Evidence map›Paper›PMID 30066497›Full record

ArticleCancer medicine2018

Clinical benefit of treatment with eribulin mesylate for metastatic triple-negative breast cancer: Long-term outcomes of patients treated in the US community oncology setting.

Sarah S Mougalian, Ronda Copher, Jonathan K Kish, Lindsay McAllister, Zhixiao Wang, Mary Broscious, David Garofalo, Janna Radtchenko, Bruce A Feinberg

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 20% 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, 19 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Review
  5. New Concepts in Cardio-Oncology.Cancer treatment and research · 2023
    Article
  6. Article
  7. Article
  8. Observational
  9. Review
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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

9 authors at 3 institutions in 2 countries.

Sarah S MougalianYale Cancer Center, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-8837-1425
Ronda CopherEisai Inc., Woodcliff Lake, New Jersey.
Jonathan K KishCardinal Health Specialty Solutions, Dallas, Texas.
Lindsay McAllisterCardinal Health Specialty Solutions, Dallas, Texas.
Zhixiao WangEisai Inc., Woodcliff Lake, New Jersey.
Mary BrosciousCardinal Health Specialty Solutions, Dallas, Texas.
David GarofaloCardinal Health Specialty Solutions, Dallas, Texas.
Janna RadtchenkoCardinal Health Specialty Solutions, Dallas, Texas.
Bruce A FeinbergCardinal Health Specialty Solutions, Dallas, Texas.
Cardinal Health (Australia) · AUEisai (United States) · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
6 · The paper itself

Abstract

introductionReal-world data are critical to demonstrate the consistency of evidence and external generalizability of randomized controlled trials (RCTs). This study examined characteristics and outcomes of metastatic triple-negative breast cancer (mTNBC) patients treated with eribulin mesylate at community oncology practices in the United States.

methodsPhysicians identified mTNBC patients initiating eribulin between 1 January 2011 and 1 January 2014 and abstracted data into an electronic case report form (eCRF). Eribulin treatment in the metastatic setting was categorized as early use (EU, first-/second-line) and late use (LU, third-line or later). Patient characteristics, overall survival (OS), disease response (per treating physician), and adverse events (AEs) rates in each group, respectively, are reported.

resultsOverall 252 eCRFs were completed: 125 (49.6%) EU and 127 (50.4%) LU. The median age at metastatic diagnosis was 53 years and 42.1% were stage IV at their initial diagnosis. The median duration of follow-up from the initiation of first-line treatment was 24 months. Rates of disease response (complete or partial per treating physician) were 69.9% in the EU group and 48.8% in the LU group. The five most commonly reported adverse events during eribulin were as follows: fatigue (65.1%), weakness (40.1%), decreased appetite (32.5%), neutropenia (31.0%), and leukopenia (27.4%). Discontinuation of eribulin due to AE was observed in 4.0% of patients. Median OS from initiation of eribulin was 23.0 months (95% CI: 18.7-27.3) among EU and 14.7 (95% CI: 12.6-16.9) among LU.

conclusionIn the real-world eribulin-treated mTNBC, patients have more sites of metastatic disease and exposure to greater numbers of prior therapies compared to RCTs. The median OS of 14.7 months among LU patients is consistent with, and slightly longer than the 13.1 months and 14.4 months reported in the EMBRACE and Study 301 clinical trials, respectively.

Indexed as

AdultAgedAntineoplastic AgentsFemaleFuransHumansKetonesMiddle AgedNeoplasm MetastasisNeoplasm StagingPolyether PolyketidesSurvival AnalysisTreatment OutcomeTriple Negative Breast NeoplasmsUnited StatesAntineoplastic AgentseribulinFuransKetonesPolyether Polyketideseribulinmetastatic breast cancerreal-worldsurvivaltriple negative

Identifiers

PMID30066497
PMCPMC6144147
OpenAlexW2887004116

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.