Evidence map›Paper›PMID 28451965›Full record

ArticleBreast cancer research and treatment2017

A breast cancer gene signature for indolent disease.

Leonie J M J Delahaye, Caroline A Drukker, Christa Dreezen, Anke Witteveen, Bob Chan, Mireille Snel, Inès J Beumer, Rene Bernards, M William Audeh, Laura J Van't Veer and 1 more

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Article
  3. Identification of Early-Stage Breast Cancer with a Minimal Risk of Recurrence by the Breast Cancer Index.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  4. Review
  5. Gene Expression Assays to Tailor Adjuvant Endocrine Therapy for HR+/HER2- Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

11 authors.

Leonie J M J DelahayeAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands.
Caroline A DrukkerDepartment of Surgical Oncology and Division of Molecular Carcinogenesis, Netherlands Cancer Institute, PO Box 90203, 1006 BE, Amsterdam, The Netherlands.
Christa DreezenAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands.
Anke WitteveenAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands.
Bob ChanAgendia Inc, 22 Morgan, Irvine, CA, 92618, USA.
Mireille SnelAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands.
Inès J BeumerAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands.
Rene BernardsAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands.
M William AudehAgendia Inc, 22 Morgan, Irvine, CA, 92618, USA.
Laura J Van't VeerAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands. laura.vantveer@ucsf.edu.
Annuska M GlasAgendia NV, Science Park 406, 1098 XH, Amsterdam, The Netherlands. annuska.glas@agendia.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly-stage hormone-receptor positive breast cancer is treated with endocrine therapy and the recommended duration of these treatments has increased over time. While endocrine therapy is considered less of a burden to patients compared to chemotherapy, long-term adherence may be low due to potential adverse side effects as well as compliance fatigue. It is of high clinical utility to identify subgroups of breast cancer patients who may have excellent long-term survival without or with limited duration of endocrine therapy to aid in personalizing endocrine treatment.

methodsWe describe a new ultralow risk threshold for the 70-gene signature (MammaPrint) that identifies a group of breast cancer patients with excellent 20 year, long-term survival prognosis. Tumors of these patients are referred to as "indolent breast cancer." We used patient series on which we previously established and assessed the 70-gene signature high-low risk threshold.

resultsIn an independent validation cohort, we show that patients with indolent breast cancer had 100% breast cancer-specific survival at 15 years of follow-up.

conclusionsOur data indicate that patients with indolent disease may be candidates for limited treatment with adjuvant endocrine therapy based on their very low risk of distant recurrences or death of breast cancer.

Indexed as

Gene Regulatory NetworksBreast NeoplasmsCohort StudiesFemaleGenetic Predisposition to DiseaseHumansKaplan-Meier EstimatePrecision MedicinePrognosisRisk AssessmentSurvival RateBreast cancerIndolent diseaseMammaPrintUltralow threshold

Identifiers

PMID28451965
PMCPMC5487706

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Registered trials

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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.