Evidence map›Paper›PMID 21527065›Full record

Trial reportChinese journal of cancer2011

Lapatinib plus capecitabine in treating HER2-positive advanced breast cancer: efficacy, safety, and biomarker results from Chinese patients.

Bing-He Xu, Ze-Fei Jiang, Daniel Chua, Zhi-Min Shao, Rong-Cheng Luo, Xiao-Jia Wang, Dong-Geng Liu, Winnie Yeo, Shi-Ying Yu, Beth Newstat and 4 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Chinese journal of cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00508274 (An Open-Label Multicenter Study Administering Lapatinib and Capecitabine), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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.

NCT00508274 phase3terminatednot on this map

An Open-Label Multicenter Study Administering Lapatinib and Capecitabine (Xeloda) in Women With Advanced or Metastatic Breast Cancer

TypeinterventionalSponsorNovartis PharmaceuticalsRan2007 to 2020Enrolled52ConditionsNeoplasms, BreastArmslapatinib, capecitabine
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. [Efficacy and safety of oral pyrotinib in HER2 positive metastatic breast cancer: real-world practice].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020
    Article
  18. Article
  19. Observational
  20. Journal of breast cancer · 2018
    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

14 authors.

Bing-He XuDepartment of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, P. R. China. bhxu@hotmail.com
Ze-Fei Jiang
Daniel Chua
Zhi-Min Shao
Rong-Cheng Luo
Xiao-Jia Wang
Dong-Geng Liu
Winnie Yeo
Shi-Ying Yu
Beth Newstat
Alka Preston
Anne-Marie Martin
Hai-Dong Chi
Li Wang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overexpression of human epidermal growth factor receptor-2 (HER2) in metastatic breast cancer (MBC) is associated with poor prognosis. This single-arm open-label trial (EGF109491; NCT00508274) was designed to confirm the efficacy and safety of lapatinib in combination with capecitabine in 52 heavily pretreated Chinese patients with HER2-positive MBC. The primary endpoint was clinical benefit rate (CBR). Secondary endpoints included progression-free survival (PFS), time to response (TTR), duration of response (DoR), central nervous system (CNS) as first site of relapse, and safety. The results showed that there were 23 patients with partial responses and 7 patients with stable disease, resulting in a CBR of 57.7%. The median PFS was 6.34 months (95% confidence interval, 4.93-9.82 months). The median TTR and DoR were 4.07 months (range, 0.03-14.78 months) and 6.93 months (range, 1.45-9.72 months), respectively. Thirteen (25.0%) patients had new lesions as disease progression. Among them, 2 (3.8%) patients had CNS disease reported as the first relapse. The most common toxicities were palmar-plantar erythrodysesthesia (59.6%), diarrhea (48.1%), rash (48.1%), hyperbilirubinemia (34.6%), and fatigue (30.8%). Exploratory analyses of oncogenic mutations of PIK3CA suggested that of 38 patients providing a tumor sample, baseline PIK3CA mutation status was not associated with CBR (P = 0.639) or PFS (P = 0.989). These data confirm that the lapatinib plus capecitabine combination is an effective and well-tolerated treatment option for Chinese women with heavily pretreated MBC, irrespective of PIK3CA status.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsAsian PeopleBreast NeoplasmsCapecitabineClass I Phosphatidylinositol 3-KinasesDeoxycytidineDiarrheaDisease-Free SurvivalDisease ProgressionErb-b2 Receptor Tyrosine KinasesExanthemaFemaleFluorouracilHand-Foot SyndromeCapecitabineClass I Phosphatidylinositol 3-KinasesDeoxycytidineErb-b2 Receptor Tyrosine KinasesFluorouracilLapatinibPhosphatidylinositol 3-KinasesPIK3CA protein, humanQuinazolines

Identifiers

PMID21527065
PMCPMC4013397

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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.