Evidence map›Paper›PMID 17712311›Full record

Trial reportBritish journal of cancer2007

Antitumour and biological effects of letrozole and GnRH analogue as primary therapy in premenopausal women with ER and PgR positive locally advanced operable breast cancer.

R Torrisi, V Bagnardi, G Pruneri, R Ghisini, L Bottiglieri, E Magni, P Veronesi, C D'Alessandro, A Luini, S Dellapasqua and 3 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in British journal of cancer, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  14. Review
  15. Pharmacoeconomic considerations in the treatment of breast cancer.ClinicoEconomics and outcomes research : CEOR · 2010
    Article
  16. 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

13 authors at 3 institutions in 1 country.

R TorrisiResearch Unit of Medical Senology, European Institute of Oncology Milan, via Ripamonti 435, Milan, Italy. rosalba.torrisi@ieo.it
V Bagnardi
G Pruneri
R Ghisini
L Bottiglieri
E Magni
P Veronesi
C D'Alessandro
A Luini
S Dellapasqua
G Viale
A Goldhirsch
M Colleoni
European Institute of Oncology · ITRipamonti · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative endocrine therapy is effective in postmenopausal patients with breast cancers expressing oestrogen receptor. We investigated the activity of primary therapy with letrozole in combination with GnRH analogue in premenopausal women with T2-T4 N0-N2 breast cancer, whose tumours expressed oestrogen and progesterone receptors. We measured the expression of molecular factors involved in responsiveness to endocrine agents including ERalpha, EGFR, HER2, MAP kinases (and phosphorylated forms) ER-beta1, both at initial biopsy and at the time of surgery. Thirty-five patients were included and 32 patients were evaluable for response. Sixteen patients (50%, 95% CI 32-68%) obtained a partial response, 16 patients were stable. One patient showed pathological complete response (3%, 95% CI 0-16%). Response was significantly associated with younger age (P<0.05) and a longer duration of treatment (P<0.05). Treatment significantly decreased ERalpha-p-Ser(118) and upregulated ER-beta1, independently of response. No or negligible overexpression of EGFR was observed at baseline or after treatment in this population. Preoperative letrozole and GnRH analogue are effective in premenopausal women. A biological response in terms of downregulation of phosphorylated ERalpha was observed in all patients. Future investigations might focus on treatments of longer duration.

Indexed as

AdultAgedAntineoplastic AgentsAromatase InhibitorsBreast NeoplasmsDown-RegulationErb-b2 Receptor Tyrosine KinasesErbB ReceptorsEstrogen Receptor alphaEstrogen Receptor betaFemaleGene Expression Regulation, NeoplasticGonadotropin-Releasing HormoneHumansLetrozoleMiddle AgedAntineoplastic AgentsAromatase InhibitorsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesErbB ReceptorsEstrogen Receptor alphaEstrogen Receptor betaGonadotropin-Releasing HormoneLetrozoleMitogen-Activated Protein KinasesNitrilesReceptors, EstrogenReceptors, ProgesteroneTriazoles

Identifiers

PMID17712311
PMCPMC2360389
OpenAlexW2107691154

What OpenQuestion holds

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LicenceCC BY
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 OpenQuestion graph.