Evidence map›Paper›PMID 39453770›Full record

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

Circulating Chromogranin A as a Surveillance Biomarker in Patients with Carcinoids-The CASPAR Study.

Qing H Meng, Thorvardur R Halfdanarson, Joshua A Bornhorst, Henning Jann, Shagufta Shaheen, Run Zhang Shi, Andrej Schwabe, Katrin Stade, Daniel M Halperin

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. NETest2.0Cancers · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Catestatin in Cardiovascular Diseases.International journal of molecular sciences · 2025
    Review
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

9 authors.

Qing H MengDepartment of Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-1433-9860
Thorvardur R HalfdanarsonDivision of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-8460-1257
Joshua A BornhorstDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.ORCID 0009-0003-9297-3271
Henning JannDivision of Hepatology and Gastroenterology, Medical Department, Charité-Universitätsmedizin, Berlin, Germany.ORCID 0000-0003-4095-336X
Shagufta ShaheenDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, California.ORCID 0000-0001-8385-1641
Run Zhang ShiDepartment of Pathology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0003-4917-7942
Andrej SchwabeB·R·A·H·M·S GmbH, part of Thermo Fisher Scientific, Hennigsdorf, Germany.ORCID 0009-0003-0983-7333
Katrin StadeB·R·A·H·M·S GmbH, part of Thermo Fisher Scientific, Hennigsdorf, Germany.ORCID 0009-0000-9325-8868
Daniel M HalperinDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-3113-930X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGastroenteropancreatic neuroendocrine tumors (GEP-NET) are relatively indolent but can be more aggressive. The current recommendations for using serum chromogranin A (CgA) for patients with GEP-NET are equivocal. This study was designed to validate an automated CgA immunofluorescence assay for monitoring disease progression in patients with GEP-NET. PATIENTS AND

methodsA prospective, multicenter, blinded observational study was designed to validate an automated CgA immunofluorescence assay for monitoring disease progression in patients with GEP-NET. Tumor progression was evaluated with RECIST 1.1 by CT/MRI. An increase ≥50% above the prior CgA concentration to a value >100 ng/mL in the following CgA concentration was considered positive.

resultsA total of 153 patients with GEP-NET were enrolled. Using the prespecified cut-off of CgA change for tumor progression, specificity was 93.4% (95% confidence interval, 90.4%-95.5%; P < 0.001), sensitivity 34.4% (25.6%-44.3%), positive predictive value 57.9% (45.0-69.8), negative predictive value 84.3% (80.5-87.6), and AUC 0.73 (0.67-0.79).

conclusionsChanges in serial measurements of serum CgA had a favorable specificity and negative predictive value, making this test a useful adjunct to routine radiographic monitoring.

Indexed as

Biomarkers, TumorChromogranin ANeuroendocrine TumorsPancreatic NeoplasmsAdultAgedAged, 80 and overCarcinoid TumorDisease ProgressionFemaleHumansIntestinal NeoplasmsMaleMiddle AgedProspective StudiesStomach NeoplasmsBiomarkers, TumorChromogranin A

Identifiers

PMID39453770
PMCPMC11647202

What OpenQuestion holds

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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.