Evidence map›Paper›PMID 30542984›Full record

ArticleCancer causes & control : CCC2019

CYP2D6-inhibiting medication use and inherited CYP2D6 variation in relation to adverse breast cancer outcomes after tamoxifen therapy.

Sophie E Mayer, Noel S Weiss, Jessica Chubak, David R Doody, Christopher S Carlson, Karen W Makar, Michelle A Wurscher, Kathleen E Malone

Abstract read
In one paragraph

Article in Cancer causes & control : CCC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.1field-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.

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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. CYP2D6 Phenotype and Breast Cancer Outcomes: A Bias Analysis and Meta-Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Pharmacogenomics of breast cancer: highlighting CYP2D6 and tamoxifen.Journal of cancer research and clinical oncology · 2020
    Review
  8. Germline variants in cancer therapy.Cancer drug resistance (Alhambra, Calif.) · 2019
    Review
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 at 5 institutions in 1 country.

Sophie E MayerUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA. semayer@unc.edu.ORCID http://orcid.org/0000-0001-6888-1498
Noel S WeissUniversity of Washington, Seattle, WA, USA.
Jessica ChubakUniversity of Washington, Seattle, WA, USA.
David R DoodyFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Christopher S CarlsonFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Karen W MakarBill & Melinda Gates Foundation, Seattle, WA, USA.
Michelle A WurscherFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Kathleen E MaloneUniversity of Washington, Seattle, WA, USA.
Fred Hutch Cancer Center · USUniversity of Washington · USGates Foundation · USKaiser Permanente Washington Health Research Institute · USUniversity of North Carolina at Chapel Hill · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
Developing Data-Driven Cancer ResearchersT32CA009168 · NCI · UNIVERSITY OF WASHINGTON · PI STEPHEN M SCHWARTZ, MICHAEL Chiao-An WU · 1985 to 2026
$10.1M
Breast cancer prognostic factors/pathobiologyR01CA098858 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MALONE, KATHLEEN E · 2004 to 2009
$5.2M
Epidemiology of the four most frequent cancers following breast cancerR01CA192438 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LI, CHRISTOPHER I, MALONE, KATHLEEN E · 2014 to 2018
$4.7M
Tamoxifen, P450 and UGT Enzyme Genetic Variation, and Breast Cancer Recurrence/MoR03CA173795 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MALONE, KATHLEEN E · 2013 to 2014
$173k
National Cancer Institute CA009168National Cancer Institute CA015704National Cancer Institute CA098858National Cancer Institute CA173795NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA098858NCI NIH HHS R01 CA192438NCI NIH HHS R03 CA173795NCI NIH HHS T32 CA009168
6 · The paper itself

Abstract

purposeTamoxifen is widely used to reduce the risk of breast cancer (BC) recurrence and extend disease-free survival among women with estrogen-sensitive breast cancers. Tamoxifen efficacy is thought to be attributable to its active metabolite, which is formed through a reaction catalyzed by the P450 enzyme, CYP2D6. Inhibition of tamoxifen metabolism as a result of germline genetic variation and/or use of CYP2D6-inhibiting medications ("inhibitors") is hypothesized to increase the risk of adverse BC outcomes among women taking tamoxifen.

methodsThe present cohort study of 960 women diagnosed with early-stage BC between 1993 and 1999 examined the association between concomitant use of CYP2D6 inhibitors and adjuvant tamoxifen and the risk of adverse BC outcomes (recurrence, second primary BC, BC mortality), both overall and according to CYP2D6 metabolic phenotype.

resultsSix or more months of CYP2D6 inhibitor use concomitant with tamoxifen was not associated with any appreciable increase in risk of recurrence or second primary BC or BC mortality, and there was no clear evidence of variation by CYP2D6 metabolic phenotype.

conclusionsThese results are consistent with the relatively few other large, population-based studies conducted to date that have not observed an increased risk of adverse BC outcomes associated with CYP2D6 inhibition.

Indexed as

AgedAntineoplastic Agents, HormonalBreast NeoplasmsCohort StudiesCytochrome P-450 CYP2D6Cytochrome P-450 CYP2D6 InhibitorsDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm Recurrence, LocalPhenotypeTamoxifenAntineoplastic Agents, HormonalCytochrome P-450 CYP2D6Cytochrome P-450 CYP2D6 InhibitorsTamoxifenBreast cancerCYP2D6PharmacogeneticsSurvivalTamoxifen

Identifiers

PMID30542984
PMCPMC6353670
OpenAlexW2903607236

What OpenQuestion holds

Textmetadata
LicenceTDM
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.