Evidence map›Paper›PMID 32270710›Full record

ArticleFuture oncology (London, England)2020

Temozolomide in secondary prevention of HER2-positive breast cancer brain metastases.

Alexandra S Zimmer, Seth M Steinberg, Dee Dee Smart, Mark R Gilbert, Terri S Armstrong, Eric Burton, Nicole Houston, Nadia Biassou, Brunilde Gril, Priscilla K Brastianos and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Future oncology (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03190967 (Phase I/II Study of T-DM1 Alone Versus T-DM1 and Metronomic Temozolomide in Secondary Prevention of HER2-Positive Breast Cancer Brain Metastases Following Stereotactic Radiosurgery), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.8field-weighted citation impact, top 7% 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.

NCT03190967 phase1 / phase2terminatednot on this map

Phase I/II Study of T-DM1 Alone Versus T-DM1 and Metronomic Temozolomide in Secondary Prevention of HER2-Positive Breast Cancer Brain Metastases Following Stereotactic Radiosurgery

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2018 to 2023Enrolled12ConditionsBreast Cancer, Brain Metastasis, Brain CancerArmsT-DM1, TMZ
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 34 citations in OpenAlex.

  1. [Tonsillar malignant melanoma presenting as sore throat and tonsillar mass: a case report and literature review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Review
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  8. CMA mediates resistance in breast cancer models.Cancer cell international · 2023
    Article
  9. Review
  10. Phase I Study and Cell-Free DNA Analysis of T-DM1 and Metronomic Temozolomide for Secondary Prevention of HER2-Positive Breast Cancer Brain Metastases.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  11. Distinct tumor architectures for metastatic colonization of the brain.bioRxiv : the preprint server for biology · 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

14 authors at 6 institutions in 1 country.

Alexandra S ZimmerWomen's Malignancies Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.ORCID https://orcid.org/0000-0001-6789-0982
Seth M SteinbergBiostatistics & Data Management Section, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Dee Dee SmartRadiation Oncology Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Mark R GilbertNeuro-Oncology Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Terri S ArmstrongNeuro-Oncology Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Eric BurtonNeuro-Oncology Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Nicole HoustonWomen's Malignancies Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Nadia BiassouNeuro-Radiology, Clinical Center, NIH, Bethesda, MD 20814, USA.
Brunilde GrilWomen's Malignancies Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Priscilla K BrastianosCentral Nervous System Metastases Program, Massachusetts General Hospital/Harvard Cancer Center Boston, MA 02114, USA.
Scott CarterBiostatistics and Computation Biology, Dana-Farber Cancer Institute, Boston, MA 02114, USA.
David LydenPediatric Hematology Oncology, Weill Cornell Medicine, New York, NY 10065, USA.
Stanley LipkowitzWomen's Malignancies Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
Patricia S SteegWomen's Malignancies Branch, National Cancer Institute, NIH, Bethesda, MD 20814, USA.
National Cancer Institute · USNational Institutes of Health · USCornell University · USDana-Farber Cancer Institute · USMassachusetts General Hospital · USNational Institutes of Health Clinical Center · US

Funding

Brain Tumor Clinical and Clinical Research Program (Clinical Support Services)ZIDBC011642 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI OZER, BYRAM · 2015 to 2025
$23.4M
Molecular Analysis of Breast Cancer Metastasis to the BrainZIABC010538 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STEEG, PATRICIA SCHRIVER · 2009 to 2025
$17.1M
Office of Collaborative BiostatisticsZIDSC007202 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI CHOO-WOSOBA, HYOYOUNG · 2009 to 2025
$14.5M
Rare Central Nervous System Cancers InitiativeZIABC011643 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILBERT, MARK · 2015 to 2024
$4.2M
Identifying New Glioma-Associated Tumor Suppressors OncogenesZIABC011647 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILBERT, MARK · 2015 to 2024
$4.2M
Translational ImmunologyZIABC011714 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILBERT, MARK · 2016 to 2024
$4.0M
Exploring the Therapeutic Potential of Stem Cell Biology in GliomasZIABC011640 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILBERT, MARK · 2015 to 2024
$3.1M
Metabolic imaging of the effects of brain radiotherapyZIABC011790 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SMART, DEEDEE · 2017 to 2025
$2.8M
Outcomes and Risk of Rare TumorsZIABC011837 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ARMSTRONG, TERRI S. · 2018 to 2024
$2.7M
Genomic characterization of breast cancer in high risk subsets of breast cancerZIABC011650 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LIPKOWITZ, STANLEY · 2015 to 2025
$2.2M
6 · The paper itself

Abstract

Brain metastases occur in up to 25-55% of patients with metastatic HER2-positive breast cancer. Standard treatment has high rates of recurrence or progression, limiting survival and quality of life in most patients. Temozolomide (TMZ) is known to penetrate the blood-brain barrier and is US FDA approved for treatment of glioblastoma. Our group has demonstrated that low doses of TMZ administered in a prophylactic, metronomic fashion can significantly prevent development of brain metastases in murine models of breast cancer. Based on these findings, we initiated a secondary-prevention clinical trial with oral TMZ given to HER2-positive breast cancer patients with brain metastases after recent local treatment in combination with T-DM1 for systemic control of disease. Primary end point is freedom from new brain metastases at 1 year. (NCT03190967).

Indexed as

Antineoplastic Agents, AlkylatingBrain NeoplasmsBreast NeoplasmsTelomeraseTemozolomideAnimalsAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicDrug Evaluation, PreclinicalFemaleHumansResearch DesignAntineoplastic Agents, AlkylatingBiomarkers, TumorTelomeraseTemozolomideTERT protein, humanbrain metastasesmetastatic breast cancersecondary preventionT-DM1temozolomide

Identifiers

PMID32270710
PMCPMC7270957
OpenAlexW3015714199

What OpenQuestion holds

Textmetadata
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.