Evidence map›Paper›PMID 32337497›Full record

ArticleJNCI cancer spectrum2020

Oxybutynin vs Placebo for Hot Flashes in Women With or Without Breast Cancer: A Randomized, Double-Blind Clinical Trial (ACCRU SC-1603).

Roberto A Leon-Ferre, Paul J Novotny, Eric G Wolfe, Stephanie S Faubion, Kathryn J Ruddy, Daniel Flora, Christopher S R Dakhil, Kendrith M Rowland, Mark L Graham, Nguyet Le-Lindqwister and 2 more

Open access · goldAbstract read
In one paragraph

Article in JNCI cancer spectrum, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Does the placebo effect on hot flashes depend on the placebo dose?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  2. Guideline
  3. 5th ESO-ESMO international consensus guidelines for advanced breast cancer (ABC 5).Annals of oncology : official journal of the European Society for Medical Oncology · 2020
    Guideline
  4. Trial
  5. Article
  6. Management of menopausal symptoms following treatment for hormone receptor positive breast cancer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  7. Review
  8. Addressing the Needs of Breast Cancer Survivors.Current oncology reports · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Cancer Treatment-Related Ovarian Dysfunction in Women of Childbearing Potential: Management and Fertility Preservation Options.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Review
  17. Review
  18. Review
  19. Review
  20. 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 9 institutions in 1 country.

Roberto A Leon-FerreMedical Oncology, Mayo Clinic, Rochester, MN.ORCID 0000-0003-0594-4441
Paul J NovotnyBiomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Eric G WolfeBiomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Stephanie S FaubionMayo Clinic Center for Women's Health, Mayo Clinic, Rochester, MN.
Kathryn J RuddyMedical Oncology, Mayo Clinic, Rochester, MN.ORCID 0000-0001-6298-332X
Daniel FloraOncology/Hematology, St. Elizabeth Physicians, Crestview Hills, KY.
Christopher S R DakhilMedical Oncology/Hematology, Cancer Center of Kansas, Wichita, KS.
Kendrith M RowlandMedical Oncology, Carle Cancer Center, Urbana, IL.
Mark L GrahamMedical Oncology, Waverly Hematology/Oncology, Cary, NC.
Nguyet Le-LindqwisterMedical Oncology, Illinois Cancer Care, Peoria, IL.
Thomas J SmithMedical Oncology, Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD.ORCID 0000-0003-3040-6434
Charles L LoprinziMedical Oncology, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USCancer Center of Kansas · USCarle Foundation Hospital · USIllinois CancerCare · USMayo Clinic · USSidney Kimmel Comprehensive Cancer Center · USSt. Elizabeth Healthcare · USWaverly Hematology Oncology · US

Funding

ZESTRIL VS. VERAPAMIL IN THE TREATMENT OF HYPERTENSIONM01RR000585 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 1985 to 2006
$30.4M
Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379NCRR NIH HHS M01 RR000585
6 · The paper itself

Abstract

backgroundHot flashes (HFs) negatively affect quality of life among perimenopausal and postmenopausal women. This study investigated the efficacy of oxybutynin vs placebo in decreasing HFs.

methodsIn this randomized, multicenter, double-blind study, women with and without breast cancer with 28 or more HFs per week, lasting longer than 30 days, who were not candidates for estrogen-based therapy, were assigned to oral oxybutynin (2.5 mg twice a day or 5 mg twice a day) or placebo for 6 weeks. The primary endpoint was the intrapatient change from baseline in weekly HF score between each oxybutynin dose and placebo using a repeated-measures mixed model. Secondary endpoints included changes in weekly HF frequency, HF-related daily interference scale questionnaires, and self-reported symptoms.

resultsWe enrolled 150 women. Baseline characteristics were well balanced. Mean (SD) age was 57 (8.2) years. Two-thirds (65%) were taking tamoxifen or an aromatase inhibitor. Patients on both oxybutynin doses reported greater reductions in the weekly HF score (5 mg twice a day: -16.9 [SD 15.6], 2.5 mg twice a day: -10.6 [SD 7.7]), placebo -5.7 (SD 10.2);

conclusionOxybutynin is an effective and relatively well-tolerated treatment option for women with HFs.

Identifiers

PMID32337497
PMCPMC7050158
OpenAlexW2981583996

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.