Evidence map›Paper›PMID 32046998›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2020

Pathologic Complete Response after Neoadjuvant Chemotherapy and Impact on Breast Cancer Recurrence and Survival: A Comprehensive Meta-analysis.

Laura M Spring, Geoffrey Fell, Andrea Arfe, Chandni Sharma, Rachel Greenup, Kerry L Reynolds, Barbara L Smith, Brian Alexander, Beverly Moy, Steven J Isakoff and 3 more

2 registry-linked trialsOpen access · bronzeAbstract readComment
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 573 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
573citing papers in PubMed, 5 pooled it
34.9field-weighted citation impact, top 1% 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.

NCT04882371 completednot on this map

Comparison of MRI With PET / CT in the Evaluation of Response to Neoadjuvant Therapy Based on the Molecular Subtypes of Breast Cancer

TypeobservationalSponsorCem Ilgin ErolRan2018 to 2020Enrolled88ConditionsBreast Cancer, Chemotherapy EffectArmsChemotherapy, Magnetic Resonance Imaging (MRI), Positron emission tomography - Copmputer Tomography (PET-CT)
NCT06599216 phase2active not recruitingnot on this mapstarted 2024, after this paper: background citation

Adebrelimab Combined With Dalpicicliband Standard Endocrine Therapy for HR + / HER 2-breast Cancer:A Single-center,Open-label,Single-arm Clinical Trial

TypeinterventionalSponsorHarbin Medical UniversityRan2024 to 2027Enrolled30ConditionsBreast Cancer, HR+/HER2- Breast CancerArmsAdebrelimab+Dalpciclib+Standard Endocrine Therapy
3 · Its place in the literature

Who cites it

573 citing papers in PubMed, 5 syntheses or guidelines pooled it, 851 citations in OpenAlex.

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513 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Laura M Spring *Massachusetts General Hospital Cancer Center, Boston, Massachusetts.
Geoffrey Fell *Dana-Farber Cancer Institute, Boston, Massachusetts.
Andrea Arfe *Bocconi University, Milan, Italy.ORCID 0000-0003-1534-0609
Chandni SharmaMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Rachel GreenupDuke University, Durham, North Carolina.
Kerry L ReynoldsMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Barbara L SmithMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Brian AlexanderHarvard Medical School, Boston, Massachusetts.ORCID 0000-0003-3903-9175
Beverly MoyMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Steven J IsakoffMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Giovanni ParmigianiDana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-8783-5961
Lorenzo Trippa *Dana-Farber Cancer Institute, Boston, Massachusetts.
Aditya Bardia *Massachusetts General Hospital Cancer Center, Boston, Massachusetts. Bardia.Aditya@mgh.harvard.edu.
Harvard University · USMassachusetts Department of Public Health · USBocconi University · ITDana-Farber Cancer Institute · USDuke University · USMassachusetts General Hospital · US

Funding

Dana Farber/Harvard Cancer Consortium Career Development Program in Clinical OncologyK12CA087723 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI David Tsai Ting · 2002 to 2026
$17.9M
Harvard Clinical and Translational Science CenterKL2TR001100 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$8.5M
NCATS NIH HHS KL2 TR001100NCI NIH HHS K12 CA087723
6 · The paper itself

Abstract

purposeWhile various studies have highlighted the prognostic significance of pathologic complete response (pCR) after neoadjuvant chemotherapy (NAT), the impact of additional adjuvant therapy after pCR is not known. EXPERIMENTAL

designPubMed was searched for studies with NAT for breast cancer and individual patient-level data was extracted for analysis using plot digitizer software. HRs, with 95% probability intervals (PI), measuring the association between pCR and overall survival (OS) or event-free survival (EFS), were estimated using Bayesian piece-wise exponential proportional hazards hierarchical models including pCR as predictor.

resultsOverall, 52 of 3,209 publications met inclusion criteria, totaling 27,895 patients. Patients with a pCR after NAT had significantly better EFS (HR = 0.31; 95% PI, 0.24-0.39), particularly for triple-negative (HR = 0.18; 95% PI, 0.10-0.31) and HER2

conclusionsAchieving pCR following NAT is associated with significantly better EFS and OS, particularly for triple-negative and HER2

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAntineoplastic Combined Chemotherapy ProtocolsBayes TheoremChemotherapy, AdjuvantDisease-Free SurvivalHumansNeoplasm Recurrence, Local

Identifiers

PMID32046998
PMCPMC7299787
OpenAlexW3006134372

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.