Evidence map›Paper›PMID 41175040›Full record

ArticleInternational journal of cancer2026

Clinical validation of a DNA methylation biomarker associated with overall survival of relapsed ovarian cancer patients.

Muhammad Habiburrahman, Nahal Masrour, Naina Patel, Anna M Piskorz, Robert Brown, James D Brenton, Iain A McNeish, James M Flanagan

Abstract readValidation Study
In one paragraph

Article in International journal of cancer, 2026. 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. 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

8 authors.

Muhammad HabiburrahmanDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-6372-8240
Nahal MasrourDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0009-0000-5926-4172
Naina PatelDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London, UK.
Anna M PiskorzCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Robert BrownDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-7960-5755
James D BrentonCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0002-5738-6683
Iain A McNeishDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-9387-7586
James M FlanaganDivision of Cancer, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-4955-1383

Funding

Cancer Research UK A13086NIHR Imperial Biomedical Research CentreOvarian Cancer Action
6 · The paper itself

Abstract

Approximately 70% of ovarian cancer (OC) patients relapse after chemotherapy, underscoring the need to assess survival before second-line treatment. We previously identified PLAT-M8, an 8-CpG blood-based methylation signature linked to chemoresistance. This study validates its correlation with clinicopathological features and treatment profiles in additional cohorts. Extracted DNA from whole blood was provided from the BriTROC-1 (n = 47) and OV04 cohorts (n = 57) upon the first relapse. Additional samples from Hammersmith Hospital (n = 100) were collected during first-line chemotherapy (Cycles 3-4 and 6). Bisulphite pyrosequencing was used to quantify DNA methylation at the previously identified 8 CpG sites. The methylation data obtained were combined with previous data from ScoTROC-1D and 1V (n = 141) and OCTIPS (n = 46). Cox regression was used to assess OS after relapse concerning clinicopathological characteristics. The DNA methylation Class (Class 1 vs. 2) was determined by consensus clustering. As for results, blood DNA methylation at relapse correlates with clinical outcomes, but it has no impact during first-line treatment. Class 1 is linked to shorter survival (summary OS: HR 2.50, 1.64-3.79) and poorer prognosis on carboplatin monotherapy (OS: aHR 9.69, 95% CI: 2.38-39.47). It is associated with older (>75 years), advanced-stage, platinum-resistant patients, residual disease, and shorter PFS. In contrast, Class 2 is linked to platinum sensitivity, higher complete response rates (RECIST), and better prognosis but shows no correlation with CA-125. These findings highlight PLAT-M8's potential in guiding second-line chemotherapy decisions. The PLAT-M8 methylation biomarker is associated with survival in relapsed OC patients and may potentially predict their response to second-line platinum treatment.

Indexed as

Biomarkers, TumorDNA MethylationNeoplasm Recurrence, LocalOvarian NeoplasmsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCpG IslandsFemaleHumansMiddle AgedPrognosisBiomarkers, TumorDNA methylationepigenetic biomarkerovarian cancerplatinum‐based chemotherapysurvival

Identifiers

PMID41175040
PMCPMC12875174

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.