Evidence map›Paper›PMID 28843370›Full record

Trial reportInternational journal of radiation oncology, biology, physics2017

A phase 2 study of capecitabine and concomitant radiation in women with advanced breast cancer.

Wendy A Woodward, Penny Fang, Lisa Arriaga, Hui Gao, Evan N Cohen, James M Reuben, Vicente Valero, Huong Le-Petross, Lavinia P Middleton, Gildy V Babiera and 6 more

Erratum issuedOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Post-neoadjuvant treatment with capecitabine and trastuzumab emtansine in breast cancer patients-sequentially, or better simultaneously?Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Pooled it
  2. Article
  3. Review
  4. Preoperative partial breast radiation for favorable early-stage breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Long-term quality of life after preoperative radiochemotherapy in patients with localized and locally advanced breast cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  10. Post-Neoadjuvant Therapy.Breast care (Basel, Switzerland) · 2019
    Article
  11. Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Wendy A WoodwardDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: wwoodward@mdanderson.org.
Penny FangDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Lisa ArriagaDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Hui GaoDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Evan N CohenDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
James M ReubenDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Vicente ValeroDepartment of Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Huong Le-PetrossDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas; Department of Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Lavinia P MiddletonDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Gildy V BabieraDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Eric A StromDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Welela TereffeDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Karen HoffmanDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Benjamin D SmithDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Thomas A BuchholzDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
George H PerkinsDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Human Breast Cancer Stem Cell SurrogatesR01CA138239 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CRISTOFANILLI, MASSIMO, REUBEN, JAMES MARTIN · 2008 to 2012
$2.8M
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA138239
6 · The paper itself

Abstract

purposeTo examine the response rate of gross chemo-refractory breast cancer treated with concurrent capecitabine (CAP) and radiation therapy in a prospective Phase II study. METHODS AND MATERIALS: Breast cancer patients with inoperable disease after chemotherapy, residual nodal disease after definitive surgical resection, unresectable chest wall or nodal recurrence after a prior mastectomy, or oligometastatic disease were eligible. Response by RECIST criteria was assessed after 45 Gy. Conversion to operable, locoregional control, and grade ≥3 toxicities were assessed. The first 9 patients received CAP 825 mg/m

resultsFrom 2009 to 2012, 32 patients were accrued; 26 received protocol-specified treatment. Median follow-up was 12.9 months (interquartile range, 7.10-42.9 months). Nineteen patients (73%) had partial or complete response. Fourteen patients (53.9%) experienced grade 3 non-dermatitis toxicity (7 of 9 continuous dosing). Three of four inoperable patients converted to operable. One-year actuarial OS in the treated cohort was 54%. The trial was stopped early after interim analysis suggested futility independent of response. Treatment was deemed futile (ie, conversion to operable but M1 disease immediately postoperatively) in 9 of 10 patients with triple-negative (TN) versus 6 of 16 with non-TN disease (P=.014). Median OS and 1-year locoregional recurrence-free survival among non-TN versus TN patients was 22.8 versus 5.1 months, and 63% versus 20% (P=.007).

conclusionsCapecitabine can be safely administered on radiation days with careful clinical monitoring and was associated with encouraging response in this chemo-refractory cohort. However, patients with TN breast cancer had poor outcomes even when response was achieved. Further study in non-TN patients may be warranted.

Indexed as

AdultAgedAged, 80 and overAntimetabolites, AntineoplasticBreast NeoplasmsCapecitabineDisease-Free SurvivalDrug Administration ScheduleEarly Termination of Clinical TrialsFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm Recurrence, LocalPreoperative CareProspective StudiesAntimetabolites, AntineoplasticCapecitabine

Identifiers

PMID28843370
PMCPMC6072264
OpenAlexW2610433841

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.