Evidence map›Paper›PMID 24618153›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2014

Pathological complete response after neoadjuvant chemotherapy is an independent predictive factor irrespective of simplified breast cancer intrinsic subtypes: a landmark and two-step approach analyses from the EORTC 10994/BIG 1-00 phase III trial.

H Bonnefoi, S Litière, M Piccart, G MacGrogan, P Fumoleau, E Brain, T Petit, P Rouanet, J Jassem, C Moldovan and 11 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00017095 (First Prospective Intergroup Translational Research Trial Assessing the Potential Predictive Value of p53 Using a Functional Assay in Yeast in Patients With Locally Advanced/Inflammatory or Large Operable Breast Cancer Prospectively Randomised to a Taxane Versus a Non Taxane Regimen), which is not on this map. Cited by 108 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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.

NCT00017095 phase3completednot on this map

First Prospective Intergroup Translational Research Trial Assessing the Potential Predictive Value of p53 Using a Functional Assay in Yeast in Patients With Locally Advanced/Inflammatory or Large Operable Breast Cancer Prospectively Randomised to a Taxane Versus a Non Taxane Regimen

TypeinterventionalSponsorEuropean Organisation for Research and Treatment of Cancer - EORTCRan2001Enrolled1,856ConditionsBreast CancerArmsfilgrastim, cyclophosphamide, docetaxel, epirubicin hydrochloride, fluorouracil
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 2 syntheses or guidelines pooled it, 200 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. A Phase II Trial of Neoadjuvant MK-2206, an AKT Inhibitor, with Anastrozole in Clinical Stage II or IIIClinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

48 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

21 authors at 16 institutions in 8 countries.

H BonnefoiDepartment of Medical Oncology, Institut Bergonié Comprehensive Cancer Centre, Université de Bordeaux, INSERM U916, Bordeaux, France h.bonnefoi@bordeaux.unicancer.fr.
S LitièreEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels.
M PiccartInstitut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
G MacGroganDepartment of Medical Oncology, Institut Bergonié Comprehensive Cancer Centre, Université de Bordeaux, INSERM U916, Bordeaux, France.
P FumoleauCentre George-François Leclerc, Dijon.
E BrainEnsemble Hospitalier de L'Institut Curie, Hopital René Huguenin, St-Cloud.
T PetitCentre Paul Strauss, Strasbourg.
P RouanetCentre Val D'Aurelle-Paul Lamarque, Montpellier, France.
J JassemMedical University, Gdansk, Poland.
C MoldovanCentre Henri Becquerel, Rouen, France.
A BodmerGeneva University Hospital, Geneva Swiss Group for Clinical Cancer Research (SAKK), Bern.
K ZamanCentre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
T CuferInstitute of Oncology, Ljubljana University Clinic Golnik, Golnik, Slovenia.
M CamponeInstitut de Cancérologie de L'Ouest (ICO), Centre René Gauducheau, Nantes Centre Paul Papin, Angers.
E LuporsiCentre Alexis Vautrin, Nancy, France.
P MalmströmDepartment of Clinical Sciences, Lund University, Lund Skåne Department of Oncology, Skåne University Hospital, Lund.
G WerutskyEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels.
J BogaertsEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels.
J BerghSwedish Breast Cancer Group (SweBCG), Stockholm Department of Oncology, Karolinska Institutet, Radiumhemmet and Karolinska University Hospital, Stockholm, Sweden.
D A CameronCancer Services, Edinburgh University Anglo-Celtic Cooperative Oncology Group (ACCOG), Edinburgh, UK.
EORTC 10994/BIG 1-00 Study investigators
European Organisation for Research and Treatment of Cancer · BECancer Services · USCentre Georges François Leclerc · FRCentre Henri BecquerelDanish Breast Cancer Cooperative Group · DKGdańsk Medical University · PLInserm · FRInstitut Bergonié · FRInstitut Curie · FRInstitut de Cancérologie de l'Ouest · FRInstitute of Oncology Ljubljana · SILevi Strauss (United States) · USLund University · SESwiss Group For Clinical Cancer Research · CHUniversité Libre de Bruxelles · BEUniversity Hospital of Lausanne · CH

Funding

EORTC HEADQUARTERSU10CA011488 · NCI · EUROPEAN ORG/RES/TREATMENT/CANCER · PI LACOMBE, DENIS · 1985 to 2015
$6.6M
NCI NIH HHS 2U10 CA11488-31NCI NIH HHS 5U10 CA011488-40
6 · The paper itself

Abstract

backgroundPathological complete response (pCR) following chemotherapy is strongly associated with both breast cancer subtype and long-term survival. Within a phase III neoadjuvant chemotherapy trial, we sought to determine whether the prognostic implications of pCR, TP53 status and treatment arm (taxane versus non-taxane) differed between intrinsic subtypes. PATIENTS AND

methodsPatients were randomized to receive either six cycles of anthracycline-based chemotherapy or three cycles of docetaxel then three cycles of eprirubicin/docetaxel (T-ET). pCR was defined as no evidence of residual invasive cancer (or very few scattered tumour cells) in primary tumour and lymph nodes. We used a simplified intrinsic subtypes classification, as suggested by the 2011 St Gallen consensus. Interactions between pCR, TP53 status, treatment arm and intrinsic subtype on event-free survival (EFS), distant metastasis-free survival (DMFS) and overall survival (OS) were studied using a landmark and a two-step approach multivariate analyses.

resultsSufficient data for pCR analyses were available in 1212 (65%) of 1856 patients randomized. pCR occurred in 222 of 1212 (18%) patients: 37 of 496 (7.5%) luminal A, 22 of 147 (15%) luminal B/HER2 negative, 51 of 230 (22%) luminal B/HER2 positive, 43 of 118 (36%) HER2 positive/non-luminal, 69 of 221(31%) triple negative (TN). The prognostic effect of pCR on EFS did not differ between subtypes and was an independent predictor for better EFS [hazard ratio (HR) = 0.40, P < 0.001 in favour of pCR], DMFS (HR = 0.32, P < 0.001) and OS (HR = 0.32, P < 0.001). Chemotherapy arm was an independent predictor only for EFS (HR = 0.73, P = 0.004 in favour of T-ET). The interaction between TP53, intrinsic subtypes and survival outcomes only approached statistical significance for EFS (P = 0.1).

conclusionspCR is an independent predictor of favourable clinical outcomes in all molecular subtypes in a two-step multivariate analysis. CLINICALTRIALSGOV: EORTC 10994/BIG 1-00 Trial registration number NCT00017095.

Indexed as

Neoadjuvant TherapyAdultAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCarcinoma, Ductal, BreastChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansMiddle AgedPrognosisProportional Hazards ModelsTreatment OutcomeTumor Suppressor Protein p53TP53 protein, humanTumor Suppressor Protein p53breast cancerlandmark analysisneoadjuvant chemotherapypathological complete responseTP53

Identifiers

PMID24618153
PMCPMC4037859
OpenAlexW2158036908

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.