Evidence map›Paper›PMID 20724470›Full record

Trial reportCancer prevention research (Philadelphia, Pa.)2010

Reduction in Ki-67 in benign breast tissue of high-risk women with the lignan secoisolariciresinol diglycoside.

Carol J Fabian, Bruce F Kimler, Carola M Zalles, Jennifer R Klemp, Brian K Petroff, Qamar J Khan, Priyanka Sharma, Kenneth D R Setchell, Xueheng Zhao, Teresa A Phillips and 4 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Cancer prevention research (Philadelphia, Pa.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
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  6. Review
  7. Targeting Breast Cancer Stem Cells Using Naturally Occurring Phytoestrogens.International journal of molecular sciences · 2022
    Review
  8. Article
  9. Inhibitory effect of polyphenols (phenolic acids, lignans, and stilbenes) on cancer by regulating signal transduction pathways: a review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
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 4 institutions in 1 country.

Carol J FabianDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas 66160-7418, USA. cfabian@kumc.edu
Bruce F Kimler
Carola M Zalles
Jennifer R Klemp
Brian K Petroff
Qamar J Khan
Priyanka Sharma
Kenneth D R Setchell
Xueheng Zhao
Teresa A Phillips
Trina Metheny
Jennifer R Hughes
Hung-Wen Yeh
Karen A Johnson
University of Kansas Medical Center · USCincinnati Children's Hospital Medical Center · USNational Cancer Institute · USRegional Medical Center · US

Funding

Kansas BIRCWH Career Development Program Women's HealthK12HD052027 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI CARLSON, SUSAN E · 2005 to 2014
$5.0M
FlaxSeed Lignan for Breast Cancer ChemopreventionR21CA117847 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI FABIAN, CAROL J · 2005 to 2007
$488k
NCI NIH HHS R21 CA117847NICHD NIH HHS K12 HD052027
6 · The paper itself

Abstract

Preclinical and correlative studies suggest reduced breast cancer with higher lignan intake or blood levels. We conducted a pilot study of modulation of risk biomarkers for breast cancer in premenopausal women after administration of the plant lignan secoisolariciresinol given as the diglycoside (SDG). Eligibility criteria included regular menstrual cycles, no oral contraceptives, a >3-fold increase in 5-year risk, and baseline Ki-67 of ≥2% in areas of hyperplasia in breast tissue sampled by random periareolar fine-needle aspiration (RPFNA) during the follicular phase of the menstrual cycle. SDG (50 mg/d) was given for 12 months, followed by repeat RPFNA. The primary end point was change in Ki-67. Secondary end points included change in cytomorphology, mammographic breast density, serum bioavailable estradiol and testosterone insulin-like growth factor-I and IGF-binding protein-3, and plasma lignan levels. Forty-five of 49 eligible women completed the study with excellent compliance (median = 96%) and few serious side effects (4% grade 3). Median plasma enterolactone increased ∼9-fold, and total lignans increased 16-fold. Thirty-six (80%) of the 45 evaluable subjects showed a decrease in Ki-67, from a median of 4% (range, 2-16.8%) to 2% (range, 0-15.2%; P < 0.001, Wilcoxon signed rank test). A decrease from baseline in the proportion of women with atypical cytology (P = 0.035) was also observed. Based on favorable risk biomarker modulation and lack of adverse events, we are initiating a randomized trial of SDG versus placebo in premenopausal women.

Indexed as

AdultBreastButylene GlycolsEnzyme-Linked Immunosorbent AssayEstradiolFemaleHumansHyperplasiaImmunohistochemistryKi-67 AntigenLignansMammographyMiddle AgedPhytoestrogensPilot ProjectsPremenopauseButylene GlycolsEstradiolKi-67 AntigenLignansPhytoestrogensProgesteronesecoisolariciresinolTestosterone

Identifiers

PMID20724470
PMCPMC2955777
OpenAlexW2139763255

What OpenQuestion holds

Textmetadata
LicenceTDM
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.