Evidence map›Paper›PMID 30233207›Full record

ArticleOncoTargets and therapy2018

Clinical benefit of fulvestrant monotherapy in the multimodal treatment of hormone receptor and HER2 positive advanced breast cancer: a case series.

Orsolya Rusz, Renáta Kószó, Ágnes Dobi, Melinda Csenki, Erzsébet Valicsek, Alíz Nikolényi, Gabriella Uhercsák, Adrienne Cserháti, Zsuzsanna Kahán

Open access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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 1 institution in 1 country.

Orsolya RuszDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Renáta KószóDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Ágnes DobiDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Melinda CsenkiDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Erzsébet ValicsekDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Alíz NikolényiDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Gabriella UhercsákDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Adrienne CserhátiDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
Zsuzsanna KahánDepartment of Oncotherapy, University of Szeged, Szeged, Hungary, kahan.zsuzsanna@med.u-szeged.hu.
University of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fulvestrant is a pure estrogen receptor (ER) antagonist approved for the treatment of metastatic ER positive breast cancer in postmenopausal women with disease progression following antiestrogen therapy. The clinical results of fulvestrant demonstrated encouraging activity in tumors in spite of HER2 positivity, but data about its use after progression on anti-HER2 agents are limited. Partial responses and durations of response of 12, 25, and 38 months in three cases with multiple metastases of ER positive and HER2 positive breast cancer were observed; all patients had been treated with 1-4 regimens of an anti-HER2 agent in combination with chemotherapy or an aromatase inhibitor before the initiation of fulvestrant. Fulvestrant is a valuable option with limited toxicity and durable response in metastatic HER2 and ER positive breast cancer after progression on anti-HER2 agents as well. Therapeutic benefit even in extensive skin metastases and (irradiated) brain metastases may be expected. Further investigations are warranted to establish where it fits into the multimodal management of ER and HER positive breast cancer.

Indexed as

brain metastasisendocrine resistanceskin metastasistrastuzumab resistance

Identifiers

PMID30233207
PMCPMC6129034
OpenAlexW2889432702

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.