Evidence map›Paper›PMID 29117576›Full record

Trial reportEuropean journal of cancer (Oxford, England : 1990)2017

The utility of anti-Müllerian hormone in the diagnosis and prediction of loss of ovarian function following chemotherapy for early breast cancer.

R A Anderson, J Mansi, R E Coleman, D J A Adamson, R C F Leonard

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of cancer (Oxford, England : 1990), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06132542 (Autologous Adipose Derived Mesenchymal Stromal Cell Transplantation in Patients With Idiopathic or Drug Induced Premature Ovarian Failure), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
9.1field-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.

NCT06132542 phase1unknown statusnot on this mapstarted 2024, after this paper: background citation

Autologous Adipose Derived Mesenchymal Stromal Cell Transplantation in Patients With Idiopathic or Drug Induced Premature Ovarian Failure

TypeinterventionalSponsorMongolian National University of Medical SciencesRan2024 to 2024Enrolled10ConditionsPremature Ovarian FailureArmsstem cell therapy
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  17. Article
  18. Effect of actinomycin D on ovarian reserve in low-risk gestational trophoblastic neoplasia.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Article
  19. Cancer Treatment-Related Ovarian Dysfunction in Women of Childbearing Potential: Management and Fertility Preservation Options.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Review
  20. Premature Ovarian Insufficiency.Current opinion in endocrine and metabolic research · 2023
    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

5 authors at 5 institutions in 1 country.

R A AndersonMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK. Electronic address: Richard.anderson@ed.ac.uk.
J MansiDepartment of Oncology, Guy's and St Thomas' NHS Foundation Trust and Biomedical Research Centre, King's College London, UK.
R E ColemanDepartment of Oncology, Sheffield University, Sheffield, UK.
D J A AdamsonTayside Cancer Centre, Ward 32, Ninewells Hospital Dundee, UK.
R C F LeonardDepartment of Surgery and Oncology, Imperial College London, UK.
Imperial College London · GBKing's College London · GBMRC Centre for Reproductive Health · GBNinewells Hospital · GBUniversity of Sheffield · GB

Funding

Cancer Research UK C4831/A4181Medical Research Council G1100357Medical Research Council MR/N022556/1
6 · The paper itself

Abstract

aimChemotherapy results in permanent loss of ovarian function in some premenopausal women. Accurate identification in women with hormone-sensitive early breast cancer (eBC) would allow optimisation of subsequent endocrine treatment. We sought to assess whether analysis of anti-Müllerian hormone (AMH) using a sensitive automated assay could identify women who would not regain ovarian function after chemotherapy.

methodsData from women in the Ovarian Protection Trial in Premenopausal Breast Cancer Patients (OPTION) trial of goserelin (a gonadotrophin-releasing hormone (GnRH) analogue) for ovarian protection were analysed. Women were assessed for premature ovarian insufficiency (POI: amenorrhoea with elevated follicle-stimulating hormone (FSH)) at 24 months after diagnosis. The accuracy of AMH for the diagnosis of POI and its prediction from measurement at the end of chemotherapy was calculated.

resultsAMH below the level of detection showed good diagnostic accuracy for POI at 24 months (n = 73) with receiver operating characteristic (ROC) area under the curve of 0.86, sensitivity 1.0 and specificity 0.73 at the assay limit of detection. In women aged >40 at diagnosis who did not receive goserelin, AMH measured at end of chemotherapy also gave good prediction of POI at 24 months (area under the curve (AUC) 0.89 95% CI 0.75-1.0, n = 32), with sensitivity 0.91, specificity 0.82, diagnostic odds ratio (DOR) 42.8. FSH gave slightly lower AUC, and specificity was low at 0.55. Age but not tamoxifen impacted on AMH levels.

conclusionUsing this sensitive AMH assay, the finding of an undetectable AMH level in women aged >40 at the end of chemotherapy for eBC gave a good prediction that ovarian function would not return. This may allow alterations in post-chemotherapy endocrine management.

Indexed as

AdultAge FactorsAnti-Mullerian HormoneAntineoplastic AgentsArea Under CurveBiomarkersBreast NeoplasmsFemaleHumansOdds RatioOvaryPredictive Value of TestsPrimary Ovarian InsufficiencyReproducibility of ResultsRisk AssessmentRisk FactorsAnti-Mullerian HormoneAntineoplastic AgentsBiomarkersBreast cancerHormone sensitiveMenopauseOvarian function

Identifiers

PMID29117576
PMCPMC5733385
OpenAlexW2766021007

What OpenQuestion holds

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LicenceCC BY
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.