Evidence map›Paper›PMID 24091623›Full record

Trial reportBritish journal of cancer2013

Do type 1 receptor tyrosine kinases inform treatment choice? A prospectively planned analysis of the TEAM trial.

J M S Bartlett, C L Brookes, T Piper, C J H van de Velde, D Stocken, N Lyttle, A Hasenburg, M A Quintayo, D G Kieback, H Putter and 6 more

Open access · bronzeAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2013. 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
0.3field-weighted citation impact, top 38% 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, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

16 authors at 7 institutions in 4 countries.

J M S Bartlett1] Transformative Pathology, Ontario Institute for Cancer Research, Toronto, Canada M5G 0A3 [2] Edinburgh Cancer Research Centre, University of Edinburgh, Edinburgh EH4 2XR, UK.
C L Brookes
T Piper
C J H van de Velde
D Stocken
N Lyttle
A Hasenburg
M A Quintayo
D G Kieback
H Putter
C Markopoulos
E M-K Kranenbarg
E A Mallon
L Y Dirix
C Seynaeve
D W Rea
Edinburgh Cancer Research · GBLeiden University Medical Center · NLOntario Institute for Cancer Research · CAUniversity of Birmingham · GBErasmus MC Cancer Institute · NLUniversity Medical Center Freiburg · DEWestern Infirmary · GB

Funding

Cancer Research UK C7602/A7215
6 · The paper itself

Abstract

backgroundEpidermal growth factor receptors contribute to breast cancer relapse during endocrine therapy. Substitution of aromatase inhibitors (AIs) may improve outcomes in HER-positive cancers.

methodsTissue microarrays were constructed. Quantitative analysis of HER1, HER2, and HER3 was performed. Data were analysed relative to disease-free survival and treatment using outcomes at 2.75 and 6.5 years.

resultsAmong 4541 eligible samples, 4225 (93%) had complete HER1-3 data. Overall, 5% were HER1-positive, 13% HER2-positive, and 21% HER3-positive; 32% (n=1351) overexpressed at least one HER receptor. In the HER1-3-negative subgroup, the hazard ratio (HR) for upfront exemestane vs tamoxifen at 2.75 years was 0.67 (95% confidence interval (CI), 0.52-0.87), in the HER1-3-positive subgroup, the HR was 1.15 (95% CI, 0.85-1.56). A prospectively planned treatment-by-marker analysis demonstrated a significant interaction between HER1-3 and treatment at 2.75 years (HR=0.58; 95% CI, 0.39-0.87; P=0.008), as confirmed by multivariate regression analysis adjusting for prognostic factors (HR=0.55; 95% CI, 0.36-0.85; P=0.005). This effect was time dependent.

conclusionIn the 2.75 years prior to switching patients initially treated with tamoxifen to exemestane, a significant treatment-by-marker effect exists between AI/tamoxifen treatment and HER1-3 expression, suggesting HER expression could be used to select appropriate endocrine treatment at diagnosis to prevent or delay early relapses.

Indexed as

AdultAgedAged, 80 and overAndrostadienesAromatase InhibitorsBiomarkers, TumorBreast NeoplasmsDisease-Free SurvivalErbB ReceptorsFemaleHumansMiddle AgedMolecular Sequence DataPrognosisProspective StudiesReceptors, EstrogenAndrostadienesAromatase InhibitorsBiomarkers, TumorErbB ReceptorsexemestaneReceptors, EstrogenReceptors, ProgesteroneSelective Estrogen Receptor ModulatorsTamoxifen

Identifiers

PMID24091623
PMCPMC3817340
OpenAlexW2043605505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.