Evidence map›Paper›PMID 31728025›Full record

Trial reportBritish journal of cancer2019

Androgen receptor expression and response to chemotherapy in breast cancer patients treated in the neoadjuvant TECHNO and PREPARE trial.

Isabell Witzel, Sibylle Loibl, Ralph Wirtz, Peter A Fasching, Carsten Denkert, Karsten Weber, Hans-Joachim Lück, Jens Huober, Thomas Karn, Marion von Mackelenbergh and 5 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

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  9. Core Needle Biopsy Accuracy for Androgen Receptor Expression in Invasive Breast Cancer.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
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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

15 authors at 9 institutions in 1 country.

Isabell WitzelDepartment of Gynecology, University Medical Center, Hamburg, Germany. iwitzel@uke.de.
Sibylle LoiblGerman Breast Group, Neu-Isenburg, Germany.
Ralph WirtzStratifyer Molecular Oncology GmbH, Cologne, Germany.
Peter A FaschingDepartment of Gynecology and Obstetrics, University Hospital Erlangen, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Carsten DenkertInstitute of Pathology, University Medical Center Charite Berlin, Berlin, Germany.
Karsten WeberGerman Breast Group, Neu-Isenburg, Germany.
Hans-Joachim LückPractice of Gynecologic Oncology Hannover, Hannover, Germany.
Jens HuoberDepartment of Gynecology and Obstetrics, University Medical Center Ulm, Ulm, Germany.
Thomas KarnDepartment of Gynecology, University Medical Center Frankfurt, Frankfurt, Germany.
Marion von MackelenberghDepartment of Gynecology, University Medical Center-UKSH, Kiel, Germany.
Frederik MarméDepartment of Gynecology and Obstetrics, University Medical Center Heidelberg, Heidelberg, Germany.
Christian SchemDepartment of Gynecology, University Medical Center-UKSH, Kiel, Germany.
Elmar StickelerDepartment of Gynecology and Obstetrics, University Medical Center Aachen, Aachen, Germany.
Michael UntchDepartment of Obstetrics and Gynecology, Helios Hospital Berlin-Buch, Berlin, Germany.
Volkmar MüllerDepartment of Gynecology, University Medical Center, Hamburg, Germany.
German Breast group · DEKiel University · DECharité - Universitätsmedizin Berlin · DEGoethe University Frankfurt · DEHeidelberg University · DEHelios Hospital Berlin-Buch · DEUniversität Hamburg · DEUniversitätsklinikum Erlangen · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe androgen receptor (AR) is discussed as a prognostic and/or predictive marker in breast cancer patients.

methodsAR mRNA expression was analysed by RT-qPCR in breast cancer patients treated in the neoadjuvant TECHNO (n  =  118, HER2-positive) and PREPARE trial (n  =  321, HER2-positive and -negative). In addition, mRNA expression of the AR transcript variants 1 (AR1) and 2 (AR2) was measured.

resultsRegarding subtypes, high AR mRNA levels were frequent in HER2-positive (61.3%, 92/150) and luminal tumours (60.0%, 96/160) but almost absent in triple-negative tumours (4.3%, 3/69) (p < 0.0001). Overall, high AR mRNA levels were found to be associated with lower pathological complete remission (pCR) rates (OR 0.77 per unit, 95% CI 0.67-0.88, p  =  0.0002) but also with better prognosis in terms of longer disease-free survival (DFS) (HR 0.57, 95% CI 0.39-0.85, p  =  0.0054) and overall survival (OS) (HR 0.43, 95% CI, 0.26-0.71, p  =  0.0011). In the PREPARE trial, a survival difference for patients with high and low AR1 mRNA levels could only be seen in the standard chemotherapy arm but not in the dose-dense treatment arm (OS: HR 0.41; 95% CI 0.22-0.74 vs. HR 1.05; 95% CI 0.52-2.13; p  =  0.0459).

conclusionsWe provide evidence that AR mRNA predicts response to chemotherapy in breast cancer patients.

Indexed as

PrognosisAdultBreast NeoplasmsDisease-Free SurvivalEpirubicinErb-b2 Receptor Tyrosine KinasesFemaleGene Expression Regulation, NeoplasticHumansMiddle AgedNeoadjuvant TherapyProtein IsoformsReceptors, AndrogenRNA, MessengerTrastuzumabAR protein, humanEpirubicinErb-b2 Receptor Tyrosine KinasesProtein IsoformsReceptors, AndrogenRNA, MessengerTrastuzumab

Identifiers

PMID31728025
PMCPMC6964685
OpenAlexW2982728758

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.