Evidence map›Paper›PMID 41646093›Full record

ArticleESMO real world data and digital oncology2024

Clinical trial and real-world evidence of circulating tumor DNA monitoring to predict recurrence in patients with resected colorectal cancer.

H T Nguyen, V-A Nguyen Hoang, T V Nguyen, N A L Trinh, T H Pham, D N Le, H H Ho, T D Nguyen, H D Nguyen, T S L Thi and 18 more

Abstract read
In one paragraph

Article in ESMO real world data and digital oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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

28 authors.

H T NguyenUniversity Medical Center Ho Chi Minh City, Ho Chi Minh City.
V-A Nguyen HoangMedical Genetics Institute, Ho Chi Minh City.
T V NguyenThu Duc City Hospital, Ho Chi Minh City.
N A L TrinhUniversity Medical Center Ho Chi Minh City, Ho Chi Minh City.
T H PhamThu Duc City Hospital, Ho Chi Minh City.
D N LeDong Nai General Hospital, Dong Nai.
H H HoMilitary Hospital 175, Ho Chi Minh City.
T D NguyenMilitary Hospital 175, Ho Chi Minh City.
H D NguyenThanh Nhan Hospital, Hanoi.
T S L ThiNam Sai Gon International General Hospital, Ho Chi Minh City, Vietnam.
N NguyenMedical Genetics Institute, Ho Chi Minh City.
D H TranUniversity Medical Center Ho Chi Minh City, Ho Chi Minh City.
M T LeUniversity Medical Center Ho Chi Minh City, Ho Chi Minh City.
T C DinhThu Duc City Hospital, Ho Chi Minh City.
T S NguyenThu Duc City Hospital, Ho Chi Minh City.
K C N TheThu Duc City Hospital, Ho Chi Minh City.
H MaiThu Duc City Hospital, Ho Chi Minh City.
M T ChuThu Duc City Hospital, Ho Chi Minh City.
D H PhamThu Duc City Hospital, Ho Chi Minh City.
N H T PhucMedical Genetics Institute, Ho Chi Minh City.
D N VinhMedical Genetics Institute, Ho Chi Minh City.
D-N NguyenMedical Genetics Institute, Ho Chi Minh City.
X-V NguyenMedical Genetics Institute, Ho Chi Minh City.
D S NguyenMedical Genetics Institute, Ho Chi Minh City.
T T D ThiMedical Genetics Institute, Ho Chi Minh City.
H GiangMedical Genetics Institute, Ho Chi Minh City.
H-N NguyenMedical Genetics Institute, Ho Chi Minh City.
L N TuMedical Genetics Institute, Ho Chi Minh City.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Circulating tumor DNA (ctDNA) is a novel biomarker to predict recurrence in colorectal cancer (CRC). However, clinical validation data in underrepresented patient populations like Southeast Asians are lacking. Materials and methods: In our prospective clinical trial, 92 patients with stage I-IVA CRC and eligible for curative-intent surgery were recruited. Blood samples were collected before surgery, after surgery and during surveillance. ctDNA analysis was carried out using a personalized tumor-informed approach. Performance of ctDNA monitoring was further evaluated in a retrospective analysis of 32 patients who had commercial ctDNA testing. Results: Before surgery, the ctDNA detection rate was 91.2%, significantly higher than the carcinoembryonic antigen (CEA) elevation rate at 42.9%. At 2-4 weeks after surgery, ctDNA detection, not CEA, was significantly associated with shorter disease-free survival (DFS) [hazard ratio (HR) = 30.3, 95% confidence interval (CI) 3.3-278.9, Conclusion: Our analysis from both clinical trial and real-world data indicated that ctDNA was an independent and strong prognostic biomarker to predict recurrence in CRC. ctDNA testing could be helpful for clinical decision making by enabling personalized intervention and surveillance strategies.

Indexed as

circulating tumor DNAcolorectal cancerdisease-free survival (DFS)minimal residual disease (MRD)prognosisrecurrence

Identifiers

PMID41646093
PMCPMC12836545

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LicenceCC BY-NC-ND
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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.