Evidence map›Paper›PMID 31804894›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Phase III Trial of Adjuvant Capecitabine After Standard Neo-/Adjuvant Chemotherapy in Patients With Early Triple-Negative Breast Cancer (GEICAM/2003-11_CIBOMA/2004-01).

Ana Lluch, Carlos H Barrios, Laura Torrecillas, Manuel Ruiz-Borrego, Jose Bines, Jose Segalla, Ángel Guerrero-Zotano, Jose A García-Sáenz, Roberto Torres, Juan de la Haba and 31 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00130533 (Multicenter, Open-label, Randomized Phase III to Evaluate Efficacy of Maintenance Treatment With Capecitabine Following Standard Adjuvant Chemotherapy in Operable Triple Negative Breast Cancer Patients), which is not on this map. Cited by 82 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 7 pooled it
6.3field-weighted citation impact, top 2% 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.

NCT00130533 phase3completednot on this map

Multicenter, Open-label, Randomized Phase III to Evaluate Efficacy of Maintenance Treatment With Capecitabine Following Standard Adjuvant Chemotherapy in Operable Triple Negative Breast Cancer Patients

TypeinterventionalSponsorSpanish Breast Cancer Research GroupRan2006 to 2017Enrolled876ConditionsBreast CancerArmsCapecitabine
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 7 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
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  5. Guideline
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  7. Post-neoadjuvant treatment with capecitabine and trastuzumab emtansine in breast cancer patients-sequentially, or better simultaneously?Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Pooled it
  8. FOXC1 Expression Predicts Capecitabine Efficacy in Patients with Triple-Negative Breast Cancer from the GEICAM_CIBOMA Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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  14. Triple-Negative PAM50 Non-Basal Breast Cancer Subtype Predicts Benefit from Extended Adjuvant Capecitabine.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
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  18. Adjuvant Capecitabine for Early Breast Cancer: 15-Year Overall Survival Results From a Randomized Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors at 20 institutions in 5 countries.

Ana LluchHospital Clínico Universitario de Valencia and Biomedical Research Institute INCLIVA, University of Valencia, Valencia, Spain.
Carlos H BarriosCentro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre, Brazil.
Laura TorrecillasCentro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.
Manuel Ruiz-BorregoGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Jose BinesLACOG, Latin American Cooperative Oncology Group, Porto Alegre, Brazil.
Jose SegallaLACOG, Latin American Cooperative Oncology Group, Porto Alegre, Brazil.
Ángel Guerrero-ZotanoGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Jose A García-SáenzGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Roberto TorresInstituto Nacional del Cáncer, Santiago, Chile.
Juan de la HabaCentro de Investigación Biomédica en Red de Oncología ISCIII, Madrid, Spain.
Elena García-MartínezGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Henry L GómezInstituto Nacional de Enfermedades Neoplásicas, Lima, Perú.
Antonio LlombartGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Javier Salvador BofillGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
José M Baena-CañadaGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Agustí BarnadasCentro de Investigación Biomédica en Red de Oncología ISCIII, Madrid, Spain.
Lourdes CalvoGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Laura Pérez-MichelHospital de San José, Ciudad Obregón, Sonora, México.
Manuel RamosGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Isaura FernándezGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Álvaro Rodríguez-LescureGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Jesús CárdenasCentro Médico Colima, Colima, México.
Jeferson VinholesLACOG, Latin American Cooperative Oncology Group, Porto Alegre, Brazil.
Eduardo Martínez de DueñasGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Maria J GodesGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Miguel A SeguíGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Antonio AntónGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Pilar López-ÁlvarezGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Jorge MoncayoSocial S Hospital Teodoro Maldonado Carbo, Guayaquil, Ecuador.
Gilberto AmorimLACOG, Latin American Cooperative Oncology Group, Porto Alegre, Brazil.
Esther VillarGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Salvador ReyesHospital Beneficiencia Española, San Luis de Potosí, México.
Carlos SampaioLACOG, Latin American Cooperative Oncology Group, Porto Alegre, Brazil.
Bernardita CardemilHospital Base de Valdivia, Valdivia, Chile.
Maria J EscuderoGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Susana BezaresGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Eva CarrascoGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Miguel MartínCentro de Investigación Biomédica en Red de Oncología ISCIII, Madrid, Spain.
GEICAM Spanish Breast Cancer Group
CIBOMA (Iberoamerican Coalition for Research in Breast Oncology)
LACOG (Latin American Cooperative Oncology Group)
GEICAM – Spanish Breast Cancer Group · ESCentro de Investigación Biomédica en Red de Cáncer · ESComplexo Hospitalario Universitario A Coruña · ESConsorcio Hospitalario Provincial de Castellón · ESFundación Instituto Valenciano de Oncología · ESHospital Amaral Carvalho · BRHospital Arnau de Vilanova · ESHospital Base · CLHospital Clínico San Carlos · ESHospital Español · MXHospital General Universitario de Elche · ESHospital Regional Universitario de Málaga · ESHospital São Lucas da PUCRS · BRHospital Universitario Miguel Servet · ESHospital Universitario Nuestra Señora de Candelaria · ESHospital Universitario Reina Sofía · ESInstitute for Social Security and Services for State Workers · MXInstituto Nacional de Enfermedades Neoplásicas · PEInstituto Nacional del Cáncer · CLInstituto Nacional do Câncer · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOperable triple-negative breast cancers (TNBCs) have a higher risk of relapse than non-TNBCs with standard therapy. The GEICAM/2003-11_CIBOMA/2004-01 trial explored extended adjuvant capecitabine after completion of standard chemotherapy in patients with early TNBC. PATIENTS AND

methodsEligible patients were those with operable, node-positive-or node negative with tumor 1 cm or greater-TNBC, with prior anthracycline- and/or taxane-containing chemotherapy. After central confirmation of TNBC status by immunohistochemistry, patients were randomly assigned to either capecitabine or observation. Stratification factors included institution, prior taxane-based therapy, involved axillary lymph nodes, and centrally determined phenotype (basal

resultsEight hundred seventy-six patients were randomly assigned to capecitabine (n = 448) or observation (n = 428). Median age was 49 years, 55.9% were lymph node negative, 73.9% had a basal phenotype, and 67.5% received previous anthracyclines plus taxanes. Median length of follow-up was 7.3 years. DFS was not significantly prolonged with capecitabine versus observation [hazard ratio (HR), 0.82; 95% CI, 0.63 to 1.06;

conclusionThis study failed to show a statistically significant increase in DFS by adding extended capecitabine to standard chemotherapy in patients with early TNBC. In a preplanned subset analysis, patients with nonbasal phenotype seemed to obtain benefit with capecitabine, although this will require additional validation.

Indexed as

AdultAgedAntimetabolites, AntineoplasticCapecitabineChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansMiddle AgedNeoadjuvant TherapyTriple Negative Breast NeoplasmsYoung AdultAntimetabolites, AntineoplasticCapecitabine

Identifiers

PMID31804894
PMCPMC6968797
OpenAlexW2993532690

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LicenceCC BY-NC-ND
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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.