Evidence map›Paper›PMID 22767154›Full record

ArticleCell cycle (Georgetown, Tex.)2012

Therapeutic response to CDK4/6 inhibition in breast cancer defined by ex vivo analyses of human tumors.

Jeffry L Dean, A Kathleen McClendon, Theresa E Hickey, Lisa M Butler, Wayne D Tilley, Agnieszka K Witkiewicz, Erik S Knudsen

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cell cycle (Georgetown, Tex.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04360941 (PAveMenT), which is not on this map. Cited by 134 papers.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed
13.4field-weighted citation impact, top 1% 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.

NCT04360941 phase1active not recruitingnot on this mapstarted 2020, after this paper: background citation

PAveMenT: Phase Ib Study of Palbociclib and Avelumab in Metastatic AR+ Triple Negative Breast Cancer

TypeinterventionalSponsorRoyal Marsden NHS Foundation TrustRan2020 to 2027Enrolled45ConditionsTriple Negative Breast Cancer, Locally Advanced Breast Cancer, Recurrent Breast Cancer, Metastatic Breast CancerArmsPalbociclib, Avelumab
3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 226 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. CDK4/6 Inhibitor Resistance in ER+ Breast Cancer.Advances in experimental medicine and biology · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 2 countries.

Jeffry L DeanDepartment of Cancer Biology, Thomas Jefferson University, Philadelphia, PA, USA.
A Kathleen McClendon
Theresa E Hickey
Lisa M Butler
Wayne D Tilley
Agnieszka K Witkiewicz
Erik S Knudsen
Philadelphia University · USIndiana University School of MedicineSidney Kimmel Cancer Center · USThomas Jefferson University · USUniversity of Adelaide · AUUSA Mitchell Cancer Institute · US

Funding

Action of RB Pathway in Breast Cancer TherapyR01CA129134 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KNUDSEN, ERIK · 2010 to 2014
$1.7M
NCI NIH HHS CA12934NCI NIH HHS R01 CA129134
6 · The paper itself

Abstract

To model the heterogeneity of breast cancer as observed in the clinic, we employed an ex vivo model of breast tumor tissue. This methodology maintained the histological integrity of the tumor tissue in unselected breast cancers, and importantly, the explants retained key molecular markers that are currently used to guide breast cancer treatment (e.g., ER and Her2 status). The primary tumors displayed the expected wide range of positivity for the proliferation marker Ki67, and a strong positive correlation between the Ki67 indices of the primary and corresponding explanted tumor tissues was observed. Collectively, these findings indicate that multiple facets of tumor pathophysiology are recapitulated in this ex vivo model. To interrogate the potential of this preclinical model to inform determinants of therapeutic response, we investigated the cytostatic response to the CDK4/6 inhibitor, PD-0332991. This inhibitor was highly effective at suppressing proliferation in approximately 85% of cases, irrespective of ER or HER2 status. However, 15% of cases were completely resistant to PD-0332991. Marker analyses in both the primary tumor tissue and the corresponding explant revealed that cases resistant to CDK4/6 inhibition lacked the RB-tumor suppressor. These studies provide important insights into the spectrum of breast tumors that could be treated with CDK4/6 inhibitors, and defines functional determinants of response analogous to those identified through neoadjuvant studies.

Indexed as

Biomarkers, TumorBreast NeoplasmsCell ProliferationCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Erb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaFemaleHumansKi-67 AntigenModels, BiologicalPiperazinesProtein Kinase InhibitorsPyridinesRetinoblastoma ProteinTumor Cells, CulturedBiomarkers, TumorCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Erb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaKi-67 AntigenpalbociclibPiperazinesProtein Kinase InhibitorsPyridinesRetinoblastoma Protein

Identifiers

PMID22767154
PMCPMC3409015
OpenAlexW2031915537

What OpenQuestion holds

Textmetadata
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.