Evidence map›Paper›PMID 32430040›Full record

ArticleBreast cancer research : BCR2020

Antitumor activity of Z-endoxifen in aromatase inhibitor-sensitive and aromatase inhibitor-resistant estrogen receptor-positive breast cancer.

Swaathi Jayaraman, Xiaonan Hou, Mary J Kuffel, Vera J Suman, Tanya L Hoskin, Kathryn E Reinicke, David G Monroe, Krishna R Kalari, Xiaojia Tang, Megan A Zeldenrust and 12 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

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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

22 authors at 3 institutions in 1 country.

Swaathi JayaramanDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Xiaonan HouDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Mary J KuffelDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Vera J SumanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Tanya L HoskinDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Kathryn E ReinickeDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
David G MonroeDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.
Krishna R KalariDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Xiaojia TangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Megan A ZeldenrustDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Jingfei ChengDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Elizabeth S BruinsmaDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.
Sarah A BuhrowDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Renee M McGovernDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Stephanie L SafgrenDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Chad A WaldenDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Jodi M CarterDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Joel M ReidDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
James N IngleDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Matthew M AmesDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
John R HawseDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.
Matthew P GoetzDepartment of Oncology, Mayo Clinic, Rochester, MN, USA. Goetz.Matthew@mayo.edu.ORCID 0000-0002-4383-270X
Mayo Clinic in Arizona · USMayo Clinic in Florida · USMayo Clinic · US

Funding

The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2005 to 2026
$49.9M
Tamoxifen biotransformation pathway pharmacogenomicsR01CA133049 · NCI · MAYO CLINIC ROCHESTER · PI GOETZ, MATTHEW PHILIP · 2008 to 2013
$2.3M
The Role of Ror-Beta in the SkeletonR01AR068275 · NIAMS · MAYO CLINIC ROCHESTER · PI MONROE, DAVID G · 2015 to 2019
$1.7M
NCI NIH HHS P50 CA116201NCI NIH HHS R01 CA133049NIAMS NIH HHS R01 AR068275
6 · The paper itself

Abstract

backgroundThe tamoxifen metabolite, Z-endoxifen, demonstrated promising antitumor activity in endocrine-resistant estrogen receptor-positive (ER+) breast cancer. We compared the antitumor activity of Z-endoxifen with tamoxifen and letrozole in the letrozole-sensitive MCF7 aromatase expressing model (MCF7AC1), as well as with tamoxifen, fulvestrant, exemestane, and exemestane plus everolimus in a letrozole-resistant MCF7 model (MCF7LR).

methodsMCF7AC1 tumor-bearing mice were randomized to control (no drug), letrozole (10 μg/day), tamoxifen (500 μg/day), or Z-endoxifen (25 and 75 mg/kg). Treatment in the letrozole arm was continued until resistance developed. MCF7LR tumor-bearing mice were then randomized to Z-endoxifen (50 mg/kg) or tamoxifen for 4 weeks and tumors harvested for microarray and immunohistochemistry analysis. The antitumor activity of Z-endoxifen in the MCF7LR tumors was further compared in a second in vivo study with exemestane, exemestane plus everolimus, and fulvestrant.

resultsIn the MCF7AC1 tumors, both Z-endoxifen doses were significantly superior to control and tamoxifen in reducing tumor volumes at 4 weeks. Additionally, the 75 mg/kg Z-endoxifen dose was additionally superior to letrozole. Prolonged letrozole exposure resulted in resistance at 25 weeks. In MCF7LR tumor-bearing mice, Z-endoxifen significantly reduced tumor volumes compared to tamoxifen, letrozole, and exemestane, with no significant differences compared to exemestane plus everolimus and fulvestrant. Additionally, compared to tamoxifen, Z-endoxifen markedly inhibited ERα target genes, Ki67 and Akt expression in vivo.

conclusionIn endocrine-sensitive and letrozole-resistant breast tumors, Z-endoxifen results in robust antitumor and antiestrogenic activity compared to tamoxifen and aromatase inhibitor monotherapy. These data support the ongoing development of Z-endoxifen.

Indexed as

AnimalsApoptosisAromatase InhibitorsBreast NeoplasmsCell Line, TumorCell ProliferationDrug Resistance, NeoplasmFemaleHumansLetrozoleMCF-7 CellsMiceMice, Inbred BALB CMice, NudeNeoplasm InvasivenessReceptors, Estrogen4-hydroxy-N-desmethyltamoxifenAromatase InhibitorsLetrozoleReceptors, EstrogenTamoxifenAI-resistant and AI-sensitive ER+ breast cancerEstrogen-regulated genesSignaling kinaseTamoxifenTumor growth in vivoZ-endoxifen

Identifiers

PMID32430040
PMCPMC7238733
OpenAlexW3026744143

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Registered trials

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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.