Evidence map›Paper›PMID 39550490›Full record

ArticleBritish journal of cancer2024

Germline BRCA1/2 status and chemotherapy response score in high-grade serous ovarian cancer.

Robert D Morgan, Xin Wang, Bethany M Barnes, Laura Spurgeon, Aurore Carrot, Daniel Netto, Jurjees Hasan, Claire Mitchell, Zena Salih, Sudha Desai and 10 more

Abstract read
In one paragraph

Article in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

20 authors.

Robert D MorganDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom. robert.morgan7@nhs.net.ORCID http://orcid.org/0000-0003-0612-0954
Xin WangClinical Outcome and Data Unit, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Bethany M BarnesDivision of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.ORCID http://orcid.org/0000-0001-7545-8604
Laura SpurgeonDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Aurore CarrotCentre pour l'lnnovation en Cancérologie de Lyon (CICLY), EA 3738, Université Claude Bernard University Lyon 1, Univ Lyon 1, Oullins-Pierre-Bénite, France.ORCID http://orcid.org/0000-0002-8835-2865
Daniel NettoDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Jurjees HasanDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Claire MitchellDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Zena SalihDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Sudha DesaiDepartment of Histopathology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Joseph ShawDepartment of Histopathology, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
Brett Winter-RoachDepartment of Gynaecological Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Helene SchlechtManchester Centre for Genomic Medicine, North West Genomic Laboratory Hub, Saint Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom.ORCID http://orcid.org/0000-0002-1916-6575
George J BurghelManchester Academic Health Science Centre (MAHSC), Manchester, United Kingdom.ORCID http://orcid.org/0000-0001-9360-8194
Andrew R ClampDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.ORCID http://orcid.org/0000-0002-4200-0186
Richard J EdmondsonDivision of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.ORCID http://orcid.org/0000-0003-2553-4423
Benoit YouCentre pour l'lnnovation en Cancérologie de Lyon (CICLY), EA 3738, Université Claude Bernard University Lyon 1, Univ Lyon 1, Oullins-Pierre-Bénite, France.ORCID http://orcid.org/0000-0002-3177-8857
D Gareth R EvansManchester Academic Health Science Centre (MAHSC), Manchester, United Kingdom.ORCID http://orcid.org/0000-0002-8482-5784
Gordon C JaysonDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.ORCID http://orcid.org/0000-0002-8515-8944
Stephen S TaylorDivision of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.ORCID http://orcid.org/0000-0003-4621-9326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-grade serous ovarian cancer (HGSOC) can be treated with platinum-based neoadjuvant chemotherapy (NACT) and delayed primary surgery (DPS). Histopathological response to NACT can be assessed using Böhm's chemotherapy response score (CRS). We investigated whether germline BRCA1/2 (gBRCA1/2) genotype associated with omental CRS phenotype.

methodsA retrospective study of patients with newly diagnosed FIGO stage IIIC/IV HGSOC prescribed NACT and tested for gBRCA1/2 pathogenic variants (PVs) between September 2017 and December 2022 at The Christie Hospital. The Cox proportional hazards model evaluated the association between survival and key clinical factors. The chi-square test assessed the association between CRS3 (no/minimal residual tumour) and gBRCA1/2 status.

resultsOf 586 eligible patients, 393 underwent DPS and had a CRS reported. Independent prognostic factors by multivariable analysis were gBRCA1/2 status (PV versus wild type [WT]), CRS (3 versus 1 + 2), surgical outcome (complete versus optimal/suboptimal) and first-line poly (ADP-ribose) polymerase-1/2 inhibitor maintenance therapy (yes versus no) (all P < 0.05). There was a non-significant trend for tumours with a gBRCA2 PV having CRS3 versus WT (odds ratio [OR] = 2.13, 95% confidence intervals [CI] 0.95-4.91; P = 0.0647). By contrast, tumours with a gBRCA1 PV were significantly less likely to have CRS3 than WT (OR = 0.35, 95%CI 0.14-0.91; P = 0.0291).

conclusionsGermline BRCA1/2 genotype was not clearly associated with superior omental CRS. Further research is required to understand how HGSOC biology defines CRS.

Indexed as

BRCA1 ProteinBRCA2 ProteinCystadenocarcinoma, SerousGerm-Line MutationNeoadjuvant TherapyOvarian NeoplasmsAdultAgedFemaleHumansMiddle AgedNeoplasm GradingPrognosisRetrospective StudiesBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, human

Identifiers

PMID39550490
PMCPMC11628596

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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.