Evidence map›Paper›PMID 31114242›Full record

ArticleOncoTargets and therapy2019

Treating advanced breast cancer with metronomic chemotherapy: what is known, what is new and what is the future?

Marina Elena Cazzaniga, Laura Biganzoli, Laura Cortesi, Sabino De Placido, Michela Donadio, Alessandra Fabi, Antonella Ferro, Daniele Generali, Vito Lorusso, Andrea Milani and 8 more

Open access · goldAbstract readEditorial
In one paragraph

Article in OncoTargets and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  7. Normalizing tumor microenvironment with nanomedicine and metronomic therapy to improve immunotherapy.Journal of controlled release : official journal of the Controlled Release Society · 2022
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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

18 authors at 9 institutions in 3 countries.

Marina Elena CazzanigaMedical Oncology Unit & Phase 1 Research Unit, ASST Monza, Monza, Italy, marina.cazzaniga@asst-monza.it.
Laura BiganzoliMedical Oncology Division, Hospital of Prato, Azienda USL Toscana Centro, Prato, Italy.
Laura CortesiHaematology and Oncology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Sabino De PlacidoClinical Medicine and Surgery Department, University of Naples Federico II, Naples, Italy.
Michela DonadioMedical Oncology Breast Unit, AOU Città della Salute e della Scienza, Turin, Italy.
Alessandra FabiOncology Unit 1, Regina Elena National Cancer Institute, Rome, Italy.
Antonella FerroMedical Oncology Unit, Santa Chiara Hospital, Trento, Italy.
Daniele GeneraliDepartment of Medical, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Vito LorussoOperative Unit of Medical Oncology, Oncology Institute of Bari, Bari, Italy.
Andrea MilaniDivision of Investigative Clinical Oncology, Candiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
Emilia MontagnaDivision of Medical Senology, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Elisabetta MunzoneDivision of Medical Senology, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Laura OrlandoMedical Oncology & Breast Unit, "Antonio Perrino" Hospital, Brindisi, Italy.
Laura PizzutiOncology Unit 1, Regina Elena National Cancer Institute, Rome, Italy.
Edda SimonciniBreast Unit, ASST Spedali Civili di Brescia, Brescia, Italy.
Claudio ZamagniSSD Medical Oncology Addarii, Policlinico Sant'Orsola Malpighi, Bologna, Italy.
Giovanni L PappagalloMedical Oncology Unit, Azienda ULSS 3 Serenissima, Mirano-Dolo, Italy.
“Metronomic Chemotherapy in Advanced Breast Cancer” Study Group
Chemotherapy Foundation · USAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliero-Universitaria di Modena · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale A. Perrino · ITOspedale Santa Chiara · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis for patients with locally advanced or metastatic breast cancer (mBC) remains poor, with a median survival of 2-4 years. About 10% of newly diagnosed breast cancer patients present with metastatic disease, and 30%-50% of those diagnosed at earlier stages will subsequently progress to mBC. In terms of ongoing management for advanced/metastatic breast cancer after failure of hormonal therapy, there is a high medical need for new treatment options that prolong the interval to the start of intensive cytotoxic therapy, which is often associated with potentially serious side effects and reduced quality of life. Oral chemotherapeutic agents such as capecitabine and vinorelbine have demonstrated efficacy in patients with mBC, with prolonged disease control and good tolerability. Use of oral chemotherapy reduces the time and cost associated with treatment and is often more acceptable to patients than intravenous drug delivery. Metronomic administration of oral chemotherapy is therefore a promising treatment strategy for some patients with mBC and inhibits tumor progression via multiple mechanisms of action. Ongoing clinical trials are investigating metronomic chemotherapy regimens as a strategy to prolong disease control with favorable tolerability. This article provides an overview of metronomic chemotherapy treatment options in mBC, with perspectives on this therapy from a panel of experts.

Indexed as

advanced breast cancermetronomic chemotherapyquality of lifetolerabilityvinorelbine

Identifiers

PMID31114242
PMCPMC6485034
OpenAlexW2935731174

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.