Evidence map›Paper›PMID 12569384›Full record

ArticleBritish journal of cancer2003

Breast cancer response to neoadjuvant chemotherapy: predictive markers and relation with outcome.

I F Faneyte, J G Schrama, J L Peterse, P L Remijnse, S Rodenhuis, M J van de Vijver

Registry-linked trialAbstract read
In one paragraph

Article in British journal of cancer, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00820690 (Gene Expression Signature and Immunohistochemical Markers Associated With Response to Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer), which is not on this map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
–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.

NCT00820690 unknown statusnot on this mapstarted 2008, after this paper: background citation

Gene Expression Signature and Immunohistochemical Markers Associated With Response to Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer

TypeobservationalSponsorBarretos Cancer HospitalRan2008 to 2017Enrolled80ConditionsBreast CancerArmsdoxorubicin, cyclophosphamide, paclitaxel, Surgery
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. [18F]FDG-PET predicts complete pathological response of breast cancer to neoadjuvant chemotherapy.European journal of nuclear medicine and molecular imaging · 2007
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25 more citing papers are in PubMed but not listed here.

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

6 authors.

I F FaneyteDepartment of Pathology, The Netherlands Cancer Institute, Amsterdam.
J G Schrama
J L Peterse
P L Remijnse
S Rodenhuis
M J van de Vijver

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to provide a better insight into breast cancer response to chemotherapy. Chemotherapy improves outcome in breast cancer patients. The effect of cytotoxic treatment cannot be predicted for individual patients. Therefore, the identification of tumour characteristics associated with tumour response and outcome is of great clinical interest. We studied 97 patients, who received anthracycline-based neoadjuvant chemotherapy. Tumour samples were taken prior to and after chemotherapy. We quantified the response to chemotherapy clinically and pathologically and determined histological and molecular tumour characteristics. We assessed changes in the expression of Bcl-2, ER, P53 HER2 and Ki-67. Association with response and outcome was tested for all parameters. The experimental results showed 15 clinical (17%) and three (3%) pathological complete remissions. There were 18 (20%) clinical vs 29 (33%) pathological nonresponders. The expression of most markers was similar before and after chemotherapy. Only Ki-67 was significantly decreased after chemotherapy. Factors correlated with response were: large tumour size, ER negativity, high Ki-67 count and positive P53 status. Tumour response and marker expression did not predict disease-free or overall survival. In conclusion, clinical and pathological response assessments are poorly associated. Proliferation decreases significantly after chemotherapy. ER negativity and a high proliferation index are associated with better response. HER2 status does not predict response, and outcome is not related to tumour response.

Indexed as

AdultAntibiotics, AntineoplasticBiomarkers, TumorBreast NeoplasmsFemaleHumansImmunohistochemistryKi-67 AntigenMiddle AgedNeoadjuvant TherapyProto-Oncogene Proteins c-bcl-2Survival AnalysisTreatment OutcomeTumor Suppressor Protein p53Antibiotics, AntineoplasticBiomarkers, TumorKi-67 AntigenProto-Oncogene Proteins c-bcl-2Tumor Suppressor Protein p53

Identifiers

PMID12569384
PMCPMC2747533

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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 OpenQuestion graph.