Evidence map›Paper›PMID 32788596›Full record

ArticleScientific reports2020

A single-center retrospective safety analysis of cyclin-dependent kinase 4/6 inhibitors concurrent with radiation therapy in metastatic breast cancer patients.

Andrea Emanuele Guerini, Sara Pedretti, Emiliano Salah, Edda Lucia Simoncini, Marta Maddalo, Ludovica Pegurri, Rebecca Pedersini, Lucia Vassalli, Nadia Pasinetti, Gloria Peretto and 6 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 36 citations in OpenAlex.

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  14. Oligometastatic Breast Cancer: How to Manage It?Journal of personalized medicine · 2021
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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

16 authors at 3 institutions in 1 country.

Andrea Emanuele GueriniDepartment of Radiation Oncology, Brescia University, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
Sara PedrettiDepartment of Radiation Oncology, ASST Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Emiliano SalahDepartment of Radiation Oncology, ASST Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy. emiliano.salah@aol.com.
Edda Lucia SimonciniMedical Oncology Unit, University of Brescia, Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Marta MaddaloDepartment of Radiation Oncology, ASST Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Ludovica PegurriDepartment of Radiation Oncology, ASST Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Rebecca PedersiniMedical Oncology Unit, University of Brescia, Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Lucia VassalliMedical Oncology Unit, University of Brescia, Spedali Civili of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Nadia PasinettiRadiation Oncology Service, ASST Valcamonica, 25040, Esine, Italy.
Gloria PerettoDepartment of Radiation Oncology, Brescia University, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
Luca TriggianiDepartment of Radiation Oncology, Brescia University, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
Gianluca CostantinoDepartment of Radiation Oncology, Brescia University, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
Vanessa FigliaAdvanced Radiation Oncology Department, Cancer Care Center, IRCCS Sacro Cuore Don Calabria Hospital, Via Don Sempreboni 5, 37034, Verona, Negrar, Italy.
Filippo AlongiAdvanced Radiation Oncology Department, Cancer Care Center, IRCCS Sacro Cuore Don Calabria Hospital, Via Don Sempreboni 5, 37034, Verona, Negrar, Italy.
Stefano Maria MagriniDepartment of Radiation Oncology, Brescia University, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
Michela BuglioneDepartment of Radiation Oncology, Brescia University, Piazzale Spedali Civili, 1, 25123, Brescia, Italy.
University of Brescia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITOspedale Sacro Cuore Don Calabria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cyclin dependent kinases 4/6 (CDK4/6) inhibitors gained an essential role in the treatment of metastatic breast cancer. Nevertheless, data regarding their use in combination with radiotherapy are still scarce. We performed a retrospective preliminary analysis of breast cancer patients treated at our Center with palliative radiation therapy and concurrent CDK4/6 inhibitors. Toxicities were measured according to CTCAE 4.0, local response according to RECIST 1.1 or PERCIST 1.0 and pain control using verbal numeric scale. 18 patients (32 treated sites) were identified; 50% received palbociclib, 33.3% ribociclib and 16.7% abemacliclib. Acute non-hematologic toxicity was fair, with the only exception of a patient who developed G3 ileitis. During 3 months following RT, 61.1% of patients developed G 3-4 neutropenia; nevertheless no patient required permanent suspension of treatment. Pain control was complete in 88.2% of patients three months after radiotherapy; 94.4% of patients achieved and maintained local control of disease. Radiotherapy concomitant to CDK4/6 inhibitors is feasible and characterized by a fair toxicity profile, with isolated episodes of high-grade reversible intestinal toxicity. Rate of G 3-4 neutropenia was comparable with that measured for CDK4/6 inhibitors alone. Promising results were reported in terms of pain relief and local control of disease.

Indexed as

AminopyridinesBreast NeoplasmsCombined Modality TherapyCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6FemaleHumansIleitisMolecular Targeted TherapyNeoplasm MetastasisNeutropeniaOutcome Assessment, Health CarePiperazinesProtein Kinase InhibitorsPurinesPyridinesAminopyridinesCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6palbociclibPiperazinesProtein Kinase InhibitorsPurinesPyridinesribociclib

Identifiers

PMID32788596
PMCPMC7423932
OpenAlexW3048492045

What OpenQuestion holds

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LicenceCC BY
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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.