Evidence map›Paper›PMID 36701146›Full record

ArticleJAMA oncology2023

Association of Inflammatory Biomarkers With Survival Among Patients With Stage III Colon Cancer.

En Cheng, Qian Shi, Anthony F Shields, Andrew B Nixon, Ardaman P Shergill, Chao Ma, Katherine A Guthrie, Felix Couture, Philip Kuebler, Pankaj Kumar and 9 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in JAMA oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01150045 (A Phase III Trial of 6 Versus 12 Treatments of Adjuvant FOLFOX Plus Celecoxib or Placebo for Patients With Resected Stage III Colon Cancer), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
9.2field-weighted citation impact, top 2% 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.

NCT01150045 phase3completednot on this map

A Phase III Trial of 6 Versus 12 Treatments of Adjuvant FOLFOX Plus Celecoxib or Placebo for Patients With Resected Stage III Colon Cancer

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2010 to 2022Enrolled2,527ConditionsColorectal CancerArmscelecoxib, 5-fluorouracil, placebo, oxaliplatin, leucovorin
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 15 institutions in 2 countries.

En ChengDivision of Research, Kaiser Permanente Northern California, Oakland.
Qian ShiAlliance Statistics and Data Management Center, Mayo Clinic, Rochester, Minnesota.
Anthony F ShieldsDepartment of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.
Andrew B NixonDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Ardaman P ShergillDepartment of Medicine, University of Chicago, Pritzker School of Medicine, Chicago, Illinois.
Chao MaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Katherine A GuthrieSWOG Statistics and Data Management Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Felix CoutureDepartment of Medicine, Hôtel-Dieu de Québec, Quebec, Canada.
Philip KueblerColumbus NCI Community Oncology Research Program, Columbus, Ohio.
Pankaj KumarIllinois CancerCare PC, Peoria.
Benjamin TanSiteman Cancer Center, Washington University School of Medicine in St Louis, St Louis, Missouri.
Smitha S KrishnamurthiDepartment of Hematology and Medical Oncology, Cleveland Clinic, Cleveland, Ohio.
Kimmie NgDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Eileen M O'ReillyMemorial Sloan Kettering Cancer Center, Weill Cornell Medical Center, New York, New York.
Justin C BrownCancer Metabolism Program, Pennington Biomedical Research Center, Baton Rouge, Louisiana.
Philip A PhilipDepartment of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.
Bette J CaanDivision of Research, Kaiser Permanente Northern California, Oakland.
Elizabeth M Cespedes FelicianoDivision of Research, Kaiser Permanente Northern California, Oakland.
Jeffrey A MeyerhardtDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Dana-Farber Cancer Institute · USKaiser Permanente · USCleveland Clinic · USColumbus Community Clinical Oncology Program · USCornell University · USDuke Medical Center · USFred Hutch Cancer Center · USHôtel-Dieu de Québec · CAIllinois CancerCare · USMayo Clinic · USPennington Biomedical Research Center · USThe Barbara Ann Karmanos Cancer Institute · USUniversity of Chicago · USWashington University in St. Louis · USWayne State University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI Laura Fish · 1985 to 2026
$174.8M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Lila J. Rutten · 1985 to 2026
$151.3M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MEGAN OTHUS · 2014 to 2026
$115.2M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
NCIC Clinical Trials Group - Canadian Collaborating Clinical Trials NetworkU10CA180863 · NCI · QUEEN'S UNIVERSITY AT KINGSTON · PI Janet Ellen Dancey · 2014 to 2026
$40.4M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
NCI NIH HHS K01 CA226155NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014236NCI NIH HHS P30 CA015083NCI NIH HHS R01 CA169141NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180863NCI NIH HHS U10 CA180868NCI NIH HHS U10 CA180882NCI NIH HHS U10 CA180888NCI NIH HHS UG1 CA189954NCI NIH HHS UG1 CA233163NCI NIH HHS UG1 CA233337NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

Importance: The association of chronic inflammation with colorectal cancer recurrence and death is not well understood, and data from large well-designed prospective cohorts are limited. Objective: To assess the associations of inflammatory biomarkers with survival among patients with stage III colon cancer. Design, Setting, and Participants: This cohort study was derived from a National Cancer Institute-sponsored adjuvant chemotherapy trial Cancer and Leukemia Group B/Southwest Oncology Group 80702 (CALGB/SWOG 80702) conducted between June 22, 2010, and November 20, 2015, with follow-up ending on August 10, 2020. A total of 1494 patients with plasma samples available for inflammatory biomarker assays were included. Data were analyzed from July 29, 2021, to February 27, 2022. Exposures: Plasma inflammatory biomarkers (interleukin 6 [IL-6], soluble tumor necrosis factor α receptor 2 [sTNF-αR2], and high-sensitivity C-reactive protein [hsCRP]; quintiles) that were assayed 3 to 8 weeks after surgery but before chemotherapy randomization. Main Outcomes and Measures: The primary outcome was disease-free survival, defined as time from randomization to colon cancer recurrence or death from any cause. Secondary outcomes were recurrence-free survival and overall survival. Hazard ratios for the associations of inflammatory biomarkers and survival were estimated via Cox proportional hazards regression. Results: Of 1494 patients (median follow-up, 5.9 years [IQR, 4.7-6.1 years]), the median age was 61.3 years (IQR, 54.0-68.8 years), 828 (55.4%) were male, and 327 recurrences, 244 deaths, and 387 events for disease-free survival were observed. Plasma samples were collected at a median of 6.9 weeks (IQR, 5.6-8.1 weeks) after surgery. The median plasma concentration was 3.8 pg/mL (IQR, 2.3-6.2 pg/mL) for IL-6, 2.9 × 103 pg/mL (IQR, 2.3-3.6 × 103 pg/mL) for sTNF-αR2, and 2.6 mg/L (IQR, 1.2-5.6 mg/L) for hsCRP. Compared with patients in the lowest quintile of inflammation, patients in the highest quintile of inflammation had a significantly increased risk of recurrence or death (adjusted hazard ratios for IL-6: 1.52 [95% CI, 1.07-2.14]; P = .01 for trend; for sTNF-αR2: 1.77 [95% CI, 1.23-2.55]; P < .001 for trend; and for hsCRP: 1.65 [95% CI, 1.17-2.34]; P = .006 for trend). Additionally, a significant interaction was not observed between inflammatory biomarkers and celecoxib intervention for disease-free survival. Similar results were observed for recurrence-free survival and overall survival. Conclusions and Relevance: This cohort study found that higher inflammation after diagnosis was significantly associated with worse survival outcomes among patients with stage III colon cancer. This finding warrants further investigation to evaluate whether anti-inflammatory interventions may improve colon cancer outcomes. Trial Registration: ClinicalTrials.gov Identifier: NCT01150045.

Indexed as

Colonic NeoplasmsC-Reactive ProteinBiomarkersCohort StudiesDisease-Free SurvivalFemaleHumansInflammationInterleukin-6MaleMiddle AgedNeoplasm Recurrence, LocalProspective StudiesRecurrenceBiomarkersC-Reactive ProteinInterleukin-6

Identifiers

PMID36701146
PMCPMC9880869
OpenAlexW4318070812

What Socratic holds

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Registered trials

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.