Evidence map›Paper›PMID 23392859›Full record

ArticleJournal of cancer research and clinical oncology2013

Androgen receptor expression is a predictive marker in chemotherapy-treated patients with endocrine receptor-positive primary breast cancers.

Isabell Witzel, Monika Graeser, Thomas Karn, Markus Schmidt, Ralph Wirtz, Dina Schütze, Alma Rausch, Fritz Jänicke, Karin Milde-Langosch, Volkmar Müller

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02910050 (A Phase II Study of the Efficacy and Tolerability of Bicalutamide Plus Aromatase Inhibitors in Estrogen Receptor), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 7% 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.

NCT02910050 phase2unknown statusnot on this mapstarted 2016, after this paper: background citation

A Phase II Study of the Efficacy and Tolerability of Bicalutamide Plus Aromatase Inhibitors in Estrogen Receptor(+)/Androgen Receptor(+)/HER2(-) Metastatic Breast Cancer

TypeinterventionalSponsorXu feiRan2016 to 2018Enrolled58ConditionsBreast CancerArmsBicalutamide, Aromatase Inhibitor
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 36 citations in OpenAlex.

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  13. Tamoxifen Resistance: Emerging Molecular Targets.International journal of molecular sciences · 2016
    Review
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  16. A Review of Systemic Treatment in Metastatic Triple-Negative Breast Cancer.Breast cancer : basic and clinical research · 2016
    Review
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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

10 authors at 3 institutions in 1 country.

Isabell WitzelDepartment of Gynecology, University Medical Center, Martinistrasse 52, 20246 Hamburg, Germany. iwitzel@uke.de
Monika Graeser
Thomas Karn
Markus Schmidt
Ralph Wirtz
Dina Schütze
Alma Rausch
Fritz Jänicke
Karin Milde-Langosch
Volkmar Müller
Universität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity Hospital Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe androgen receptor (AR) is intensively discussed as a prognostic and/or predictive marker in breast cancer patients.

methodsWe evaluated the value of AR mRNA expression with the Affymetrix HG-U 133A array in 3 different cohorts: a cohort of breast cancer patients who received adjuvant treatment (cohort A; n = 165), a cohort of untreated breast cancer patients (cohort B; n = 200) and a cohort of chemotherapy-treated breast cancer patients with estrogen receptor (ER)-positive tumors (cohort C; n = 223).

resultsAR mRNA expression was associated with lower grading (Grades 1 and 2) as well as ER and progesterone receptor (PgR) positivity in all cohorts. In the treated cohort (cohort A), low androgen receptor expression was associated with shorter event-free survival (OR 2,34, 95 % CI 1.01-5.43, p = 0.047) which was not seen in the untreated cohort B. Subgroup analysis revealed that shorter survival of patients with low AR mRNA expression was observed mainly in the ER-positive subgroup of patients treated with adjuvant chemotherapy. In the validation cohort C we could confirm a benefit of chemotherapy for the group of tumors with high AR mRNA expression (5-year event-free survival (EFS) 74 % versus 57 %, p = 0.013). In this cohort, low AR mRNA expression was associated with shorter event-free survival also in multivariate analysis (OR 2.86, 95 % CI 1.29-6.35, p = 0.010) adjusted for HER2, ki-67, tumor size, age and tumor grade.

conclusionsWe provide evidence that AR expression is associated with chemotherapy responsiveness in ER-positive patients.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Agents, HormonalBiomarkers, TumorBreast NeoplasmsCohort StudiesErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHumansMiddle AgedNeoplasm GradingNeoplasm StagingPrognosisAntineoplastic Agents, HormonalBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesReceptors, AndrogenReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID23392859
PMCPMC11824328
OpenAlexW2007796291

What OpenQuestion holds

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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.