Evidence map›Paper›PMID 26758879›Full record

Trial reportCancer prevention research (Philadelphia, Pa.)2016

Exemestane Use in Postmenopausal Women at High Risk for Invasive Breast Cancer: Evaluating Biomarkers of Efficacy and Safety.

Margaret E Gatti-Mays, David Venzon, Claudia E Galbo, Andrea Singer, James Reynolds, Erini Makariou, Bhaskar Kallakury, Brandy M Heckman-Stoddard, Larissa Korde, Claudine Isaacs and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer prevention research (Philadelphia, Pa.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Drug repurposing for cancer therapy.Signal transduction and targeted therapy · 2024
    Review
  2. Review
  3. Article
  4. Review
  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 6 institutions in 2 countries.

Margaret E Gatti-MaysDepartment of Medicine, Medstar Georgetown University Hospital, Washington, DC. Margaret.gatti@gmail.com.
David VenzonBiostatistics and Data Management Section, NCI, NIH, Bethesda, Maryland.
Claudia E GalboDepartment of Radiology, Walter Reed National Military Medical Center, Bethesda, Maryland.
Andrea SingerDepartment of Medicine, Medstar Georgetown University Hospital, Washington, DC.
James ReynoldsDepartment of Nuclear Medicine, NIH, Bethesda, Maryland.
Erini MakariouDivision of Neuroradiology and Breast Imaging, Department of Radiology, Medstar Georgetown University Hospital, Washington, DC.
Bhaskar KallakuryDepartment of Laboratory Medicine, Medstar Georgetown University Hospital, Washington DC.
Brandy M Heckman-StoddardDivision of Cancer Prevention, NCI, Rockville, Maryland.
Larissa KordeDivision of Oncology, University of Washington, Seattle, Washington.
Claudine IsaacsLombardi Comprehensive Cancer Center, Georgetown University Hospital, Washington, DC.
Robert WarrenLombardi Comprehensive Cancer Center, Georgetown University Hospital, Washington, DC.
Ann GallagherLombardi Comprehensive Cancer Center, Georgetown University Hospital, Washington, DC.
Jennifer Eng-WongLombardi Comprehensive Cancer Center, Georgetown University Hospital, Washington, DC.
Georgetown University · USCenter for Cancer Research · USData Management (Italy) · ITNational Institutes of Health · USUniversity of Washington · USWalter Reed National Military Medical Center · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Intramural NIH HHS Z99 CA999999NCI NIH HHS P30 CA051008
6 · The paper itself

Abstract

This phase II trial evaluated clinical markers of efficacy and safety of exemestane in postmenopausal women at increased risk for breast cancer. Postmenopausal women (n = 42) at risk for invasive breast cancer received 25 mg exemestane daily for 2 years along with calcium and vitamin D. The primary outcome was change in mammographic density (MD) after one year. Secondary outcomes included change in serum steroid hormones as well as change in trefoil protein 1 (TFF1) and proliferating cell nuclear antigen (PCNA) in breast tissue. Safety and tolerability were also assessed. MD decreased at 1 year and was significant at 2 years [mean change = -4.1%; 95% confidence intervals (CI), -7.2 to -1.1; P = 0.009]. Serum estradiol and testosterone levels significantly decreased at 3 months and remained suppressed at 12 months. After 1 year of treatment, TFF1 intensity decreased (mean change -1.32; 95% CI, -1.87 to -0.76; P < 0.001). Exemestane was safe and well tolerated. Exemestane decreased MD and expression of breast tissue TFF1. It was well tolerated with few clinically relevant side effects. MD and breast tissue TFF1 are potential biomarkers of breast cancer-preventive effects of exemestane in high-risk postmenopausal women.

Indexed as

Quality of LifeAndrostadienesAromatase InhibitorsBiomarkers, TumorBone DensityBreast DensityBreast NeoplasmsFemaleFollow-Up StudiesHumansImmunoenzyme TechniquesLipidsMiddle AgedNeoplasm InvasivenessNeoplasm StagingPostmenopauseAndrostadienesAromatase InhibitorsBiomarkers, TumorexemestaneLipids

Identifiers

PMID26758879
PMCPMC4777638
OpenAlexW2233435881

What OpenQuestion holds

Textmetadata
LicenceTDM
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.