Evidence map›Paper›PMID 40905691›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Immune and Growth Factor Signaling Pathways Are Associated with Pathologic Complete Response to an Anti-Type I Insulin-like Growth Factor Receptor Regimen in Patients with Breast Cancer.

Emmanuel F Petricoin, Denise M Wolf, Christina Yau, Julia D Wulfkuhle, Laura Van't Veer, Rosa I Gallagher, Laura J Esserman, Gillian L Hirst, Lamorna Brown-Swigart, Douglas Yee and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Emmanuel F PetricoinCenter for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, Virginia.ORCID 0000-0001-8787-5990
Denise M WolfDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California.ORCID 0000-0002-3676-653X
Christina YauDepartment of Surgery, University of California San Francisco, San Francisco, California.ORCID 0000-0002-1937-0859
Julia D WulfkuhleCenter for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, Virginia.ORCID 0000-0002-0657-692X
Laura Van't VeerDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California.ORCID 0000-0002-9838-8298
Rosa I GallagherCenter for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, Virginia.ORCID 0000-0003-3887-8399
Laura J EssermanDepartment of Surgery, University of California San Francisco, San Francisco, California.ORCID 0000-0001-9202-4568
Gillian L HirstDepartment of Surgery, University of California San Francisco, San Francisco, California.ORCID 0000-0002-4502-0035
Lamorna Brown-SwigartDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California.ORCID 0000-0003-2076-5177
Douglas YeeMasonic Cancer Center, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0002-3387-4009
I-SPY2 Trial Consortium

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EMILY K BERGSLAND · 1999 to 2026
$209.7M
Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller · 1998 to 2026
$100.4M
The I SPY 2.2 TRIAL: Evolving to Imaging and Molecular Biomarker Response Directed Adaptive Sequential Treatment to Optimize Breast Cancer OutcomesP01CA210961 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Nola M. Hylton-Watson · 2017 to 2026
$22.9M
PROJECT 3 – BIOLOGY OF DNA DEAMINASES IN CANCERP01CA234228 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Michael Allen Carpenter · 2019 to 2026
$14.5M
Disrupting insulin receptor function in breast cancerR01CA251600 · NCI · UNIVERSITY OF MINNESOTA · PI YEE, DOUGLAS · 2020 to 2024
$1.7M
National Cancer Institute (NCI) P01 CA234228-01National Cancer Institute (NCI) P30 CA 077598NCI NIH HHS P01 CA210961NCI NIH HHS P01 CA234228NCI NIH HHS P30 CA077598NCI NIH HHS P30 CA082103NCI NIH HHS R01 CA251600
6 · The paper itself

Abstract

purposePretreatment specimens from patients treated on the I-SPY2 neoadjuvant breast cancer trial were studied to identify prespecified biomarkers associated with response to the regimen of paclitaxel, the anti-type I insulin-like growth factor receptor (IGF-1R) antibody ganitumab, and metformin (PGM) followed by doxorubicin and cyclophosphamide (AC) compared with control therapy (paclitaxel followed by AC). The primary endpoint of this trial is pathologic complete response (pCR). EXPERIMENTAL

designOne hundred six patients treated with PGM and 119 contemporary controls were evaluated using laser capture microdissection and reverse-phase protein array to evaluate 32 prespecified potential predictive biomarkers in the IGF-1R pathway and 109 additional exploratory endpoints.

resultsTotal levels of IGF-1R were poorly correlated with phosphorylated IGF-1R/insulin receptor (IR). Higher levels of phosphorylated IGF-1R/IR were associated with an increased likelihood of obtaining pCR, especially in the hormone receptor (HR)-positive subgroup. Markers of immune response also showed an association with pCR but differed between HR+ and HR- subgroups. In HR- tumors, phospho-STAT1 Y701 and low levels of phospho-p27 associated with pCR. These relationships were not observed in patients treated with control chemotherapy.

conclusionsActivation status of IGF-1R/IR associated with increased pCR to PGM in HR+ breast cancers. Immune activation markers were also associated with response in HR+ and HR- subgroups. Thus, IGF-1R may directly regulate tumor biology and associate with immune response to therapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsReceptor, IGF Type 1Signal TransductionAdultAgedAntibodies, MonoclonalBiomarkers, TumorCyclophosphamideDoxorubicinFemaleHumansMetforminMiddle AgedNeoadjuvant TherapyPaclitaxelAntibodies, MonoclonalBiomarkers, TumorCyclophosphamideDoxorubicinMetforminPaclitaxelReceptor, IGF Type 1Receptor, Insulin

Identifiers

PMID40905691
PMCPMC12412909

What Socratic holds

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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.