Evidence map›Paper›PMID 33150547›Full record

ArticleBreast cancer research and treatment2021

Response to neoadjuvant chemotherapy and the 21-gene Breast Recurrence Score test in young women with estrogen receptor-positive early breast cancer.

Tal Sella, Shari I Gelber, Philip D Poorvu, Hee-Jeong Kim, Laura Dominici, Yaileen D Guzman-Arocho, Laura Collins, Kathryn J Ruddy, Rulla M Tamimi, Jeffrey M Peppercorn and 10 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01468246 (Helping Ourselves, Helping Others), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 27% 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.

NCT01468246 active not recruitingnot on this map

Helping Ourselves, Helping Others: The Young Women's Breast Cancer Study

TypeobservationalSponsorDana-Farber Cancer InstituteRan2006 to 2035Enrolled1,302ConditionsBreast Cancer
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 22 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

20 authors at 10 institutions in 3 countries.

Tal SellaDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Shari I GelberDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Philip D PoorvuDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Hee-Jeong KimAsan Medical Center, Seoul, Korea.
Laura DominiciDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Yaileen D Guzman-ArochoHarvard Medical School, Boston, MA, USA.
Laura CollinsHarvard Medical School, Boston, MA, USA.
Kathryn J RuddyMayo Clinic, Department of Oncology, Rochester, MN, USA.
Rulla M TamimiDepartment of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Jeffrey M PeppercornHarvard Medical School, Boston, MA, USA.
Lidia SchapiraStanford Cancer Institute, Palo Alto, CA, USA.
Virginia F BorgesUniversity of Colorado Comprehensive Cancer Center, Aurora, CO, USA.
Steven E ComeHarvard Medical School, Boston, MA, USA.
Ellen WarnerOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Craig SnowDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Debbie M JakubowskiGenomic Health, Redwood City, CA, USA.
Christy A RussellGenomic Health, Redwood City, CA, USA.
Eric P WinerDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Shoshana M RosenbergDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Ann H PartridgeDana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA. Ann_partridge@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-4722-4824
Brigham and Women's Hospital · USBeth Israel Deaconess Medical Center · USHarvard University · USDana-Farber Cancer Institute · USGenomic Health (United States) · USAsan Medical Center · KRMayo Clinic in Arizona · USPalo Alto Institute · USSunnybrook Health Science Centre · CAUniversity of Colorado Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 21-gene Breast Recurrence Score test predicts benefit from adjuvant chemotherapy in estrogen receptor-positive, HER2-negative (ER+/HER2-) breast cancer (BC). We examined whether the 21-gene assay predicts response to neoadjuvant chemotherapy (NCT).

methodsWe identified patients with stage I-III ER+/HER2- BC treated with NCT from the Young Women's Breast Cancer Study, a prospective cohort of women diagnosed with BC at age ≤40 years. The 21-gene assay was performed on tumor specimens removed prior to NCT either as part of clinical care or retrospectively for research. Pathological complete response (pCR) was defined as ypT0/is ypN0. The relationship between Recurrence Score result and pCR was evaluated using logistic regression modeling.

results76 women received NCT for ER+/HER2- BC and were eligible for this analysis. Median age at diagnosis was 37 years (range 24-40). Scores ranged between 5 and 77 with 50% >25 and 5% <11. Median Recurrence Score result was significantly higher among tumors achieving pCR vs. non-pCR response (61.5 vs. 23, p

conclusionsIn young women with ER+/HER2- BC who received NCT, higher pretreatment Recurrence Score result was associated with an increased likelihood of pCR. Gene expression profile assays may have a role in decision making in young women in need of neoadjuvant therapy.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAdultAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoplasm Recurrence, LocalProspective StudiesReceptors, EstrogenRetrospective StudiesTreatment OutcomeYoung AdultErb-b2 Receptor Tyrosine KinasesReceptors, Estrogen21-gene Breast Recurrence ScoreNeoadjuvant chemotherapyPathological complete responseYoung women

Identifiers

PMID33150547
OpenAlexW3095303989

What OpenQuestion holds

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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.