Evidence map›Paper›PMID 22325110›Full record

Trial reportContraception2012

Lowering oral contraceptive norethindrone dose increases estrogen and progesterone receptor levels with no reduction in proliferation of breast epithelium: a randomized trial.

Linda Hovanessian-Larsen, DeShawn Taylor, Debra Hawes, Darcy V Spicer, Michael F Press, Anna H Wu, Malcolm C Pike, C Leigh Pearce

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Contraception, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. 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

8 authors at 2 institutions in 1 country.

Linda Hovanessian-LarsenDepartment of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
DeShawn Taylor
Debra Hawes
Darcy V Spicer
Michael F Press
Anna H Wu
Malcolm C Pike
C Leigh Pearce
University of Southern California · USMemorial Sloan Kettering Cancer Center · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MYLES G COCKBURN · 1985 to 2026
$181.4M
NCI NIH HHS P30 CA014089NCI NIH HHS P30 CA14089
6 · The paper itself

Abstract

backgroundThis study was conducted to compare breast epithelial-cell proliferation and estrogen and progesterone receptor levels in women taking one of two oral contraceptives (OCs) containing the same dose of estrogen but different doses of the progestin norethindrone (NET). STUDY

designThirty-three women were randomly assigned 1:1 to one of two OCs with 35-mcg ethinylestradiol (EE2) but different doses of NET - 1 or 0.4 mg. At the end of the active pill phase of the third OC cycle, a breast biopsy was performed and the percentages of epithelial cells of the terminal duct lobular units were measured for Ki67 (MIB1), progesterone receptors A and B (PRA and PRB, respectively), and estrogen receptor α (ERα).

resultsThe biopsies from 27 women had sufficient epithelium for analysis. The percentages of cells positive for PRA, PRB and ERα were approximately double with the lower progestin dose (PRA: p=.041; PRB: p=.030; ERα: p=.056). The Ki67 percentage was not reduced with the lower progestin dose (12.5% for 0.4-mg NET vs. 7.8% for 1.0-mg NET).

conclusionsThe increase in PRA-, PRB- and ERα-positive cells with the 60% lower progestin dose OC appears likely to account for its failure to decrease breast-cell proliferation. This breast-cell proliferation result is contrary to that predicted from the results of lowering the medroxyprogesterone acetate dose in menopausal hormone therapy.

Indexed as

AdultBiopsy, Large-Core NeedleCell ProliferationContraceptives, Oral, CombinedDose-Response Relationship, DrugEstrogen Receptor alphaEthinyl EstradiolFemaleHumansImage-Guided BiopsyImmunohistochemistryMammary Glands, HumanNorethindroneReceptors, ProgesteroneUbiquitin-Protein LigasesContraceptives, Oral, CombinedESR1 protein, humanEstrogen Receptor alphaEthinyl EstradiolMIB1 ligase, humanNorethindroneprogesterone receptor Aprogesterone receptor BReceptors, ProgesteroneUbiquitin-Protein Ligases

Identifiers

PMID22325110
PMCPMC3355208
OpenAlexW1979059537

What OpenQuestion holds

Textmetadata
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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.