Evidence map›Paper›PMID 28399902›Full record

Trial reportBreast cancer research : BCR2017

Efficacy and safety of everolimus in combination with trastuzumab and paclitaxel in Asian patients with HER2+ advanced breast cancer in BOLERO-1.

Masakazu Toi, Zhimin Shao, Sara Hurvitz, Ling-Ming Tseng, Qingyuan Zhang, Kunwei Shen, Donggeng Liu, Jifeng Feng, Binghe Xu, Xiaojia Wang and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Breast cancer research : BCR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00876395 (A Randomized Phase III, Double-Blind, Placebo-Controlled Multicenter Trial of Everolimus in Combination With Trastuzumab and Paclitaxel, as First Line Therapy in Women With HER2 Positive Locally Advanced or Metastatic Breast Cancer), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT00876395 phase3completednot on this map

A Randomized Phase III, Double-Blind, Placebo-Controlled Multicenter Trial of Everolimus in Combination With Trastuzumab and Paclitaxel, as First Line Therapy in Women With HER2 Positive Locally Advanced or Metastatic Breast Cancer

TypeinterventionalSponsorNovartis PharmaceuticalsRan2009 to 2017Enrolled719ConditionsBreast CancerArmsEverolimus, Placebo, Trastuzumab, Paclitaxel
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 27 citations in OpenAlex.

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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

16 authors at 15 institutions in 7 countries.

Masakazu ToiDepartment of Breast Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. toi@kuhp.kyoto-u.ac.jp.
Zhimin ShaoDepartment of Breast Surgery, Cancer Hospital of Fudan University, Shanghai, China.
Sara HurvitzUniversity of California, Los Angeles (UCLA), Los Angeles, CA, USA.
Ling-Ming TsengTaipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan.
Qingyuan ZhangDepartment of Medical Oncology, Tumor Hospital of Harbin Medical University, Harbin, China.
Kunwei ShenRuijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Donggeng LiuDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jifeng FengJiangsu Cancer Hospital, 210009, Nanjing, China.
Binghe XuDepartment of Medical Oncology, Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang District, Beijing, China.
Xiaojia WangDepartment of Medical Oncology, Affiliated Zhejiang Cancer Hospital of Zhejiang Chinese Medical University Hangzhou, Hangzhou, Zhejiang Province, China.
Keun Seok LeeCenter for Breast Cancer, National Cancer Center, Gyeunggi-do, South Korea.
Ting Ying NgDepartment of Clinical Oncology, Tuen Mun Hospital, Tuen Mun, Hong Kong.
Antonia RidolfiNovartis Pharma SAS, Rueil-Malmaison, France.
Florence Noel-BaronNovartis Pharma AG, Basel, Switzerland.
Francois RingeisenNovartis Pharma AG, Basel, Switzerland.
Zefei JiangBeijing 307 Hospital of PLA, Beijing, China.
Novartis (Switzerland) · CH307th Hospital of Chinese People’s Liberation Army · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNFudan University Shanghai Cancer Center · CNJiangsu Cancer Hospital · CNKyoto University · JPNational Cancer Center · KRNovartis (France) · FRRuijin Hospital · CNSun Yat-sen University · CNTaipei Veterans General Hospital · TWThird Affiliated Hospital of Harbin Medical University · CNTuen Mun Hospital · CNUniversity of California, Los Angeles · USZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current exploratory analysis was performed to evaluate the efficacy and safety of everolimus for treatment of human epidermal growth factor receptor 2-positive (HER2+) advanced breast cancer in the Asian subset of patients in the BOLERO-1 trial.

methodsPostmenopausal women with HER2+ advanced breast cancer, who had not received systemic therapy for advanced disease, were randomized 2:1 to receive everolimus or placebo, plus trastuzumab and paclitaxel. The two primary end points were investigator-assessed progression-free survival (PFS) in the full population and in the hormone receptor-negative (HR-) subpopulation. Secondary end points included assessment of the objective response rate, the clinical benefit rate, and safety.

resultsIn the Asian subset, median PFS was similar in the everolimus (n = 198) and placebo (n = 105) arms in the full analysis set (hazard ratio = 0.82 (95% CI 0.61-1.11)). In the HR- subpopulation, everolimus prolonged median PFS by 10.97 months vs placebo (25.46 vs 14.49 months; hazard ratio = 0.48 (95% CI 0.29-0.79)). In the everolimus arm of the Asian subset, the most common adverse events of any grade were stomatitis (62.2%), diarrhea (48.0%), rash (43.4%) and neutropenia (42.3%). Neutropenia (grade 3: 27.6%; grade 4: 4.6%) and decreased neutrophil count (grade 3: 11.2%; grade 4: 3.6%) were the most frequent grade 3/4 adverse events. Serious adverse events included pneumonia (5.1%), pneumonitis (3.1%), and interstitial lung disease (3.1%). There were three deaths (1.5%) during treatment in the everolimus arm vs none in the placebo arm.

conclusionsThe efficacy and safety of everolimus plus trastuzumab and paclitaxel as first-line treatment for HER2+ advanced breast cancer in the Asian subset was consistent with that reported previously in the overall population.

trial registrationClinicalTrials.gov, NCT00876395 . Registered on 2 April 2009.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesEverolimusFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm MetastasisNeoplasm StagingPaclitaxelProportional Hazards ModelsRetreatmentErb-b2 Receptor Tyrosine KinasesEverolimusPaclitaxelTrastuzumabAdvanced breast cancerAsianBOLERO-1EverolimusHER2Metastatic breast cancer

Identifiers

PMID28399902
PMCPMC5387380
OpenAlexW2605380299

What OpenQuestion holds

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LicenceCC BY
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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.