Evidence map›Paper›PMID 28878375›Full record

Trial reportScientific reports2017

Fasting glucose and body mass index as predictors of activity in breast cancer patients treated with everolimus-exemestane: The EverExt study.

Laura Pizzuti, Paolo Marchetti, Clara Natoli, Teresa Gamucci, Daniele Santini, Angelo Fedele Scinto, Laura Iezzi, Lucia Mentuccia, Loretta D'Onofrio, Andrea Botticelli and 15 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Expected and paradoxical effects of obesity on cancer treatment response.Reviews in endocrine & metabolic disorders · 2021
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
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

25 authors at 10 institutions in 3 countries.

Laura PizzutiDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Paolo MarchettiMedical Oncology Unit Policlinico Sant'Andrea, Via di Grottarossa 1035/1039, 00189, Rome, Italy.
Clara NatoliDepartment of Medical, Oral and Biotechnological Sciences and CeSI-MeT, G. d'Annunzio University, Via dei Vestini, 66100, Chieti, Italy.
Teresa GamucciMedical Oncology Unit, SS Trinità Hospital, S.Marciano, 03039, Sora, Frosinone, Italy.
Daniele SantiniDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Via Álvaro del Portillo, 200, 00128, Roma, Italy.
Angelo Fedele ScintoMedical Oncology, Ospedale San Giovanni Calibita Fatebenefratelli, ISOLA TIBERINA, Piazza In Piscinula 13 -, 00153, Roma, Italy.
Laura IezziDepartment of Medical, Oral and Biotechnological Sciences and CeSI-MeT, G. d'Annunzio University, Via dei Vestini, 66100, Chieti, Italy.
Lucia MentucciaMedical Oncology Unit, SS Trinità Hospital, S.Marciano, 03039, Sora, Frosinone, Italy.
Loretta D'OnofrioDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Via Álvaro del Portillo, 200, 00128, Roma, Italy.
Andrea BotticelliMedical Oncology Unit Policlinico Sant'Andrea, Via di Grottarossa 1035/1039, 00189, Rome, Italy.
Luca MoscettiDepartment of Oncology and Haematology, Azienda Ospedaliera Policlinico, Via del Pozzo 71, 41124, Modena, Italy.
Francesca SperatiBiostatistics Unit, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Claudio BottiDepartment of Surgery, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Francesca FerrantiDepartment of Radiology, Regina Elena National Cancer Institue, Via Elio Chianesi 53, 00144, Rome, Italy.
Simonetta BuglioniDepartment of Pathology, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Giuseppe SanguinetiDepartment of Radiation Oncology, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Simona Di FilippoEmergency Department, Santa Maria Goretti Hospital, Via Canova 3, 04100, Latina, Italy.
Luigi di LauroDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Domenico SergiDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Teresa CatenaroDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Silverio TomaoDepartment of Medico-Surgical Sciences and Biotechnologies, La "Sapienza" University of Rome, Oncology Unit, Istituto Chirurgico Ortopedico Traumatologico, Via Franco Faggiana 1668, 04100, Latina, Italy.
Antonio GiordanoSbarro Institute for Cancer Research and Molecular Medicine e del Center for Biotechnology, College of Science and Technology, 1900 N, 12th Street, Temple University, Philadelphia, PA, USA.
Marcello Maugeri-SaccàDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Maddalena BarbaDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy. maddalena.barba@gmail.com.ORCID 0000-0001-9050-2917
Patrizia ViciDivision of Medical Oncology 2, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.
Azienda Ospedaliera Sant'Andrea · ITSantissima Trinità · ITUniversità Campus Bio-Medico · ITUniversity of Chieti-Pescara · ITAzienda Ospedaliero-Universitaria di Modena · ITFatebenefratelli Hospital · ITNational Cancer Institute · MYOspedale Santa Maria Goretti · ITSapienza University of Rome · ITTemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence on everolimus in breast cancer has placed hyperglycemia among the most common high grade adverse events. Anthropometrics and biomarkers of glucose metabolism were investigated in a observational study of 102 postmenopausal, HR + HER2- metastatic breast cancer patients treated with everolimus-exemestane in first and subsequent lines. Best overall response (BR) and clinical benefit rate (CBR) were assessed across subgroups defined upon fasting glucose (FG) and body mass index (BMI). Survival was estimated by Kaplan-Meier method and log-rank test. Survival predictors were tested in Cox models. Median follow up was 12.4 months (1.0-41.0). The overall cohort showed increasing levels of FG and decreasing BMI (p < 0.001). Lower FG fasting glucose at BR was more commonly associated with C/PR or SD compared with PD (p < 0.001). We also observed a somewhat higher BMI associated with better response (p = 0.052). More patients in the lowest FG category achieved clinical benefit compared to the highest (p < 0.001), while no relevant differences emerged for BMI. Fasting glucose at re-assessment was also predictive of PFS (p = 0.037), as confirmed in models including BMI and line of therapy (p = 0.049). Treatment discontinuation was significantly associated with changes in FG (p = 0.014). Further research is warranted to corroborate these findings and clarify the underlying mechanisms.

Indexed as

Blood GlucoseBody Mass IndexAgedAndrostadienesAntineoplastic Combined Chemotherapy ProtocolsBiomarkersBreast NeoplasmsEverolimusFastingFemaleHumansKaplan-Meier EstimateMiddle AgedPrognosisTreatment OutcomeAndrostadienesBiomarkersBlood GlucoseEverolimusexemestane

Identifiers

PMID28878375
PMCPMC5587713
OpenAlexW2752344767

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.