Evidence map›Paper›PMID 31903098›Full record

ArticleTherapeutic advances in medical oncology2019

Eribulin mesylate use as third-line therapy in patients with metastatic breast cancer (VESPRY): a prospective, multicentre, observational study.

Vincenzo Adamo, Giuseppina Rosaria Rita Ricciardi, Dario Giuffrida, Giuseppa Scandurra, Antonio Russo, Livio Blasi, Pietro Spadaro, Carmelo Iacono, Hector J Soto Parra, Antonino Savarino and 7 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Management of Brain and Leptomeningeal Metastases from Breast Cancer.International journal of molecular sciences · 2020
    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

17 authors at 8 institutions in 1 country.

Vincenzo AdamoMedical Oncology Unit A.O. Papardo and Department of Human Pathology University of Messina, Contrada Papardo, Messina, Italy.
Giuseppina Rosaria Rita RicciardiMedical Oncology Unit A.O. Papardo & Department of Human Pathology University of Messina, Contrada Papardo, Messina, Italy.
Dario GiuffridaDepartment of Medical Oncology, Mediterranean Institute of Oncology, Viagrande, CT, Italy.
Giuseppa ScandurraOncologia Medica, Ospedale per le Emergenze Cannizzaro, Catania, Italy.
Antonio RussoDepartment of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-4370-2008
Livio BlasiUOC Oncologia Medica, ARNAS Civico, Palermo, Piazza Nicola Leotta, Italy.
Pietro SpadaroU.O. di Oncologia ed Ematologia, Casa di Cura Villa Salus, Messina, Italy.
Carmelo IaconoMedical Oncology Department, Ospedale Maria Paterno Arezzo, Ragusa, Italy.
Hector J Soto ParraMedical Oncology Department, University Hospital Policlinico Vittorio Emanuele, Catania, Italy.
Antonino SavarinoUnità Operativa di Oncologia, Ospedale "Barone Lombardo" di Canicattì, Contrada Giarre, Canicattì, AG, Italy.
Francesco FerraúMedical Oncology Department, Ospedale S Vincenzo, Taormina, ME, Italy.
Filippo ZerilliMedical Oncology San Antonio Abate Hospital, Trapani, Italy.
Francesco VerderameA.O. Ospedali Riuniti Villa Sofia - Cervello, Palermo, Italy.
Alfredo ButeraMedical Oncology Hospital Agrigento, Agrigento, Italy.
Carlo SantangeloP.O. Umberto I, Contrada Ferrante, Enna, Italy.
Veronica FranchinaMedical Oncology Unit A.O. Papardo & Department of Human Pathology University of Messina, Contrada Papardo, Messina, Italy.
Michele CarusoHumanitas Centro Catanese di Oncologia, Catania, Italy.
University of Messina · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITFondazione Vincenzo Pansadoro · ITOspedale Cannizzaro · ITOspedale Sant Antonio · ITOspedale Vincenzo Cervello · ITOspedali Riuniti Umberto I · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn real-world practice, eribulin mesylate provides significant survival benefit, with a manageable safety profile in heavily pretreated patients with metastatic breast cancer (MBC).

methodsIn this prospective, open-label, multicentre, observational study we evaluated the effectiveness and tolerability of eribulin as third-line treatment in a homogeneous population. The primary endpoints were the safety profile and response in metastatic sites; secondary endpoints included the response in different subtypes, overall response rate (ORR), progression-free survival (PFS) and overall survival (OS).

resultsFrom 2013 to 2016, 118 women were treated in 21 Sicilian institutions; the median age was 58 years (range 29-79), with 69% of patients under 65. The median cycles of eribulin were 5.5 (range 1-26). The most common adverse event was neutropenia (9.3%, 3 cases of grade 3, 4 of grade 4); only 1 case of QT prolongation was reported. Eribulin was effective in controlling metastatic disease in all sites, and it achieved the highest ORR in brain (16%) and liver (14.9%). Median OS was 31.8 months (95% CI 27.9-34.4) and median PFS 5.5 months (95% CI 4.2-6.6). PFS was 5.2 months (95% CI 2.8-8.4) in patients with triple-negative subtype. Median PFS was longer in patients over 65 years (6.1 months, 95% CI 4.4-8.3). In patients who had visceral metastases PFS was 5.5 months (95% CI 95% 3.5-6.6) and OS 33.9 months (95% CI 29.8-40.8).

conclusionsEribulin as third-line treatment shows an acceptable safety profile and a substantial antitumour activity in the treatment of MBC, even in elderly patients and in those with visceral disease.

Indexed as

eribulinmetastatic breast cancermulticentreprospectivereal worldthird line

Identifiers

PMID31903098
PMCPMC6923689
OpenAlexW2995256867

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.