Evidence map›Paper›PMID 27031854›Full record

Trial reportBritish journal of cancer2016

Randomised phase III trial of FEC120 vs EC-docetaxel in patients with high-risk node-positive primary breast cancer: final survival analysis of the ADEBAR study.

W Janni, N Harbeck, B Rack, D Augustin, J Jueckstock, A Wischnik, K Annecke, C Scholz, J Huober, T Zwingers and 2 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.0field-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

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

  1. Pooled it
  2. Taxanes for adjuvant treatment of early breast cancer.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  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

12 authors at 6 institutions in 1 country.

W JanniDepartment of Gynecology and Obstetrics, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
N HarbeckDepartment of Gynecology and Obstetrics, Breast Center, Ludwig-Maximilian-University Munich, Marchioninistraße 15, 81377 München, Germany.
B RackDepartment of Gynecology and Obstetrics, Ludwig-Maximilians-University Munich, Maistraße 11, 80337 München, Germany.
D AugustinBreast Center, Department of Gynecology and Obstetrics, Hospital Deggendorf, Perlasberger Strasse 41, 94469 Deggendorf, Germany.
J JueckstockDepartment of Gynecology and Obstetrics, Ludwig-Maximilians-University Munich, Maistraße 11, 80337 München, Germany.
A WischnikBreast Center, Department of Gynecology, Klinikum Augsburg, Stenglinstrasse 2, 86156 Augsburg, Germany.
K AnneckeDepartment of Obstetrics and Gynecology, Technical University Clinics Rechts der Isar, Ismaninger Strasse 22, 81675 München, Germany.
C ScholzDepartment of Gynecology and Obstetrics, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
J HuoberDepartment of Gynecology and Obstetrics, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
T ZwingersEstimate GmbH, Konrad-Adenauer-Allee 1, 86150 Augsburg, Germany.
T W P FriedlDepartment of Gynecology and Obstetrics, University Hospital Ulm, Prittwitzstrasse 43, 89075 Ulm, Germany.
M KiechleDepartment of Obstetrics and Gynecology, Technical University Clinics Rechts der Isar, Ismaninger Strasse 22, 81675 München, Germany.
University Hospital Ulm · DELudwig-Maximilians-Universität München · DEKlinikum rechts der Isar · DEDeggendorf Institute of Technology · DEKonrad-Adenauer-Stiftung · DEUniversity Hospital Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTaxane-containing adjuvant chemotherapy has been established as standard treatment in node-positive breast cancer. This study compared efficacy and tolerability of epirubicin (E)/cyclophosphamide (C) followed by docetaxel (Doc) with a dose-dense 5-fluorouracil (F)+E+ C regimen.

methodsThe ADEBAR study was a randomised phase III trial for women with primary invasive breast cancer and ⩾4 metastatic axillary lymph nodes (n=1364). Treatment consisted of four 21-day cycles of E plus C, followed by four 21-day cycles of Doc (EC-Doc), or six 28-day cycles of E plus F plus C (FEC120).

resultsDisease-free survival (DFS) was similar in the two treatment arms as shown by multivariate Cox regression adjusted for other prognostic factors (EC-Doc vs FEC120, hazard ratio (HR): 1.087; 95% confidence interval (CI): 0.878-1.346, P=0.444). In addition, there was no significant difference in overall survival (OS) between the two groups (HR: 0.974; 95% CI: 0.750-1.264, P=0.841). Haematologic toxicity was more common in FEC120 recipients; non-haematologic toxicities occurred more frequently in the EC-Doc arm. The serious adverse event rate was significantly higher in the FEC120 group (29.7% vs 22.5%).

conclusionsEC-Doc provides a feasible and effective alternative therapy option to FEC120 with a different safety profile in this high-risk breast cancer cohort.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsAxillaBreast NeoplasmsChemotherapy, AdjuvantCyclophosphamideDisease-Free SurvivalDocetaxelDrug Administration ScheduleEpirubicinFemaleFluorouracilHumansLymphatic MetastasisLymph NodesCyclophosphamideDocetaxelEpirubicinFluorouracilTaxoids

Identifiers

PMID27031854
PMCPMC4984804
OpenAlexW2323000147

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.