Evidence map›Paper›PMID 32170637›Full record

Trial reportClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2020

Everolimus plus exemestane in hormone-receptor-positive, HER2-negative locally advanced or metastatic breast cancer: incidence and time course of adverse events in the phase IIIb BALLET population.

E Ciruelos, G Jerusalem, M Martin, V C G Tjan-Heijnen, P Neven, J Gavila, F Montemurro, D Generali, I Lang, M J Martínez-Serrano and 2 more

Abstract readClinical Trial, Phase IIIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
  3. Novel Effects of Statins on Cancer via Autophagy.Pharmaceuticals (Basel, Switzerland) · 2022
    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

12 authors at 11 institutions in 5 countries.

E CiruelosDepartment of Medical Oncology, Breast Cancer Unit, University Hospital 12 de Octubre, Avda. De Córdoba, s/n, 28041, Madrid, Spain. eva.ciruelos@gmail.com.ORCID http://orcid.org/0000-0002-2796-1042
G JerusalemCentre Hospitalier Universitaire du Sart-Tilman, University of Liege, Liège, Belgium.
M MartinDepartment of Medical Oncology, Instituto de Investigación Sanitaria Gregorio Marañón, Universidad Complutense, GEICAM, CIBERONC, Madrid, Spain.
V C G Tjan-HeijnenDepartment of Medical Oncology, GROW, Maastricht University Medical Centre, Maastricht, The Netherlands.
P NevenDepartment of Oncology, Multidisciplinary Breast Center, KULeuven-University of Leuven, Leuven, Belgium.
J GavilaDepartment of Medical Oncology, Instituto Valenciano de Oncologia, Valencia, Spain.
F MontemurroMultidisciplinary Outpatient Oncology Clinic, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy.
D GeneraliDepartment of Medical, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
I LangMedical Oncology and Clinical Pharmacology, National Institute of Oncology, Budapest, Hungary.
M J Martínez-SerranoMedical Department, Novartis Oncology, Barcelona, Spain.
M F PerellóMedical Department, Novartis Oncology, Barcelona, Spain.
P ConteDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Novartis (Spain) · ESCandiolo Cancer Institute · ITFundación Instituto Valenciano de Oncología · ESHospital General Universitario Gregorio Marañón · ESKU Leuven · BEMaastricht University Medical Centre · NLNational Institute of Oncology · HUResearch Institute Hospital 12 de Octubre · ESUniversity of Liège · BEUniversity of Padua · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe addition of everolimus to exemestane therapy significantly improves progression-free survival in postmenopausal patients with hormone-receptor (HR)-positive HER2-negative endocrine-resistant breast cancer. However, the safety profile of this schedule still might be optimized.

methodsPatients included in the BALLET trial were assessed. The objectives of this analysis were to provide additional information on the safety profile of this schedule depending on prior anticancer therapies and to characterize the time course of adverse events (AEs) and serious AEs (SAEs) of clinical interest throughout the study period. Non-infectious pneumonitis (NIP), stomatitis, asthenia and weight loss were selected as AEs of clinical interest.

resultsThe safety population of this analysis comprised 2131 patients. There were similar incidences of AEs and SAEs of clinical interest regardless of previous anticancer therapies. Most stomatitis and asthenia events occurred within the first three months. Incidence of weight loss appeared to plateau except in the case of grade 3-4 events, which occurred rarely. The incidence of any grade NIP (between 2 to 6%) and grade 3-4 NIP (between 0 to 1%) was low across the study, but steady.

conclusionsEverolimus plus exemestane is a well-known therapeutic option for aromatase inhibitor pretreated advanced breast cancer patients, and its toxicity profile is similar to that described in previous studies. Close monitoring, especially within the first three months, early intervention with preventive measures and patient education to help recognize the first signs and symptoms of AEs, will help to reduce their incidence and severity.

Indexed as

AdultAgedAged, 80 and overAndrostadienesAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsDisease ProgressionErb-b2 Receptor Tyrosine KinasesEverolimusFemaleHumansIncidenceMiddle AgedReceptors, EstrogenAndrostadienesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesEverolimusexemestaneReceptors, EstrogenAromatase inhibitorsBreast neoplasmEndocrine therapyEverolimusPost-menopausal womenTargeted therapy

Identifiers

PMID32170637
OpenAlexW3010690272

What OpenQuestion holds

Textmetadata
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.