Evidence map›Paper›PMID 20354183›Full record

ArticleCancer research2010

Variation in anastrozole metabolism and pharmacodynamics in women with early breast cancer.

James N Ingle, Aman U Buzdar, Daniel J Schaid, Matthew P Goetz, Anthony Batzler, Mark E Robson, Donald W Northfelt, Janet E Olson, Edith A Perez, Zeruesenay Desta and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00283608 (Pharmacogenetics of Aromatase Inhibitors), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

NCT00283608 completednot on this map

Pharmacogenetics of Aromatase Inhibitors

TypeobservationalSponsorMayo ClinicRan2005 to 2010Enrolled1,000ConditionsBreast CancerArmsSingle nucleotide polymorphism (SNP), high performance liquid chromatography, measurements by DXA, questionnaire administration
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 69 citations in OpenAlex.

  1. Anastrozole Dose Escalation for Optimal Estrogen Suppression in Postmenopausal Early-Stage Breast Cancer: A Prospective Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Trial
  2. Effects ofPharmacogenomics · 2019
    Trial
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  8. Article
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  12. Review
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  14. Representation of CYP3A4, CYP3A5 and UGT1A4 Polymorphisms within Croatian Breast Cancer Patients' Population.International journal of environmental research and public health · 2020
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
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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

14 authors at 7 institutions in 1 country.

James N IngleDivision of Medical Oncology, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota 55905, USA. ingle.james@mayo.edu
Aman U Buzdar
Daniel J Schaid
Matthew P Goetz
Anthony Batzler
Mark E Robson
Donald W Northfelt
Janet E Olson
Edith A Perez
Zeruesenay Desta
Randy A Weintraub
Clark V Williard
David A Flockhart
Richard M Weinshilboum
Mayo Clinic · USIndiana University School of MedicineMayo Clinic in Arizona · USMayo Clinic in Florida · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USIndiana University – Purdue University Indianapolis · US

Funding

The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
TAMAXIFEN PHARMACOGENETICSU01GM061373 · NIGMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FLOCKHART, DAVID ALASTAIR · 2000 to 2009
$17.0M
PHARMACOGENETICS OF PHASE II DRUG METABOLIZING ENZYMESU01GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2000 to 2009
$15.7M
INHERITED VARIATIONS IN DRUG-METABOLIZING ENZYMESR01GM028157 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 1985 to 2019
$6.9M
Clinical Relevance of Cytochrome P450 PharmacogeneticsK24RR020815 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FLOCKHART, DAVID ALASTAIR · 2005 to 2009
$718k
NCI NIH HHS P50 CA116201NCI NIH HHS P50 CA166201NCRR NIH HHS K24 RR020815NCRR NIH HHS K24RR020815NIGMS NIH HHS R01 GM028157NIGMS NIH HHS R01 GM28157NIGMS NIH HHS U01 GM061373NIGMS NIH HHS U01 GM061388NIGMS NIH HHS U01 GM61373NIGMS NIH HHS U01 GM61388
6 · The paper itself

Abstract

Aromatase inhibitors play a prominent role in the management of postmenopausal women with endocrine-sensitive breast cancer, but there is large variability in both efficacy and tolerability. The purpose of our study was to define interindividual variation in anastrozole metabolism and pharmacodynamics among patients treated with the approved daily dose of 1 mg in a standard practice setting as adjuvant therapy for resected early breast cancer. This study was performed in 191 women in whom pretreatment and during anastrozole plasma concentrations of estrone (E1), estradiol (E2), estrone conjugates, androstenedione, and testosterone were determined and correlated with plasma concentrations of anastrozole and anastrozole metabolites. There were large interindividual variations in plasma anastrozole and anastrozole metabolite concentrations, as well as pretreatment and postdrug plasma E1, E2, and E1 conjugate and estrogen precursor (androstenedione and testosterone) concentrations. E1 and E2 concentrations were below the lower limit of quantitation (LLQ) in most patients after anastrozole therapy (83% for both), but those with detectable concentrations had a broad range (1.58-45.2 and 0.635-97.0 pg/mL, respectively). E1 conjugates after anastrozole therapy were above the LLQ in most patients (93%), with wide interpatient variability (3.50-2,990 pg/mL). Two patients seemed to extensively metabolize anastrozole and failed to display substantial decreases in estrogens. Acknowledging the potential factor of variable compliance, our results showed large interindividual variation in anastrozole metabolism and its effect on circulating estrogens in postmenopausal patients. These findings may have implications with regard to efficacy and adverse events and may indicate the need to "individualize" therapy with this drug.

Indexed as

AdultAgedAged, 80 and overAnastrozoleBreast NeoplasmsCohort StudiesDose-Response Relationship, DrugEstrogensEstroneFemaleHumansMiddle AgedNitrilesPostmenopauseReceptors, EstrogenTestosteroneAnastrozoleEstrogensEstroneNitrilesReceptors, EstrogenTestosteroneTriazoles

Identifiers

PMID20354183
PMCPMC2855746
OpenAlexW1968968390

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.