Evidence map›Paper›PMID 30348118›Full record

Trial reportBMC cancer2018

Caveolin-1 expression predicts efficacy of weekly nab-paclitaxel plus gemcitabine for metastatic breast cancer in the phase II clinical trial.

Yannan Zhao, Fangfang Lv, She Chen, Zhonghua Wang, Jian Zhang, Sheng Zhang, Jun Cao, Leiping Wang, Enying Cao, Biyun Wang and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01550848 (A Phase II Study of Abraxane Combined With Gemcitabine in the Patients With Metastatic Breast Cancer), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 19% 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.

NCT01550848 phase2completednot on this map

A Phase II Study of Abraxane Combined With Gemcitabine in the Patients With Metastatic Breast Cancer

TypeinterventionalSponsorFudan UniversityRan2012 to 2015Enrolled84ConditionsMetastatic Breast CancerArmsAbraxane and Gemcitabine
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Yannan ZhaoDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Fangfang LvDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
She ChenDepartment of Biochemistry and Molecular Biology, Shanghai Medical College, 130 Dong an road, 200032, Shanghai, People's Republic of China.
Zhonghua WangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Jian ZhangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Sheng ZhangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Jun CaoDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Leiping WangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Enying CaoDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China.
Biyun WangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China. wangbiyun0107@hotmail.com.
Xichun HuDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dong an road, 200032, Shanghai, People's Republic of China. xchu2009@hotmail.com.
Fudan University Shanghai Cancer Center · CNShanghai Medical College of Fudan University · CN

Funding

National Natural Science Foundation of China 81302300
6 · The paper itself

Abstract

backgroundNanoparticle albumin-bound (nab)-paclitaxel has better efficacy, safety profiles, and no need to use prophylactic steroids compared with solvent-based paclitaxel. We performed a single arm, phase II study to evaluate the efficacy and safety of weekly nab-paclitaxel and gemcitabine combination in patients with metastatic breast cancer (MBC) and explored role of tumor/stromal Caveolin-1 (Cav-1) as a predictive biomarker for the efficacy.

methodsNab-paclitaxel (125 mg/m

resultsAmong 85 patients enrolled in the study, ORR was 52.4%. After a median follow-up of 17.2 months, median PFS was 7.9 months (95%CI, 6.6-9.2) and median OS was 25.8 months (95% CI, 20.4-31.1). The most common toxicities were neutropenia (75.0% for all grades; 45.2% for grade 3 or worse) and the most common non-hematologic toxicity was peripheral neuropathy (50.0% for all grades, 7.14% for grade 3 or worse). Higher tumor Cav-1 level and lower stromal Cav-1 level were significantly associated with longer PFS of nab-paclitaxel and gemcitabine.

conclusionsThe regimen had substantial antitumor activity and was well tolerated in MBC patients. Tumor/stromal Cav-1 level may be a good predictor for the efficacy of nab-paclitaxel and gemcitabine.

trial registrationNCT01550848 . Registered 12 March 2012.

Indexed as

Gene ExpressionAdolescentAdultAgedAlbuminsAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCaveolin 1DeoxycytidineDrug Administration ScheduleFemaleFollow-Up StudiesGemcitabineHumansKaplan-Meier EstimateMiddle Aged130-nm albumin-bound paclitaxelAlbuminsCaveolin 1DeoxycytidineGemcitabinePaclitaxelCaveolin-1ChemotherapyGemcitabineMetastatic breast cancerNab-paclitaxel

Identifiers

PMID30348118
PMCPMC6196471
OpenAlexW2896331619

What OpenQuestion holds

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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.