Evidence map›Paper›PMID 27092785›Full record

ArticleBritish journal of cancer2016

Adjuvant ovarian function suppression and cognitive function in women with breast cancer.

Kelly-Anne Phillips, Meredith M Regan, Karin Ribi, Prudence A Francis, Fabio Puglisi, Meritxell Bellet, Simon Spazzapan, Per Karlsson, Daniel R Budman, Khalil Zaman and 12 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00659373 (Investigating Cognitive Function for Patients Participating in the SOFT Trial in Selected Centers), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT00659373 phase3completednot on this map

Investigating Cognitive Function for Patients Participating in the SOFT Trial in Selected Centers

TypeinterventionalSponsorETOP IBCSG Partners FoundationRan2007 to 2016Enrolled86ConditionsBreast Cancer, Fatigue, Sleep DisordersArmsTamoxifen, triptorelin, Exemestane
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Long-term health-related quality of life among adolescent and young adult breast cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  4. Review
  5. Ovarian Suppression: Early Menopause and Late Effects.Current treatment options in oncology · 2024
    Review
  6. Article
  7. Long-Term Cognitive Dysfunction in Cancer Survivors.Frontiers in molecular biosciences · 2021
    Review
  8. Cancer-related cognitive impairment: an update on state of the art, detection, and management strategies in cancer survivors.Annals of oncology : official journal of the European Society for Medical Oncology · 2019
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Ovarian Aging in Women With BRCA Germline Mutations.The Journal of clinical endocrinology and metabolism · 2017
    Article
  14. Review
  15. Review
  16. Reply to F. Tomao et al.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 11 institutions in 4 countries.

Kelly-Anne PhillipsDivision of Cancer Medicine, Peter MacCallum Cancer Centre, St Andrew's Place, East Melbourne, VIC 3002, Australia.
Meredith M ReganInternational Breast Cancer Study Group Statistical Center, Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Karin RibiInternational Breast Cancer Study Group Coordinating Center, Effingerstrasse 40, Bern CH-3008, Switzerland.
Prudence A FrancisDivision of Cancer Medicine, Peter MacCallum Cancer Centre, St Andrew's Place, East Melbourne, VIC 3002, Australia.
Fabio PuglisiInternational Breast Cancer Study Group, Bern CH-3008, Switzerland.
Meritxell BelletVall d'Hebron Institute of Oncology (VHIO) and Vall d'Hebron University Hospital, Barcelona 08035, Spain.
Simon SpazzapanInternational Breast Cancer Study Group, Bern CH-3008, Switzerland.
Per KarlssonInternational Breast Cancer Study Group, Bern CH-3008, Switzerland.
Daniel R BudmanMonter Cancer Center of the North Shore-LIJ Health System, 450 Lakeville Road, Lake Success, NY 11042, USA.
Khalil ZamanInternational Breast Cancer Study Group, Bern CH-3008, Switzerland.
Ehtesham A AbdiAustralia and New Zealand Breast Cancer Trials Group (ANZBCTG), Platt Street, Waratah, NSW 2298, Australia.
Susan M DomchekAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA 19104, USA.
Yang FengInternational Breast Cancer Study Group Statistical Center, Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Karen N PriceInternational Breast Cancer Study Group Statistical Center, Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Alan S CoatesAustralia and New Zealand Breast Cancer Trials Group (ANZBCTG), Platt Street, Waratah, NSW 2298, Australia.
Richard D GelberInternational Breast Cancer Study Group Statistical Center, Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Paul MaruffCogstate Ltd, 2/255 Bourke Street, Melbourne, VIC 3000, Australia.
Frances BoyleAustralia and New Zealand Breast Cancer Trials Group (ANZBCTG), Platt Street, Waratah, NSW 2298, Australia.
John F ForbesInternational Breast Cancer Study Group, Bern CH-3008, Switzerland.
Tim AhlesDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, 641 Lexington Ave Fl 7, New York, NY 10022, USA.
Gini F FlemingAlliance for Clinical Trials in Oncology, Chicago, IL 60637, USA.
Jürg BernhardInternational Breast Cancer Study Group Coordinating Center, Effingerstrasse 40, Bern CH-3008, Switzerland.
International Breast Cancer Study Group · CHDana-Farber Cancer Institute · USPeter MacCallum Cancer Centre · AUAlliance for Clinical Trials in Oncology · USCalvary Mater Newcastle Hospital · AUFrontier Science & Technology Research Foundation · USMemorial Sloan Kettering Cancer Center · USNorthwell Health · USUniversity of Pennsylvania · USUniversity of Sydney · AUVall d'Hebron Hospital Universitari · ES

