Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2011-7-7
pubmed:abstractText
Adjuvant therapy with interferon-? (IFN) only benefits a small subgroup of melanoma patients and a predictive marker selecting responders does not exist. IFN induces increased ferritin and decreased C-reactive protein (CRP) levels; however, an association with treatment effect was not studied. Serum was collected from patients participating in the European Organization for Research and Treatment of Cancer 18 952 trial comparing adjuvant treatment with IFN to observation. Serial ferritin and CRP levels were determined using enzyme-linked immunosorbent assays, before treatment and up to 24 months. Ferritin levels are influenced by sex and age; therefore ratios of serial ferritin and CRP values with corresponding pretreatment values were calculated. Cox regression model and landmark method at end of induction and 6 months were used to evaluate the association between ferritin, CRP and distant metastasis-free survival (DMFS). Baseline ferritin levels were comparable in the two treatment groups (P=0.92). However, ferritin ratios were significantly higher in IFN-treated patients (N=96) compared with untreated patients (N=21) at end of induction (mean: 2.88 vs. 0.75; P=0.0003) and at 6 months (mean: 3.18 vs. 1.02; P=0.009). In the IFN arm, higher ferritin ratios at end of induction and at 6 months were not associated with improved outcome (respectively, P=0.66 and 0.86). Concerning CRP ratios, no differences between the treatment groups, neither an association with DMFS, were observed. Administration of IFN in melanoma patients induced increase in ferritin levels but not in CRP levels. Ferritin and CRP ratios have no prognostic value regarding DMFS.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1473-5636
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
344-51
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:21546857-Age Factors, pubmed-meshheading:21546857-Aged, pubmed-meshheading:21546857-Antineoplastic Agents, pubmed-meshheading:21546857-Biological Markers, pubmed-meshheading:21546857-C-Reactive Protein, pubmed-meshheading:21546857-Chemotherapy, Adjuvant, pubmed-meshheading:21546857-Disease-Free Survival, pubmed-meshheading:21546857-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:21546857-Europe, pubmed-meshheading:21546857-Female, pubmed-meshheading:21546857-Ferritins, pubmed-meshheading:21546857-Humans, pubmed-meshheading:21546857-Interferon Type I, pubmed-meshheading:21546857-Lymph Node Excision, pubmed-meshheading:21546857-Male, pubmed-meshheading:21546857-Melanoma, pubmed-meshheading:21546857-Middle Aged, pubmed-meshheading:21546857-Neoplasm Staging, pubmed-meshheading:21546857-Proportional Hazards Models, pubmed-meshheading:21546857-Recombinant Proteins, pubmed-meshheading:21546857-Risk Assessment, pubmed-meshheading:21546857-Risk Factors, pubmed-meshheading:21546857-Sex Factors, pubmed-meshheading:21546857-Skin Neoplasms, pubmed-meshheading:21546857-Time Factors, pubmed-meshheading:21546857-Treatment Outcome
pubmed:year
2011
pubmed:articleTitle
Changes of ferritin and CRP levels in melanoma patients treated with adjuvant interferon-? (EORTC 18952) and prognostic value on treatment outcome.
pubmed:affiliation
Laboratory Experimental Surgical Oncology, Section Surgical Oncology, Department of Surgery, Erasmus MC, Rotterdam 3015 GE, The Netherlands. m.bouwhuis@erasmusmc.nl
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study