Evidence map›Paper›PMID 37436743›Full record

ReviewClinical cancer research : an official journal of the American Association for Cancer Research2023

Circulating Tumor DNA to Drive Treatment in Metastatic Colorectal Cancer.

Giorgio Patelli, Gianluca Mauri, Federica Tosi, Alessio Amatu, Katia Bencardino, Erica Bonazzina, Elio Gregory Pizzutilo, Federica Villa, Gabriele Calvanese, Alberto Giuseppe Agostara and 8 more

Open access · hybridAbstract readReview
In one paragraph

Review in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.4field-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.

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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Clinical utility of longitudinal circulating tumor DNA analysis in metastatic colorectal cancer patients receiving palliative chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
  6. Practical integration of ctDNA-defined minimal residual disease in gastrointestinal cancers: testing windows and evidence-aligned management frameworks.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. ctDNA Analysis in ERBB2-Amplified Colorectal Cancer: Biomarker Analysis of the MyPathway Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. 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

18 authors at 4 institutions in 1 country.

Giorgio Patelli *Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0001-8697-2158
Gianluca Mauri *Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0002-7646-0973
Federica TosiDepartment of Hematology, Oncology, and Molecular Medicine, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0001-6146-7411
Alessio AmatuDepartment of Hematology, Oncology, and Molecular Medicine, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0001-5396-3378
Katia BencardinoDepartment of Hematology, Oncology, and Molecular Medicine, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0002-0502-3514
Erica BonazzinaDepartment of Hematology, Oncology, and Molecular Medicine, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0002-0660-5583
Elio Gregory PizzutiloDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0002-1440-1820
Federica VillaDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0009-0005-5052-1079
Gabriele CalvaneseDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0009-0001-5758-5586
Alberto Giuseppe AgostaraDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0001-5646-7150
Stefano StabileDepartment of Hematology, Oncology, and Molecular Medicine, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0003-0040-485X
Silvia GhezziDepartment of Hematology, Oncology, and Molecular Medicine, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0009-0000-8798-1152
Giovanni CrisafulliIFOM ETS - The AIRC Institute of Molecular Oncology, Milan, Italy.ORCID 0000-0002-5511-1555
Federica Di NicolantonioCandiolo Cancer Institute, Fondazione del Piemonte per l'Oncologia-IRCCS, Candiolo, Italy.ORCID 0000-0001-9618-2010
Silvia MarsoniIFOM ETS - The AIRC Institute of Molecular Oncology, Milan, Italy.ORCID 0000-0002-5361-7122
Alberto BardelliCandiolo Cancer Institute, Fondazione del Piemonte per l'Oncologia-IRCCS, Candiolo, Italy.ORCID 0000-0003-1647-5070
Salvatore SienaDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0002-2681-2846
Andrea Sartore-BianchiDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0003-0780-0409
University of Milan · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCandiolo Cancer Institute · ITIFOM · IT

Funding

Fondazione AIRC per la ricerca sul cancro ETS (AIRC) ID 21091 programFondazione Oncologia Niguarda Onlus
6 · The paper itself

Abstract

In the evolving molecular treatment landscape of metastatic colorectal cancer (mCRC), the identification of druggable alterations is pivotal to achieve the best therapeutic opportunity for each patient. Because the number of actionable targets is expanding, there is the need to timely detect their presence or emergence to guide the choice of different available treatment options. Liquid biopsy, through the analysis of circulating tumor DNA (ctDNA), has proven safe and effective as a complementary method to address cancer evolution while overcoming the limitations of tissue biopsy. Even though data are accumulating regarding the potential for ctDNA-guided treatments applied to targeted agents, still major gaps in knowledge exist as for their application to different areas of the continuum of care. In this review, we recapitulate how ctDNA information could be exploited to drive different targeted treatment strategies in mCRC patients, by refining molecular selection before treatment by addressing tumor heterogeneity beyond tumor tissue biopsy; longitudinally monitoring early-tumor response and resistance mechanisms to targeted agents, potentially leading to tailored, molecular-driven, therapeutic options; guiding the molecular triage towards rechallenge strategies with anti-EGFR agents, suggesting the best time for retreatment; and providing opportunities for an "enhanced rechallenge" through additional treatments or combos aimed at overcoming acquired resistance. Besides, we discuss future perspectives concerning the potential role of ctDNA to fine-tune investigational strategies such as immuno-oncology.

Indexed as

Antineoplastic AgentsCirculating Tumor DNAColonic NeoplasmsColorectal NeoplasmsRectal NeoplasmsBiomarkers, TumorHumansAntineoplastic AgentsBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID37436743
PMCPMC10643999
OpenAlexW4383998538

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.