Evidence map›Paper›PMID 40956997›Full record

ArticleJCO precision oncology2025

Clinical Utility and Prognostic Implications of Circulating Cell-Free DNA in Biliary Tract Cancer.

Darren Cowzer, Madison Darmofal, Kenneth Seier, Rohit Thummalapalli, Henry Walch, Imane El Dika, Danny N Khalil, Wungki Park, Aruj Dhyani, Amin Yaqubie and 19 more

Abstract read
In one paragraph

Article in JCO precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. MAPK Pathway Mutations Emerge in Mutant IDH1 Inhibitor-Resistant Cholangiocarcinoma and Attenuate the IFN Response.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  2. Review
  3. Review
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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

29 authors.

Darren CowzerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-0969-3259
Madison DarmofalCenter for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Kenneth SeierDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-3845-5249
Rohit ThummalapalliDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-8865-0299
Henry WalchDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-1188-350X
Imane El DikaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Danny N KhalilDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Wungki ParkDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-8006-3102
Aruj DhyaniDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Amin YaqubieDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Paul ShinSaint John's Cancer Institute, Santa Monica, CA.
Sepideh GholamiNorthwell Health, New York, NY.ORCID 0000-0001-9294-1710
Joseph ErinjeriDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-1876-727X
Alice C WeiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-2505-959X
Randy YehDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-2945-5546
Richard K DoDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-6554-0310
Olca BasturkDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Jinru ShiaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-4351-2511
Andrea CercekDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5054-8192
Alison SchramDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-6070-2413
Walid K ChatilaDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-5474-218X
Nikolaus SchultzCenter for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-0131-4904
Eileen M O'ReillyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-8076-9199
Mithat GonenWeill Medical College of Cornell University, New York, NY.ORCID 0000-0001-8683-8477
Michael F BergerCenter for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-3882-5000
David B SolitDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-6614-802X
Ghassan K Abou-AlfaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-1522-8054
William JarnaginDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-1635-5768
James J HardingDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-7029-4310

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeAn estimated 25% of patients with biliary tract cancer (BTC) do not undergo genotyping, representing a missed opportunity for therapeutic targeting.

methodsCell-free DNA (cfDNA) and matched tumor sample from patients with BTC were analyzed using targeted next-generation sequencing (NGS) assay and compared. We sought to define the molecular profile of cancer-derived cfDNA, frequency of OncoKB level 1/2 alterations, plasma:tumor genotype concordance, the prognostic impact of cfDNA, and clonal evolution after targeted therapy progression.

resultscfDNA-based genotyping was performed on 297 blood samples from 170 patients with BTC. The most frequently altered genes were

conclusionMolecular profiling of cfDNA from patients with BTC identified OncoKB level 1/2 gene alterations and putative genomic resistance mechanisms to targeted therapy. Concordance analysis suggests that cfDNA-based NGS is complementary to that of tissue-based sequencing in the identification of potentially actionable alterations.

Indexed as

Biliary Tract NeoplasmsCell-Free Nucleic AcidsAdultAgedAged, 80 and overBiomarkers, TumorFemaleGenotypeHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedPrognosisBiomarkers, TumorCell-Free Nucleic Acids

Identifiers

PMID40956997
PMCPMC12443323

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.