Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancer

Purpose: The clinical relevance of CA 19-9 as surrogate biomarker in advanced pancreatic cancer is a matter of debate.Experimental Design: This retrospective multicenter study included patients with histologically confirmed advanced pancreatic cancer treated with first-line therapy. Analysis of CA 1...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Böck, Stefan (VerfasserIn) , Haas, Michael (VerfasserIn) , Laubender, Rüdiger P. (VerfasserIn) , Kullmann, Frank (VerfasserIn) , Klose, Christina (VerfasserIn) , Bruns, Christiane J. (VerfasserIn) , Wilkowski, Ralf (VerfasserIn) , Stieber, Petra (VerfasserIn) , Holdenrieder, Stefan (VerfasserIn) , Buchner, Hannes (VerfasserIn) , Mansmann, Ulrich (VerfasserIn) , Heinemann, Volker (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 1 February 2010
In: Clinical cancer research
Year: 2010, Jahrgang: 16, Heft: 3, Pages: 986-994
ISSN:1557-3265
DOI:10.1158/1078-0432.CCR-09-2205
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1158/1078-0432.CCR-09-2205
Volltext
Verfasserangaben:Stefan Boeck, Michael Haas, Rüdiger P. Laubender, Frank Kullmann, Christina Klose, Christiane J. Bruns, Ralf Wilkowski, Petra Stieber, Stefan Holdenrieder, Hannes Buchner, Ulrich Mansmann, and Volker Heinemann

