Evidence map›Paper›PMID 25065293›Full record

Trial reportEuropean journal of cancer (Oxford, England : 1990)2014

Comparison of patient reported quality of life and impact of treatment side effects experienced with a taxane-containing regimen and standard anthracycline based chemotherapy for early breast cancer: 6 year results from the UK TACT trial (CRUK/01/001).

E Hall, D Cameron, R Waters, P Barrett-Lee, P Ellis, S Russell, J M Bliss, P Hopwood, TACT Trial Investigators

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of cancer (Oxford, England : 1990), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.0field-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.

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

22 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  6. Impact of Fasting on Patients With Cancer: An Integrative Review.Journal of the advanced practitioner in oncology · 2023
    Review
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  17. Differences in dietary intake during chemotherapy in breast cancer patients compared to women without cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  18. Review
  19. Review
  20. 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

9 authors at 5 institutions in 1 country.

E HallClinical Trials and Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, UK. Electronic address: Emma.Hall@icr.ac.uk.
D CameronEdinburgh Cancer Research Centre, Western General Hospital, University of Edinburgh, UK.
R WatersClinical Trials and Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, UK.
P Barrett-LeeAcademic Breast Unit, Velindre Cancer Centre, Velindre NHS Trust, Cardiff, UK.
P EllisDepartment of Medical Oncology, Guy's & St Thomas' Foundation Trust, London, UK.
S RussellCancer Clinical Trials Team, Information Services Division, Edinburgh, UK.
J M BlissClinical Trials and Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, UK.
P HopwoodClinical Trials and Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, UK.
TACT Trial Investigators
Institute of Cancer Research · GBCancer Research UK Clinical Trials Unit · GBGuy's and St Thomas' NHS Foundation Trust · GBVelindre Cancer Centre · GBWestern General Hospital · GB

Funding

Cancer Research UK 15955Cancer Research UK CRUK 01/001
6 · The paper itself

Abstract

backgroundThe TACT trial (CRUK/01/001) compared adjuvant sequential FEC-docetaxel (FEC-D) chemotherapy with standard anthracycline-based chemotherapy of similar duration in women with early breast cancer. Results at a median of 5 years suggested no improvement in disease-free survival with FEC-D. Given differing toxicity profiles of the regimens, the impact on quality of life (QL) was explored.

methodsPatients from 44 centres completed standardised QL questionnaires before chemotherapy, after cycles 4 and 8, at 9, 12, 18 and 24 months and at 6 years follow-up. Patient diaries assessed frequency, associated distress and impact on daily activity of 15 treatment related side effects.

findings830 patients (415 FEC-D; 415 controls) contributed assessments during 0-24 months; 362 of whom participated again at 6 years. During chemotherapy, FEC-D impaired global health/QL and depression rates and significantly more QL domains than standard regimens. Novel diary card ratings highlighted significantly more distress and interference with daily activities due to FEC-D side effects compared with standard treatment. In both groups, most QL parameters returned to baseline levels by 2 years and were unchanged at 6 years.

interpretationWithin expected negative effects of chemotherapy on wide ranging QL domains FEC-D patients reported greater toxicity, disruption and distress during treatment with no improvement in disease outcome at 5 years than patients receiving standard anthracycline-based chemotherapy. Findings should inform future patients of relative costs and benefits of adjuvant chemotherapy.

Indexed as

AdultAnthracyclinesAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsBridged-Ring CompoundsChemotherapy, AdjuvantCyclophosphamideEpirubicinFemaleFluorouracilHumansMethotrexateMiddle AgedQuality of LifeSurveys and QuestionnairesTamoxifenAnthracyclinesBridged-Ring CompoundsCyclophosphamideEpirubicinFluorouracilMethotrexateTamoxifentaxaneTaxoidsBreastChemotherapyEarlyPatient reported outcomesQuality of lifeRandomised controlled trial

Identifiers

PMID25065293
PMCPMC4166460
OpenAlexW2129722754

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.