Evidence map›Paper›PMID 25177258›Full record

ArticleBreast care (Basel, Switzerland)2014

Sorafenib in the Treatment of Early Breast Cancer: Results of the Neoadjuvant Phase II Study - SOFIA.

Sibylle Loibl, Dennis Rokitta, Bettina Conrad, Nadia Harbeck, Michaela Wüllner, Mathias Warm, Kathrin Schwedler, Bernd Gerber, Iris Schrader, Holger Eidtmann and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00548899 (Phase II Study of Neoadjuvant Epirubicin, Cyclophosphamide), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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.

NCT00548899 phase2completednot on this map

Phase II Study of Neoadjuvant Epirubicin, Cyclophosphamide (EC) + Sorafenib Followed by Paclitaxel (P) + Sorafenib in Women With Previously Untreated

TypeinterventionalSponsorGBG Forschungs GmbHRan2007 to 2011Enrolled36ConditionsBreast CancerArmsNexavar (Sorafenib)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
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

13 authors at 8 institutions in 2 countries.

Sibylle LoiblGerman Breast Group, Neu-Isenburg, Germany.
Dennis RokittaDepartment of Pharmacology, University of Cologne, Germany.
Bettina ConradElisabeth Krankenhaus Kassel, Germany.
Nadia HarbeckBrustzentrum, Frauenklinik, University Munich, Germany.
Michaela WüllnerElisabeth Krankenhaus Kassel, Germany.
Mathias WarmBreast Unit, University Hospital Cologne, Germany.
Kathrin SchwedlerNeue Frauenklinik, Luzerner Kantonsspital, Germany.
Bernd GerberUFK Rostock, Germany.
Iris SchraderHenriettenstiftung Hannover, Germany.
Holger EidtmannUFK Schleswig-Holstein, Kiel, Germany.
Keyur MehtaGerman Breast Group, Neu-Isenburg, Germany.
Uwe FuhrDepartment of Pharmacology, University of Cologne, Germany.
Gunter von MinckwitzGerman Breast Group, Neu-Isenburg, Germany ; UFK Frankfurt/M., Germany.
German Breast group · DEMarienkrankenhaus Kassel · DEUniversity of Cologne · DEHannoversche Kinderheilanstalt · DELuzerner Kantonsspital · CHUniversitäts Frauenklinik · DEUniversity Hospital Cologne · DEUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSorafenib was tested for neoadjuvant treatment with an anthracycline/taxane-based chemotherapy in the open-label, multicentre, single-arm phase II study, 'SOFIA'. PATIENTS AND

methodsINCLUSION CRITERIA WERE: HER2 negative, cT3, cT4 or cT2 cN+, M0 primary breast cancer. Patients received 4 × epirubicin 90 mg/m(2) and cyclophosphamide 600 mg/m(2) (EC) intravenously (i.v.) in 3-weekly cycles followed or preceded by 12 weeks of paclitaxel (Pw) 80 mg/m(2). In cohort 1, sorafenib started at 800 mg daily with chemotherapy. An initial daily sorafenib dose of 200 mg was escalated, based on individual toxicities, every 3 weeks in cohort 2 (starting with EC) and every 2 weeks in cohort 3 (starting with Pw). The primary objective was to identify the most feasible regimen; secondary objectives were safety, pathological complete response (pCR) at surgery and pharmacokinetics.

resultsOf the 36 recruited patients, 7/12 patients completed the study in cohort 1 and 24/24 patients in cohorts 2 and 3. The median cumulative sorafenib dose per patient was 37%, 65% and 46% in cohorts 1, 2 and 3, respectively. The main grade 3-4 toxicities were neutropenia and hand-foot syndrome. The pCR (ypT0/is) rate was 27.7%. No pharmacokinetic interaction was observed between sorafenib and epirubicin.

conclusionSorafenib EC-Pw is feasible if the starting dose is 200 mg, escalated every 3 weeks based on the patients' individual toxicities.

Indexed as

AnthracyclineBreast cancerPharmacokineticsSorafenibTaxane

Identifiers

PMID25177258
PMCPMC4132235
OpenAlexW2169431251

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.