Evidence map›Paper›PMID 32928264›Full record

ArticleBreast cancer research : BCR2020

Plasma thymidine kinase 1 activity and outcome of ER+ HER2- metastatic breast cancer patients treated with palbociclib and endocrine therapy.

Luc Cabel, Dan Rosenblum, Florence Lerebours, Etienne Brain, Delphine Loirat, Mattias Bergqvist, Paul Cottu, Anne Donnadieu, Anne Bethune, Nicolas Kiavue and 4 more

Registry-linked trialOpen 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. It is linked to trial NCT02866149 (Analysis of Circulating Tumor Markers in the Blood), which is not on this 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
2.0field-weighted citation impact, top 10% 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.

NCT02866149 nacompletednot on this map

Analysis of Circulating Tumor Markers in the Blood

TypeinterventionalSponsorInstitut CurieRan2015 to 2024Enrolled682ConditionsCancerArmsBlood sampling, Tumor sampling, Stool sampling
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Thymidine kinase activity levels in serum can identify HR+ metastatic breast cancer patients with a low risk of early progression (SWOG S0226).Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals · 2023
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  16. Multi-stage mechanisms of tumor metastasis and therapeutic strategies.Signal transduction and targeted therapy · 2024
    Review
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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 4 institutions in 2 countries.

Luc CabelDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France. luc.cabel@curie.fr.ORCID 0000-0001-5515-9180
Dan RosenblumDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Florence LereboursDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Etienne BrainDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Delphine LoiratDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Mattias BergqvistBiovica, Uppsala, Sweden.
Paul CottuCirculating Tumor Biomarkers Laboratory, SIRIC2 Institut Curie, Paris, France.
Anne DonnadieuDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Anne BethuneDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Nicolas KiavueDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Manuel RodriguesCirculating Tumor Biomarkers Laboratory, SIRIC2 Institut Curie, Paris, France.
Jean-Yves PiergaDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Marie-Laure TanguyDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
François-Clément BidardDepartment of Medical Oncology, Institut Curie, Saint-Cloud, 92210, Paris, France.
Institut Curie · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FRBiovica (Sweden) · SEUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious cohort studies have reported plasma TK1 activity (pTKa) as a potential prognostic biomarker in estrogen receptor-positive (ER+) HER2-negative (HER2-) metastatic breast cancer (MBC). In this prospective study, we report here the prognostic impact of pTKa in ER+/HER2- MBC patients treated with endocrine therapy and CDK4/6 inhibitor. EXPERIMENTAL

designPatients were included into the prospective, ethics committee-approved ALCINA study (NCT02866149). Eligibility criteria were patients with ER+/HER2- MBC treated at Institut Curie with endocrine therapy and palbociclib. Plasma samples were obtained at baseline and after 4 weeks of treatment. pTKa was quantified by the DiviTum® assay (Biovica, Sweden).

resultsFrom May 2016 to August 2018, 103 patients treated with endocrine therapy and palbociclib were included. Patients had received a median of two prior systemic therapies for MBC (range 0-14). Median follow-up was 13.8 months (range 6-31), with median PFS and OS of 9.6 months (95%CI [7.0-11.3]) and 28 months (95%CI [23-not reached]), respectively. Median baseline pTKa was 292 Du/L (range 20-27,312 Du/L, IQR [89-853]). After adjusting for other prognostic factors, baseline pTKa remained an independent prognostic factor for both PFS (HR = 1.3 95%CI [1.1-1.4], p = 0.0005) and OS (HR = 1.3 95%CI [1.2-1.6], p < 0.0001), and 4-week pTKa was associated with OS (HR = 1.6 95%CI [1.3-2], p < 0.0001). That survival prediction was significantly improved by the addition of baseline pTKa to clinicopathological characteristics. Adding pTKa changes at 4 weeks to baseline pTKa did not further increase survival prediction.

conclusionThis study demonstrates the clinical validity of pTKa as a new circulating prognostic marker in ER+/HER2- MBC patients treated with endocrine therapy and palbociclib.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaFemaleFulvestrantHumansLetrozoleMiddle AgedNeoplasm MetastasisPiperazinesPrognosisBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesESR1 protein, humanEstrogen Receptor alphaFulvestrantLetrozolepalbociclibPiperazinesPyridinesTamoxifenThymidine Kinasethymidine kinase 1BiomarkerCDK4/6 inhibitorMetastatic breast cancerPalbociclibThymidine kinase 1

Identifiers

PMID32928264
PMCPMC7489000
OpenAlexW3085641971

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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.