daisuke SakaiDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Keiichiro HonmaDepartment of Diagnostic Pathology and Cytology, Osaka International Cancer Institute, Osaka, Japan.
Toru WakamatsuMusculoskeletal Oncology Service, Osaka International Cancer Institute, Osaka, Japan.ORCID https://orcid.org/0000-0002-3073-0595
Sachiko YamamotoDepartment of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.
Takuji HayashiDepartment of Urology, Osaka International Cancer Institute, Osaka, Japan.
Seiji MabuchiDepartment of Gynecology, Osaka International Cancer Institute, Osaka, Japan.
Jun OkunoDepartment of Breast and Endocrine Surgery, Osaka International Cancer Institute, Osaka, Japan.
Takahisa KawamuraDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Yugo KaiDepartment of Hepatobiliary and Pancreatic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Makiko UrabeDepartment of Hepatobiliary and Pancreatic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Kazuo NishimuraDepartment of Genetic Oncology, Osaka International Cancer Institute, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionComprehensive genome profiling (CGP) has revolutionized healthcare by offering personalized medicine opportunities. However, its real-world utility and impact remain incompletely understood. This study examined the extent to which CGP leads to genomically matched therapy and its effectiveness.

methodsWe analyzed data from advanced solid tumor patients who underwent CGP panel between December 2019 and May 2023 at the Osaka International Cancer Institute. Patient demographics, specimen details, and expert panel assessments were collected. Turnaround time (TAT) and genomically matched therapy outcomes were analyzed. Gene alterations and their co-occurrence patterns were also assessed.

resultsAmong 1437 patients, 1096 results were available for analysis. The median TAT was 63 [28-182] days. There were 667 (60.9%) cases wherein recommended clinical trials were presented and there were 12 (1.1%) cases that could be enrolled in the trial and 25 (2.3%) cases that could lead to therapies under insurance reimbursement. The median progression free survival of the trial treatment was 1.58 months (95% CI: 0.66-4.37) in clinical trials and 3.66 months (95% CI: 2.14-7.13) in treatment under insurance. Pathologic germline variants were confirmed in 15 patients (1.3%). Co-alteration of CDKN2A, CDKN2B, and MTAP was significantly observed in overall population.

conclusionThe effectiveness of the genomically matched therapy based on the CGP panel was unsatisfactory. Expansion of clinical trials and utilization of remote clinical trials are required to ensure that the results of the CGP panel can be fully returned to patients.

Indexed as

NeoplasmsPrecision MedicineAdultAgedAged, 80 and overBiomarkers, TumorFemaleGenomicsHumansJapanMaleMiddle AgedProgression-Free SurvivalTreatment OutcomeYoung AdultBiomarkers, Tumorclinical trialcomprehensive genomic profilinggenomically matched therapyreal world datasolid tumor

Identifiers

PMID39315676
PMCPMC11420830

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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.