Evidence map›Paper›PMID 23965901›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2013

Phase II trial of bicalutamide in patients with androgen receptor-positive, estrogen receptor-negative metastatic Breast Cancer.

Ayca Gucalp, Sara Tolaney, Steven J Isakoff, James N Ingle, Minetta C Liu, Lisa A Carey, Kimberly Blackwell, Hope Rugo, Lisle Nabell, Andres Forero and 13 more

3 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 372 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
372citing papers in PubMed, 4 pooled it
22.6field-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.

NCT02353988 phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

Bicalutamide in Treating Patients With AR-positive Metastatic Triple Negative Breast Cancer

TypeinterventionalSponsorJinling Hospital, ChinaRan2015 to 2017Enrolled60ConditionsBreast NeoplasmsArmsBicalutamide, Physician's Choice
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
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

372 citing papers in PubMed, 4 syntheses or guidelines pooled it, 720 citations in OpenAlex.

  1. Pooled it
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  8. TBCRC 032 IB/II Multicenter Study: Molecular Insights to AR Antagonist and PI3K Inhibitor Efficacy in Patients with ARClinical cancer research : an official journal of the American Association for Cancer Research · 2020
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312 more citing papers are in PubMed but not listed here.

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

23 authors at 5 institutions in 1 country.

Ayca GucalpAuthors' Affiliations: Breast Cancer Medicine Service, Departments of Pathology, Biostatistics, and Radiology, Memorial Sloan-Kettering Cancer Center; Weill Medical College of Cornell University, New York; Dana-Farber Cancer Institute; Massachusetts General Hospital, Boston, Massachusetts; Mayo Clinic, Rochester, Minnesota; Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia; University of North Carolina at Chapel Hill, Chapel Hill; Duke University Medical Center, Durham, North Carolina; University of California, San Francisco Helen Diller Family Comprehensive Cancer Center, UCSF, San Francisco, California; University of Alabama at Birmingham, Birmingham, Alabama; and The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, Baltimore, Maryland.
Sara Tolaney
Steven J Isakoff
James N Ingle
Minetta C Liu
Lisa A Carey
Kimberly Blackwell
Hope Rugo
Lisle Nabell
Andres Forero
Vered Stearns
Ashley S Doane
Michael Danso
Mary Ellen Moynahan
Lamia F Momen
Joseph M Gonzalez
Arooj Akhtar
Dilip D Giri
Sujata Patil
Kimberly N Feigin
Clifford A Hudis
Tiffany A Traina
Translational Breast Cancer Research Consortium (TBCRC 011)
Cornell University · USMayo Clinic in Florida · USDana-Farber Cancer Institute · USDuke University · USMemorial Sloan Kettering Cancer Center · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

purposePatients with hormone receptor-negative breast cancer generally do not benefit from endocrine-targeted therapies. However, a subset with androgen receptor (AR) expression is predicted to respond to antiandrogen therapies. This phase II study explored bicalutamide in AR-positive, estrogen receptor (ER), and progesterone receptor (PgR)-negative metastatic breast cancer. EXPERIMENTAL

designTumors from patients with ER/PgR-negative advanced breast cancer were tested centrally for AR [immunohistochemistry (IHC) > 10% nuclear staining considered positive]. If either the primary or a metastatic site was positive, patients were eligible to receive the AR antagonist bicalutamide at a dose of 150 mg daily. Clinical benefit rate (CBR), the primary endpoint, was defined as the total number of patients who show a complete response (CR), partial response (PR), or stable disease (SD) > 6 months; secondary endpoints included progression-free survival (PFS) and toxicity. Correlative studies included measurement of circulating endocrine markers and IHC surrogates for basal-like breast cancer.

resultsOf 424 patients with ER/PgR-negative breast cancer, 12% tested AR-positive. The 6-month CBR was 19% [95% confidence interval (CI), 7%-39%] for bicalutamide. The median PFS was 12 weeks (95% CI, 11-22 weeks). Bicalutamide was well-tolerated with no grade 4/5 treatment-related adverse events observed.

conclusionAR was expressed in 12% of patients with ER/PgR-negative breast cancer screened for this trial. The CBR of 19% observed with bicalutamide shows proof of principle for the efficacy of minimally toxic androgen blockade in a select group of patients with ER/PgR-negative, AR-positive breast cancer.

Indexed as

AdultAgedAged, 80 and overAndrogen AntagonistsAnilidesAntineoplastic AgentsBreast NeoplasmsFemaleHormonesHumansMiddle AgedNeoplasm MetastasisNitrilesReceptors, AndrogenReceptors, EstrogenTosyl CompoundsAndrogen AntagonistsAnilidesAntineoplastic AgentsbicalutamideHormonesNitrilesReceptors, AndrogenReceptors, EstrogenTosyl Compounds

Identifiers

PMID23965901
PMCPMC4086643
OpenAlexW2098804778

What OpenQuestion holds

Textmetadata
LicenceTDM
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.