Evidence mapPaperPMID 36103643Full record

Trial reportJCO precision oncology2022

Molecular Tumor Board-Assisted Care in an Advanced Cancer Population: Results of a Phase II Clinical Trial.

Rachel W Miller, Megan L Hutchcraft, Heidi L Weiss, Jianrong Wu, Chi Wang, Jinpeng Liu, Rani Jayswal, Mikayla Buchanan, Abigail Anderson, Derek B Allison and 5 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in JCO precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 9% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  16. [Individualized precision medicine].Urologie (Heidelberg, Germany) · 2023
    Review
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  20. 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

15 authors at 1 institution in 1 country.

Rachel W MillerDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Kentucky Markey Cancer Center, Lexington, KY.ORCID 0000-0002-9417-6642
Megan L HutchcraftDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Kentucky Markey Cancer Center, Lexington, KY.ORCID 0000-0002-8611-6324
Heidi L WeissShared Resource Facility, University of Kentucky Markey Cancer Center, Lexington, KY.
Jianrong WuDivision of Cancer Biostatistics, Department of Internal Medicine, College of Medicine, University of Kentucky, Lexington, KY.
Chi WangShared Resource Facility, University of Kentucky Markey Cancer Center, Lexington, KY.
Jinpeng LiuShared Resource Facility, University of Kentucky Markey Cancer Center, Lexington, KY.
Rani JayswalShared Resource Facility, University of Kentucky Markey Cancer Center, Lexington, KY.
Mikayla BuchananDivision of Precision Medicine, University of Kentucky Markey Cancer Center, Lexington, KY.
Abigail AndersonDivision of Precision Medicine, University of Kentucky Markey Cancer Center, Lexington, KY.
Derek B AllisonDepartment of Pathology and Laboratory Medicine, University of Kentucky, Lexington, KY.ORCID 0000-0002-5119-2474
Riham H El KhouliDepartment of Radiology, University of Kentucky, Lexington, KY.ORCID 0000-0002-1892-491X
Reema A PatelDivision of Medical Oncology, Department of Internal Medicine, University of Kentucky Markey Cancer Center, Lexington, KY.
John L VillanoDivision of Medical Oncology, Department of Internal Medicine, University of Kentucky Markey Cancer Center, Lexington, KY.ORCID 0000-0001-5583-0093
Susanne M ArnoldDivision of Medical Oncology, Department of Internal Medicine, University of Kentucky Markey Cancer Center, Lexington, KY.ORCID 0000-0001-6542-9551
Jill M KolesarDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Kentucky Markey Cancer Center, Lexington, KY.ORCID 0000-0001-8575-4546
University of Kentucky · US

Funding

University of Kentucky Markey Cancer Center – Cancer Center Support GrantP30CA177558 · UNIVERSITY OF KENTUCKY · 2025 to 2025
$2.8M
NCI NIH HHS P30 CA177558
6 · The paper itself

Abstract

purposeMultidisciplinary molecular tumor boards (MTBs) interpret next-generation sequencing reports and help oncologists determine best therapeutic options; however, there is a paucity of data regarding their clinical utility. The purpose of this study was to determine if MTB-directed therapy improves progression-free survival (PFS) over immediately prior therapy in patients with advanced cancer.

methodsThis single-arm, prospective phase II clinical trial enrolled patients with advanced cancer with an actionable mutation who received MTB-recommended targeted therapy between January 1, 2017, and October 31, 2020. MTB-recommended both on-label (level 1 evidence) and off-label (evidence levels 2 and 3) therapies. Of the 93 enrolled patients, 43 were treated frontline and 50 received second-line or greater-line therapy. The primary outcome was the probability of patients treated with second-line or greater-line MTB-directed therapy who achieved a PFS ratio ≥ 1.3 (PFS on MTB-directed therapy divided by PFS on the patient's immediately prior therapy). Secondary outcomes included PFS for patients treated frontline and overall survival and adverse effects for the entire study population.

resultsThe most common disease sites were lung (35 of 93, 38%), gynecologic (17 of 93, 18%), GI (16 of 93, 17%), and head and neck (7 of 93, 8%). The Kaplan-Meier estimate of the probability of PFS ratio ≥ 1.3 was 0.59 (95% CI, 0.47 to 0.75) for patients treated with second-line or greater-line MTB-directed therapy. The median PFS was 449 (range 42-1,125) days for patients treated frontline. The median overall survival was 768 (range 22-1,240) days. There were four nontreatment-related deaths.

conclusionWhen treated with MTB-directed therapy, most patients experienced improved PFS compared with immediately prior treatment. MTB-directed targeted therapy may be a strategy to improve outcomes for patients with advanced cancer.

Indexed as

NeoplasmsFemaleHumansKaplan-Meier EstimateProgression-Free SurvivalProspective Studies

Identifiers

PMID36103643
PMCPMC9489195
OpenAlexW4295769395

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.