Evidence map›Paper›PMID 30319329›Full record

ArticleBreast care (Basel, Switzerland)2018

Explorative Analysis of Low-Dose Metronomic Chemotherapy with Cyclophosphamide and Methotrexate in a Cohort of Metastatic Breast Cancer Patients.

Slavomir Krajnak, Marco Battista, Walburgis Brenner, Katrin Almstedt, Tania Elger, Anne-Sophie Heimes, Annette Hasenburg, Marcus Schmidt

Abstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 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
–field-weighted citation impact
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.

  1. Trial
  2. Review
  3. Metronomic Chemotherapy: A Novel Approach in Cancer Treatment.Asian Pacific journal of cancer prevention : APJCP · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

8 authors.

Slavomir KrajnakDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Marco BattistaDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Walburgis BrennerDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Katrin AlmstedtDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Tania ElgerDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Anne-Sophie HeimesDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Annette HasenburgDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.
Marcus SchmidtDepartment of Gynecology and Obstetrics, University Medical Center Mainz, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow-dose metronomic chemotherapy (LDMC) is increasingly used in metastatic breast cancer (MBC). In this retrospective analysis, we examined the therapeutic effects and side effects of LDMC in a cohort of MBC patients.

methodsPatients with MBC were included when LDMC with oral cyclophosphamide (CTX) and methotrexate (MTX) was administered between 2009 and 2015. The primary endpoint was disease control rate (DCR) ≥ 24 weeks after the start of LDMC. Secondary endpoints were duration of progression-free survival (PFS), rates of discontinuation due to side effects, and DCR with regard to subgroups.

resultsRetrospective data of 35 patients were available for this analysis. 31% patients achieved DCR. The median PFS was 12 weeks. 9% of patients discontinued LDMC due to adverse events. DCR was 37% in the first 2 lines and 25% in further lines of therapy. 22% of patients with multiple metastases and 35% with ≤2 different metastatic sites achieved DCR. DCR was achieved in 33% of hormone receptor(HR)-positive patients and 27% of HR-negative patients.

conclusionThe DCR of 31% is in line with the results of previous phase II studies. LDMC was well tolerated. Subgroup analysis was not able to identify a group in which LDMC was more efficient.

Indexed as

Adverse eventsBreast cancerChemotherapyCyclophosphamideMetastasizedMethotrexateMetronomic chemotherapy

Identifiers

PMID30319329
PMCPMC6170902

What OpenQuestion holds

Textmetadata
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.