Evidence map›Paper›PMID 41083688›Full record

Trial reportScientific reports2025

Molecular signals associated with intraperitoneal chemotherapy resistance in gastric cancer with peritoneal metastasis through PIPS GC trial integrated translational research.

Won Jun Seo, Ki Tae Kim, You-Jin Jang, Yoon Young Choi, Jong-Han Kim

Abstract readClinical Trial, Phase IIClinical Trial, Phase I
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

5 authors.

Won Jun Seo *Division of Foregut Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Ki Tae Kim *Department of Molecular Genetics & Dental Pharmacology, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
You-Jin JangDivision of Foregut Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Yoon Young ChoiDepartment of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Buchoen, Republic of Korea. laki98@naver.com.
Jong-Han KimDivision of Foregut Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea. ppongttai@gmail.com.

Funding

Korea University Guro Hospital (KOREA RESEARCH-DRIVEN HOSPITAL) grant funded by Korea University Medicine O2208101National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (2022R1A2C2092005), by the Soonchunhyang University Research Fund 2022R1A2C2092005
6 · The paper itself

Abstract

Purpose Recent studies have investigated intraperitoneal paclitaxel (IP PTX) combined with systemic chemotherapy for the treatment of gastric cancer peritoneal metastases (GCPM). This clinical trial integrated translational study was conducted to identify biomarkers that can predict patient responses to IP PTX plus systemic systemic S-1 plus oxaliplatin (SOX) chemotherapy. Materials and methods Patients from the PIPS-GC phase Ib/II clinical trial, enrolled at the Korea University Guro Hospital, were included in analyses. Whole exome and transcriptome sequencing were performed on formalin-fixed, paraffin-embedded gastric tumor, normal gastric, and peritoneal tumor tissues. A metastatic tumor-specific gene set was analyzed using The Cancer Genome Atlas (TCGA) gastric cancer data and publicly available single-cell RNA sequencing (scRNA-seq) datasets. Spatial transcriptomic analysis of primary and peritoneal tumors from a non-responder was performed to validate candidate biomarkers. Results Nine patients with gastric cancer were enrolled; six in the response group and three in the non-response group. Candidate genes for predicting IP PTX plus systemic SOX chemotherapy response were identified and compared with TCGA-GC and scRNA-seq datasets. Spatial transcriptomics revealed higher expression of thrombospondin type 1 domain-containing protein 4 (THSD4) in peritoneal tumors, which was associated with chemotherapy resistance via midkine and epithelial-mesenchymal transition pathways. Conclusion This PIPS-GC clinical trial identified THSD4 as a potential biomarker for predicting IP PTX plus systemic SOX response in gastric cancer peritoneal metastasis. Further research is required to elucidate the mechanism of action by which THSD4 affects GCPM and validate its clinical utility as a predictive biomarker for IP PTX response.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDrug Resistance, NeoplasmPeritoneal NeoplasmsStomach NeoplasmsAgedBiomarkers, TumorDrug CombinationsFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansMaleMiddle AgedOxaliplatinOxonic AcidPaclitaxelBiomarkers, TumorDrug CombinationsOxaliplatinOxonic AcidPaclitaxelS 1 (combination)TegafurBiomarkerGastric cancerIntraperitoneal chemotherapyPeritoneal metastasisTranslational study

Identifiers

PMID41083688
PMCPMC12518608

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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.