Evidence map›Paper›PMID 27872127›Full record

ReviewCancer discovery2016

Targeting Cancer Metabolism: Dietary and Pharmacologic Interventions.

Claudio Vernieri, Stefano Casola, Marco Foiani, Filippo Pietrantonio, Filippo de Braud, Valter Longo

6 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Cancer discovery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT03340935 nacompletednot on this mapstarted 2017, after this paper: background citation

Safety, Feasibility and Metabolic Effects of the Fasting Mimicking Diet (FMD) in Cancer Patients

TypeinterventionalSponsorFilippo de BraudRan2017 to 2020Enrolled101ConditionsMalignant Neoplasm, CancerArmsFasting mimicking diet
NCT03454282 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Impact of Dietary Intervention on Tumor Immunity: the DigesT Trial.

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2018 to 2020Enrolled100ConditionsBreast Cancer, Melanoma, MalignantArmsFMD
NCT03709147 phase2unknown statusnot on this mapstarted 2018, after this paper: background citation

Exploiting Metformin Plus/Minus Cyclic Fasting Mimicking Diet (FMD) to Improve the Efficacy of First Line Chemo-immunotherapy in Advanced LKB1-inactive Lung Adenocarcinoma

TypeinterventionalSponsorMarina GarassinoRan2018 to 2023Enrolled64ConditionsAdvanced LKB1-inactive Lung AdenocarcinomaArmsMetformin Hydrochloride, Cisplatin, Carboplatin, Pemetrexed, Fasting-mimicking diet
NCT04001725 phase2unknown statusnot on this mapstarted 2019, after this paper: background citation

Efficacy of metfOrmin in PrevenTIng Glucocorticoid-induced Diabetes in Melanoma, breAst or Lung Cancer Patients With Brain Metastases: the Phase II OPTIMAL Study

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2019 to 2022Enrolled110ConditionsBrain Metastases, Melanoma, Lung Cancer, Breast CancerArmsDexamethasone, Metformin
NCT04248998 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Targeting Triple Negative BREAst Cancer Metabolism With a Combination of Chemotherapy and a Diet Mimicking FASTing Plus/Minus Metformin in the Preoperative Setting: the BREAKFAST Trial

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2020 to 2024Enrolled30ConditionsTriple-negative Breast CancerArmsFasting-mimicking diet, Metformin, Preoperative chemotherapy
NCT05763992 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Targeting Triple Negative BREAst Cancer Metabolism With a Combination of Chemoimmunotherapy and a FASTing-like Approach in the Preoperative Setting: the BREAKFAST 2 Trial

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2023 to 2026Enrolled145ConditionsBreast Cancer, Triple Negative Breast Cancer, Dietary Exposure, FastingArmsControl diet (ARM A) or Fasting-Like Approach (FLA, ARM B)
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 198 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Introduction to Cancer Metabolism.Cancer treatment and research · 2026
    Review
  14. Review
  15. Lifestyle-Based Approaches to Cancer Prevention and Treatment: Diet, Physical Activity, and Integrative Strategies.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Associated effects of blood metal(loid) exposure and impaired glucose metabolism in patients with gastric precancerous lesions or gastric cancer.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2025
    Article

53 more citing papers are in PubMed but not listed here.

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

6 authors at 4 institutions in 2 countries.

Claudio VernieriMedical Oncology Department, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy. claudio.vernieri@istitutotumori.mi.it valter.longo@ifom.eu.
Stefano CasolaFondazione Istituto FIRC di Oncologia Molecolare (IFOM), Milan, Italy.
Marco FoianiFondazione Istituto FIRC di Oncologia Molecolare (IFOM), Milan, Italy.
Filippo PietrantonioMedical Oncology Department, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Filippo de BraudMedical Oncology Department, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Valter LongoFondazione Istituto FIRC di Oncologia Molecolare (IFOM), Milan, Italy. claudio.vernieri@istitutotumori.mi.it valter.longo@ifom.eu.
IFOM · ITUniversity of Milan · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Southern California · US

Funding

The Role of the Glucose-regulated Protein GRP78/BiP in Stress Resistance and AginP01AG034906 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LONGO, VALTER D. · 2011 to 2016
$9.3M
NIA NIH HHS P01 AG034906
6 · The paper itself

Abstract

Most tumors display oncogene-driven reprogramming of several metabolic pathways, which are crucial to sustain their growth and proliferation. In recent years, both dietary and pharmacologic approaches that target deregulated tumor metabolism are beginning to be considered for clinical applications. Dietary interventions exploit the ability of nutrient-restricted conditions to exert broad biological effects, protecting normal cells, organs, and systems, while sensitizing a wide variety of cancer cells to cytotoxic therapies. On the other hand, drugs targeting enzymes or metabolites of crucial metabolic pathways can be highly specific and effective, but must be matched with a responsive tumor, which might rapidly adapt. In this review, we illustrate how dietary and pharmacologic therapies differ in their effect on tumor growth, proliferation, and metabolism and discuss the available preclinical and clinical evidence in favor of or against each of them. We also indicate, when appropriate, how to optimize future investigations on metabolic therapies on the basis of tumor- and patient-related characteristics. SIGNIFICANCE: To our knowledge, this is the first review article that comprehensively analyzes the preclinical and preliminary clinical experimental foundations of both dietary and pharmacologic metabolic interventions in cancer therapy. Among several promising therapies, we propose treatment personalization on the basis of tumor genetics, tumor metabolism, and patient systemic metabolism.Cancer Discov; 6(12); 1315-33. ©2016 AACR.

Indexed as

Antineoplastic AgentsCell ProliferationCell SurvivalCombined Modality TherapyDiet TherapyHumansMetabolic Networks and PathwaysNeoplasmsPrecision MedicineAntineoplastic Agents

Identifiers

PMID27872127
PMCPMC5140697
OpenAlexW2554098255

What OpenQuestion holds

Textmetadata
LicenceTDM
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.