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
SWOG - Foreign Accrual under UMiU10CA032102 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BLANKE, CHARLES D. · 1985 to 2013
$141.3M
ECOG OPERATIONS OFFICE (IBCSG)U10CA021115 · NCI · UNIVERSITY OF WISCONSIN MADISON · PI COMIS, ROBERT L · 1985 to 2013
$132.6M
PRIMARY CANCER THERAPY GROUP--NSABP (HEADQUARTERS)U10CA012027 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WOLMARK, NORMAN · 1985 to 2012
$117.2M
NSABP Foreign AccrualsU10CA037377 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WOLMARK, NORMAN · 1985 to 2014
$116.5M
STUDY TO ASSESS RALOXIFENE FOR PREVENTING BREAST CANCERU10CA069974 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COSTANTINO, JOSEPH P. · 1995 to 2013
$62.4M
PRIMARY BREAST CANCER THERAPY--BIOSTATISTICS CENTERU10CA069651 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COSTANTINO, JOSEPH P. · 1995 to 2012
$52.1M
NCIC Foreign AccrualsU10CA077202 · NCI · QUEEN'S UNIVERSITY AT KINGSTON · PI EISENHAUER, ELIZABETH · 1998 to 2013
$14.6M
Northwell Health NCORPUG1CA189850 · NCI · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI VINCENT P VINCIGUERRA · 2014 to 2026
$13.3M
IBCSG STATISTICAL CENTER--A BREAST CANCER STUDY RESOURCEU24CA075362 · NCI · DANA-FARBER CANCER INSTITUTE · PI REGAN, MEREDITH M · 1997 to 2015
$7.5M
NORTH SHORE UNIV COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035279 · NCI · NORTH SHORE UNIVERSITY HOSPITAL · PI VINCIGUERRA, VINCENT P · 1985 to 2014
$7.3M
NCI NIH HHS N01 CA032102NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA012027NCI NIH HHS U10 CA016116NCI NIH HHS U10 CA021115NCI NIH HHS U10 CA032102NCI NIH HHS U10 CA035279NCI NIH HHS U10 CA037377NCI NIH HHS U10 CA069651NCI NIH HHS U10 CA069974NCI NIH HHS U10 CA077202NCI NIH HHS U10 CA180821NCI NIH HHS U24 CA075362NCI NIH HHS UG1 CA189850
6 · The paper itself

Abstract

backgroundTo examine the effect on cognitive function of adjuvant ovarian function suppression (OFS) for breast cancer.

methodsThe Suppression of Ovarian Function (SOFT) trial randomised premenopausal women with hormone receptor-positive breast cancer to 5 years adjuvant endocrine therapy with tamoxifen+OFS, exemestane+OFS or tamoxifen alone. The Co-SOFT substudy assessed objective cognitive function and patient reported outcomes at randomisation (T0), and 1 year later (T1); the primary endpoint was change in global cognitive function, measured by the composite objective cognitive function score. Data were compared for the pooled tamoxifen+OFS and exemestane+OFS groups vs the tamoxifen alone group using the Wilcoxon rank-sum test.

resultsOf 86 participants, 74 underwent both T0 and T1 cognitive testing; 54 randomised to OFS+ either tamoxifen (28) or exemestane (26) and 20 randomised to tamoxifen alone. There was no significant difference in the changes in the composite cognitive function scores between the OFS+ tamoxifen or exemestane groups and the tamoxifen group (mean±s.d., -0.21±0.92 vs -0.04±0.49, respectively, P=0.71, effect size=-0.20), regardless of prior chemotherapy status, and adjusting for baseline characteristics.

conclusionsThe Co-SOFT study, although limited by small samples size, provides no evidence that adding OFS to adjuvant oral endocrine therapy substantially affects global cognitive function.

Indexed as

Adjuvants, ImmunologicAdultAntineoplastic Agents, HormonalBreast NeoplasmsCognitionFemaleHumansMiddle AgedOvaryPremenopauseQuality of LifeTamoxifenAdjuvants, ImmunologicAntineoplastic Agents, HormonalTamoxifen

Identifiers

PMID27092785
PMCPMC4984913
OpenAlexW2339914653

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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.