Evidence map›Paper›PMID 26536871›Full record

Trial reportBreast cancer research and treatment2015

SOLTI NeoPARP: a phase II randomized study of two schedules of iniparib plus paclitaxel versus paclitaxel alone as neoadjuvant therapy in patients with triple-negative breast cancer.

Antonio Llombart-Cussac, Begoña Bermejo, Cristian Villanueva, Suzette Delaloge, Serafín Morales, Judith Balmaña, Kepa Amillano, Hervé Bonnefoi, Ana Casas, Luis Manso and 11 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Breast cancer research and treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  16. Progress in targeted therapy for breast cancer.Chronic diseases and translational medicine · 2018
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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

21 authors.

Antonio Llombart-CussacSOLTI Breast Cancer Research Group, Barcelona, Spain. allombart1@yahoo.com.
Begoña BermejoSOLTI Breast Cancer Research Group, Barcelona, Spain.
Cristian VillanuevaSOLTI Breast Cancer Research Group, Barcelona, Spain.
Suzette DelalogeGustave Roussy Institute, Villejuif, France.
Serafín MoralesSOLTI Breast Cancer Research Group, Barcelona, Spain.
Judith BalmañaSOLTI Breast Cancer Research Group, Barcelona, Spain.
Kepa AmillanoSOLTI Breast Cancer Research Group, Barcelona, Spain.
Hervé BonnefoiInstitut Bergonié, University of Bordeaux, INSERM U916, Bordeaux, France.
Ana CasasSOLTI Breast Cancer Research Group, Barcelona, Spain.
Luis MansoSOLTI Breast Cancer Research Group, Barcelona, Spain.
Henri RochéInstitut Claudius Regaud, Toulouse, France.
Santiago Gonzalez-SantiagoSOLTI Breast Cancer Research Group, Barcelona, Spain.
Joaquín GaviláSOLTI Breast Cancer Research Group, Barcelona, Spain.
Pedro Sánchez-RoviraMedical Oncology, Jaen Hospital, Jaen, Spain.
Serena Di CosimoSOLTI Breast Cancer Research Group, Barcelona, Spain.
Nadia HarbeckDepartment of OB&GYN, Breast Center, University of Munich, Munich, Germany.
Eric CharpentierSanofi Oncology Division, Cambridge, MA, USA.
Ignacio Garcia-RibasSanofi Oncology Division, Cambridge, MA, USA.
Nina Radosevic-RobinPathology Department, Jean Perrin Center, Clermont-Ferrand, France.
Claudia AuraMedical Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.
Jose BaselgaSOLTI Breast Cancer Research Group, Barcelona, Spain.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Iniparib is an investigational agent with antitumor activity of controversial mechanism of action. Two previous trials in advanced triple-negative breast cancer (TNBC) in combination with gemcitabine and carboplatin showed some evidence of efficacy that was not confirmed. This phase II randomized neoadjuvant study was designed to explore its activity and tolerability with weekly paclitaxel (PTX) as neoadjuvant treatment in TNBC patients. 141 patients with Stage II-IIIA TNBC were randomly assigned to receive PTX (80 mg/m(2), d1; n = 47) alone or in combination with iniparib, either once-weekly (PWI) (11.2 mg/kg, d1; n = 46) or twice-weekly (PTI) (5.6 mg/kg, d1, 4; n = 48) for 12 weeks. Primary endpoint was pathologic complete response (pCR) in the breast. pCR rate was similar among the three arms (21, 22, and 19 % for PTX, PWI, and PTI, respectively). Secondary efficacy endpoints were comparable: pCR in breast and axilla (21, 17, and 19 %); best overall response in the breast (60, 61, and 63 %); and breast conservation rate (53, 54, and 50 %). Slightly more patients in the PTI arm presented grade 3/4 neutropenia (4, 0, and 10 %). Grade 1/2 (28, 22, and 29 %), but no grade 3/4 neuropathy, was observed. There were no differences in serious adverse events and treatment-emergent adverse events leading to treatment discontinuation among the three arms. Addition of iniparib to weekly PTX did not add relevant antitumor activity or toxicity. These results do not support further evaluation of the combination of iniparib at these doses plus paclitaxel in early TNBC.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBenzamidesCombined Modality TherapyDrug Administration ScheduleFemaleHumansLymphatic MetastasisMiddle AgedNeoadjuvant TherapyNeoplasm StagingPaclitaxelTreatment OutcomeTriple Negative Breast NeoplasmsBenzamidesiniparibPaclitaxelBreast cancerIniparibNeoadjuvant chemotherapyPaclitaxelTriple-negative breast cancer

Identifiers

PMID26536871
PMCPMC4971774

What OpenQuestion holds

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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.