Evidence map›Paper›PMID 26084292›Full record

Trial reportOncotarget2015

Efficacy and safety analysis of trastuzumab and paclitaxel based regimen plus carboplatin or epirubicin as neoadjuvant therapy for clinical stage II-III, HER2-positive breast cancer patients: a phase 2, open-label, multicenter, randomized trial.

Liang Huang, Sheng Chen, Wentao Yang, Binghe Xu, Tao Huang, Hongjian Yang, Hong Zheng, Yongsheng Wang, Erwei Song, Jin Zhang and 6 more

Open access · diamondAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Neoadjuvant therapy withAnnals of translational medicine · 2023
    Article
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  7. Anthracycline-containingTherapeutic advances in medical oncology · 2021
    Article
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  9. Review
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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 14 institutions in 1 country.

Liang HuangDepartment of Breast Surgery, Fudan University Shanghai Cancer Center/Cancer Institute, Shanghai, China.
Sheng ChenDepartment of Breast Surgery, Fudan University Shanghai Cancer Center/Cancer Institute, Shanghai, China.
Wentao YangDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Binghe XuDepartment of Medical Oncology, Cancer Institute and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Tao HuangDepartment of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hongjian YangDepartment of Breast Tumor Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Hong ZhengDepartment of Head and Neck and Mammary Oncology, Cancer Center and State Key Laboratory of Biotherapy, Laboratory of Molecular Diagnosis of Cancer, West China Hospital, Sichuan University, Chengdu, China.
Yongsheng WangBreast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, China.
Erwei SongBreast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Jin Zhang3rd Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Shude CuiHenan Breast Cancer Center, Henan Cancer Hospital, Zhengzhou, China.
Da PangDepartment of Breast Surgery, The Third Affiliated Hospital of Harbin Medical University, Harbin, China.
Lili TangDepartment of Breast Surgery, Xiangya Hospital, Central South University, Changsha, China.
Yutao LeiDepartment of Breast Surgery, Peking University Third Hospital, Beijing, China.
Cuizhi GengDepartment of Breast Cancer Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Zhiming ShaoDepartment of Breast Surgery, Fudan University Shanghai Cancer Center/Cancer Institute, Shanghai, China.
Fudan University Shanghai Cancer Center · CNShanghai Medical College of Fudan University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNHarbin Medical University · CNHebei Medical University · CNHenan Cancer Hospital · CNPeking University Third Hospital · CNShandong First Medical University · CNState Key Laboratory of BiotherapySun Yat-sen Memorial Hospital · CNTianjin Medical University Cancer Institute and Hospital · CNUnion Hospital · CNXiangya Hospital Central South University · CNZhejiang Cancer Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This trial was designed to compare the efficacy and safety between epirubicin (E) and carboplatin (C) in combination with paclitaxel (P) and trastuzumab (H) in neoadjuvant setting. In 13 Chinese cancer centers, 100 patients with HER2-positive, locally advanced breast cancer were 1:1 randomized to receive medication as follows: trastuzumab and paclitaxel weekly combined with carboplatin weekly for PCH group, or epirubicin every 3 weeks for PEH group. Patients were given 4 to 6 cycles of chemotherapy. The primary endpoint was pathologic complete response (pCR) rate, which was no significant difference in PCH and PEH regimen (39.1% vs. 48.8%; p=0.365). However, PEH regimen achieved higher pCR in luminal-B (HER2-poitive) subgroup (55.0% vs. 24.0%; p = 0.033), but not in ERBB2+ subgroup (42.9% vs. 57.1%; p = 0.355). PEH regimen showed a favorable efficacy in PIK3CA mutated subgroup (69.2% vs.23.5%, p=0.012). No significant difference was observed in the subgroup analysis of TP53 mutation status, PTEN expression, FCGR2A SNP and FCGR3A SNP. Both regimens as neoadjuvant chemotherapy achieve similar efficacy and safety. PEH might improve pCR rate, especially in the luminal-B subtype and PIK3CA mutation subtype. PEH is feasible and less likely to increase the incidence of acute cardiac events compared to PCH.

Indexed as

AdultAgedAnemiaAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCarboplatinClass I Phosphatidylinositol 3-KinasesDrug Administration ScheduleEpirubicinErb-b2 Receptor Tyrosine KinasesFatigueFemaleHumansMiddle AgedNauseaNeoadjuvant TherapyCarboplatinClass I Phosphatidylinositol 3-KinasesEpirubicinErb-b2 Receptor Tyrosine KinasesFCGR2A protein, humanFCGR3A protein, humanPaclitaxelPhosphatidylinositol 3-KinasesPIK3CA protein, humanPTEN PhosphohydrolaseReceptors, IgGTrastuzumabTumor Suppressor Protein p53anthracyclinecarboplatinclinical trialneoadjuvant chemotherapypathological complete responsetrastuzumab

Identifiers

PMID26084292
PMCPMC4621920
OpenAlexW1781991762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.