Evidence map›Paper›PMID 30318518›Full record

ArticleBritish journal of cancer2018

Target-based therapeutic matching of phase I trials in patients with metastatic breast cancer in a tertiary referral centre.

Brent O'Carrigan, Joline Si Jing Lim, Awais Jalil, Samuel John Harris, Dionysis Papadatos-Pastos, Udai Banerji, Juanita Lopez, Johann Sebastian de Bono, Timothy Anthony Yap

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 56% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 2 institutions in 2 countries.

Brent O'CarriganDrug Development Unit, Royal Marsden Hospital, London, UK.
Joline Si Jing LimDrug Development Unit, Royal Marsden Hospital, London, UK.
Awais JalilDrug Development Unit, Royal Marsden Hospital, London, UK.
Samuel John HarrisDrug Development Unit, Royal Marsden Hospital, London, UK.
Dionysis Papadatos-PastosDrug Development Unit, Royal Marsden Hospital, London, UK.
Udai BanerjiDrug Development Unit, Royal Marsden Hospital, London, UK.
Juanita LopezDrug Development Unit, Royal Marsden Hospital, London, UK.
Johann Sebastian de BonoDrug Development Unit, Royal Marsden Hospital, London, UK.
Timothy Anthony YapDrug Development Unit, Royal Marsden Hospital, London, UK. yaptim@hotmail.com.
Royal Marsden Hospital · GBNational University Cancer Institute, Singapore · SG

Funding

Cancer Research UK 22897
6 · The paper itself

Abstract

backgroundGreater understanding of the molecular classification of breast cancer has permitted the development of rational drug design strategies. In a phase I clinical trial setting, molecular profiling with next-generation sequencing of individual tumour samples has been employed to guide treatment.

methodsWe conducted a retrospective evaluation of clinical outcomes of patients with metastatic breast cancer (MBC) treated in phase I clinical trials at our institution to assess the benefit of molecularly matched compared to non-matched treatments.

resultsA total of 97 consecutive patients with MBC were enrolled onto ≥1 trial between 2009 and 2015. Fourteen patients participated in multiple trials, and a total of 113 trial encounters were reviewed in this retrospective study. Eighty-three percent of patients with molecular data available were able to participate in trials matched to molecular aberrations. Patients who were treated on matched studies had improved clinical benefit (RR: 1.80, p = 0.005), progression-free (HR: 0.52, p = 0.003) and overall survival (HR: 0.54, p < 0.001). Treatment was well tolerated with low rates of treatment discontinuation for toxicity (8% overall) that did not differ between groups. No toxicity-related deaths were observed.

conclusionsMolecular profiling for MBC patients in a phase I setting is feasible and aids therapeutic decisions with improved patient outcomes.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsClinical Trials, Phase I as TopicDisease-Free SurvivalEnglandErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedMolecular Targeted TherapyAntineoplastic AgentsBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, Estrogen

Identifiers

PMID30318518
PMCPMC6203714
OpenAlexW2897371851

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.