MARC

LEADER 00000caa a2200000 c 4500
001 1832493326
003 DE-627
005 20230710161518.0
007 cr uuu---uuuuu
008 230126s2010 xx |||||o 00| ||eng c
024 7 |a 10.1158/1078-0432.CCR-09-2205  |2 doi 
035 |a (DE-627)1832493326 
035 |a (DE-599)KXP1832493326 
035 |a (OCoLC)1389822073 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Böck, Stefan  |d 1977-  |e VerfasserIn  |0 (DE-588)129950580  |0 (DE-627)484977768  |0 (DE-576)297917978  |4 aut 
245 1 0 |a Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancer  |c Stefan Boeck, Michael Haas, Rüdiger P. Laubender, Frank Kullmann, Christina Klose, Christiane J. Bruns, Ralf Wilkowski, Petra Stieber, Stefan Holdenrieder, Hannes Buchner, Ulrich Mansmann, and Volker Heinemann 
264 1 |c 1 February 2010 
300 |a 7 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 26.01.2023 
520 |a Purpose: The clinical relevance of CA 19-9 as surrogate biomarker in advanced pancreatic cancer is a matter of debate.Experimental Design: This retrospective multicenter study included patients with histologically confirmed advanced pancreatic cancer treated with first-line therapy. Analysis of CA 19-9 was done using the Elecsys assay (Roche Diagnostics). For an analysis of CA 19-9 kinetics, at least three measurements during first-line chemotherapy had to be available. The effect of pretreatment CA 19-9 levels on time-to-progression (TTP) and overall survival (OS) was modeled by Cox proportional hazards regression. The effect of CA 19-9 kinetics was also modeled by Cox proportional hazards regression where CA 19-9 was treated as a time-varying covariate.Results: One hundred and fifteen patients from five German centers were included; 73% of them were treated within prospective clinical trials. Median TTP was 4.4 months and median OS was 9.4 months; univariate analysis indicated that pretreatment CA 19-9 [as continuous variable, log (CA 19-9)] was significantly associated with TTP [hazard ratio (HR), 1.24; P < 0.001] and OS (HR, 1.16; P = 0.002). These associations remained significant within multivariate analysis. For CA 19-9 kinetics during chemotherapy, data from 69 patients (TTP) and 84 patients (OS) were available, respectively; log (CA 19-9) kinetics after start of treatment were found to be a significant predictor for TTP in univariate (HR, 1.48; P < 0.001) and multivariate (HR, 1.45; P < 0.001) analyses, and also for OS (univariate: HR, 1.34; P < 0.001; multivariate: HR, 1.38; P < 0.001).Conclusion: Pretreatment CA 19-9 and CA 19-9 kinetics may serve as a useful serum biomarker in advanced pancreatic cancer. Clin Cancer Res; 16(3); 986-94 
700 1 |a Haas, Michael  |e VerfasserIn  |4 aut 
700 1 |a Laubender, Rüdiger P.  |e VerfasserIn  |4 aut 
700 1 |a Kullmann, Frank  |e VerfasserIn  |4 aut 
700 1 |a Klose, Christina  |e VerfasserIn  |0 (DE-588)1054563640  |0 (DE-627)791610012  |0 (DE-576)410326658  |4 aut 
700 1 |a Bruns, Christiane J.  |e VerfasserIn  |4 aut 
700 1 |a Wilkowski, Ralf  |e VerfasserIn  |4 aut 
700 1 |a Stieber, Petra  |e VerfasserIn  |4 aut 
700 1 |a Holdenrieder, Stefan  |e VerfasserIn  |4 aut 
700 1 |a Buchner, Hannes  |e VerfasserIn  |4 aut 
700 1 |a Mansmann, Ulrich  |e VerfasserIn  |4 aut 
700 1 |a Heinemann, Volker  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Clinical cancer research  |d Philadelphia, Pa. [u.a.] : AACR, 1995  |g 16(2010), 3, Seite 986-994  |h Online-Ressource  |w (DE-627)325489971  |w (DE-600)2036787-9  |w (DE-576)094502234  |x 1557-3265  |7 nnas  |a Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancer 
773 1 8 |g volume:16  |g year:2010  |g number:3  |g pages:986-994  |g extent:7  |a Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancer 
856 4 0 |u https://doi.org/10.1158/1078-0432.CCR-09-2205  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20230126 
993 |a Article 
994 |a 2010 
998 |g 1054563640  |a Klose, Christina  |m 1054563640:Klose, Christina  |p 5 
999 |a KXP-PPN1832493326  |e 4252151244 
BIB |a Y 
SER |a journal 
JSO |a {"note":["Gesehen am 26.01.2023"],"id":{"doi":["10.1158/1078-0432.CCR-09-2205"],"eki":["1832493326"]},"relHost":[{"pubHistory":["1.1995 -"],"title":[{"title":"Clinical cancer research","title_sort":"Clinical cancer research"}],"origin":[{"publisher":"AACR","dateIssuedDisp":"1995-","dateIssuedKey":"1995","publisherPlace":"Philadelphia, Pa. [u.a.]"}],"corporate":[{"roleDisplay":"Herausgebendes Organ","role":"isb","display":"American Association for Cancer Research"}],"language":["eng"],"name":{"displayForm":["American Association for Cancer Research"]},"part":{"year":"2010","volume":"16","extent":"7","issue":"3","pages":"986-994","text":"16(2010), 3, Seite 986-994"},"physDesc":[{"extent":"Online-Ressource"}],"type":{"media":"Online-Ressource","bibl":"periodical"},"disp":"Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancerClinical cancer research","recId":"325489971","id":{"eki":["325489971"],"zdb":["2036787-9"],"issn":["1557-3265"]},"note":["Gesehen am 08.06.2023","Fortsetzung der Druck-Ausgabe"]}],"name":{"displayForm":["Stefan Boeck, Michael Haas, Rüdiger P. Laubender, Frank Kullmann, Christina Klose, Christiane J. Bruns, Ralf Wilkowski, Petra Stieber, Stefan Holdenrieder, Hannes Buchner, Ulrich Mansmann, and Volker Heinemann"]},"language":["eng"],"recId":"1832493326","type":{"media":"Online-Ressource","bibl":"article-journal"},"origin":[{"dateIssuedDisp":"1 February 2010","dateIssuedKey":"2010"}],"person":[{"role":"aut","roleDisplay":"VerfasserIn","given":"Stefan","family":"Böck","display":"Böck, Stefan"},{"role":"aut","roleDisplay":"VerfasserIn","given":"Michael","family":"Haas","display":"Haas, Michael"},{"display":"Laubender, Rüdiger P.","family":"Laubender","given":"Rüdiger P.","roleDisplay":"VerfasserIn","role":"aut"},{"display":"Kullmann, Frank","family":"Kullmann","roleDisplay":"VerfasserIn","given":"Frank","role":"aut"},{"display":"Klose, Christina","family":"Klose","given":"Christina","roleDisplay":"VerfasserIn","role":"aut"},{"display":"Bruns, Christiane J.","family":"Bruns","given":"Christiane J.","roleDisplay":"VerfasserIn","role":"aut"},{"role":"aut","given":"Ralf","roleDisplay":"VerfasserIn","display":"Wilkowski, Ralf","family":"Wilkowski"},{"display":"Stieber, Petra","family":"Stieber","role":"aut","given":"Petra","roleDisplay":"VerfasserIn"},{"given":"Stefan","roleDisplay":"VerfasserIn","role":"aut","display":"Holdenrieder, Stefan","family":"Holdenrieder"},{"family":"Buchner","display":"Buchner, Hannes","role":"aut","given":"Hannes","roleDisplay":"VerfasserIn"},{"display":"Mansmann, Ulrich","family":"Mansmann","role":"aut","given":"Ulrich","roleDisplay":"VerfasserIn"},{"role":"aut","roleDisplay":"VerfasserIn","given":"Volker","family":"Heinemann","display":"Heinemann, Volker"}],"title":[{"title_sort":"Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancer","title":"Application of a time-varying covariate model to the analysis of CA 19-9 as serum biomarker in patients with advanced pancreatic cancer"}],"physDesc":[{"extent":"7 S."}]} 
SRT |a BOECKSTEFAAPPLICATIO1201