Evidence map›Paper›PMID 25655898›Full record

Trial reportBreast cancer (Tokyo, Japan)2016

A randomized controlled study evaluating safety and efficacy of leuprorelin acetate every-3-months depot for 2 versus 3 or more years with tamoxifen for 5 years as adjuvant treatment in premenopausal patients with endocrine-responsive breast cancer.

Eiichi Shiba, Hiroko Yamashita, Junichi Kurebayashi, Shinzaburo Noguchi, Hirotaka Iwase, Yasuo Ohashi, Kiyofumi Sasai, Tsukasa Fujimoto

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Breast cancer (Tokyo, Japan), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Tamoxifen Pharmacovigilance: Implications for Safe Use in the Future.The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists · 2017
    Article
  10. Article
  11. 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

8 authors at 6 institutions in 1 country.

Eiichi ShibaDepartment of Breast Surgery, Osaka Breast Clinic, 1-3-4 Fukushima, Fukushima-ku, Osaka, 553-0003, Japan. eshiba@goo.jp.
Hiroko YamashitaDepartment of Breast and Endocrine Surgery, Nagoya City University Hospital, Nagoya, Japan.
Junichi KurebayashiDepartment of Breast and Thyroid Surgery, Kawasaki Medical School, Kurashiki, Japan.
Shinzaburo NoguchiDepartment of Breast and Endocrine Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Hirotaka IwaseDepartment of Breast and Endocrine Surgery, Kumamoto University, Kumamoto, Japan.
Yasuo OhashiDepartment of Integrated Science and Engineering for Sustainable Society, Chuo University, Tokyo, Japan.
Kiyofumi SasaiTakeda Pharmaceutical Company Limited, Osaka, Japan.
Tsukasa FujimotoTakeda Pharmaceutical Company Limited, Osaka, Japan.
Takeda (Japan) · JPChuo University · JPHokkaido University Hospital · JPKawasaki Medical School · JPKumamoto University · JPOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLuteinizing hormone-releasing hormone (LH-RH) agonists provide effective adjuvant treatment for premenopausal women with endocrine-responsive breast cancer. Here, we investigated appropriate treatment durations of an LH-RH agonist, leuprorelin.

methodsWe conducted an open-label, randomized controlled pilot study to evaluate the safety and efficacy of leuprorelin subcutaneously administered every-3-months for 2 versus 3 or more, up to 5 years, together with daily tamoxifen for 5 years in premenopausal endocrine-responsive breast cancer patients. Primary endpoints were disease-free survival (DFS) and safety.

resultsEligible patients (N = 222) were randomly assigned to receive leuprorelin for either 2 years (N = 112) or 3 or more years (N = 110) with tamoxifen for 5 years after surgery. Leuprorelin treatment for 3 or more years provided no significant difference in DFS rate over 2 years: 94.1 versus 91.8 % at 144 weeks (3 years) after the second year (week 96) and 90.8 versus 90.4 % at the fifth year (week 240). The overall survival rate was 100 % for both groups during the third through fifth year study period. There were no significant differences in the incidence of adverse events (AEs) between the 2 groups: most AEs were rated grade 1 or 2.

conclusionsAdjuvant leuprorelin treatment for 3 or more years with tamoxifen showed a survival benefit and safety profile similar to that for 2 years in premenopausal endocrine-responsive breast cancer patients. No new safety signal was identified for long-term leuprorelin treatment. Longer follow-up observation is needed to determine the optimal duration of leuprorelin treatment.

Indexed as

AdultAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsBone DensityBreast NeoplasmsChemotherapy, AdjuvantDisease-Free SurvivalEstradiolFemaleHumansLeuprolideMiddle AgedPremenopauseSurvival RateTamoxifenTreatment OutcomeAntineoplastic Agents, HormonalEstradiolLeuprolideTamoxifenAdjuvant endocrine therapyDisease-free survival (DFS)Leuprorelin acetatePremenopausal endocrine-responsive breast cancerSafety

Identifiers

PMID25655898
PMCPMC4839052
OpenAlexW1971345072

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.