Evidence map›Paper›PMID 33198331›Full record

ReviewInternational journal of molecular sciences2020

Management of Brain and Leptomeningeal Metastases from Breast Cancer.

Alessia Pellerino, Valeria Internò, Francesca Mo, Federica Franchino, Riccardo Soffietti, Roberta Rudà

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

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  12. A round table discussion: clinical landscape of trastuzumab deruxtecan in breast cancer: a retrospective and prospective view.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2022
    Review
  13. Article
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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

6 authors.

Alessia PellerinoDepartment of Neuro-Oncology, University and City of Health and Science Hospital, 10126 Turin, Italy.ORCID 0000-0003-3243-0059
Valeria InternòDepartment of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, 70121 Bari, Italy.ORCID 0000-0002-2198-1480
Francesca MoDepartment of Neuro-Oncology, University and City of Health and Science Hospital, 10126 Turin, Italy.
Federica FranchinoDepartment of Neuro-Oncology, University and City of Health and Science Hospital, 10126 Turin, Italy.
Riccardo SoffiettiDepartment of Neuro-Oncology, University and City of Health and Science Hospital, 10126 Turin, Italy.
Roberta RudàDepartment of Neuro-Oncology, University and City of Health and Science Hospital, 10126 Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of breast cancer (BC) has rapidly evolved in the last 20 years. The improvement of systemic therapy allows a remarkable control of extracranial disease. However, brain (BM) and leptomeningeal metastases (LM) are frequent complications of advanced BC and represent a challenging issue for clinicians. Some prognostic scales designed for metastatic BC have been employed to select fit patients for adequate therapy and enrollment in clinical trials. Different systemic drugs, such as targeted therapies with either monoclonal antibodies or small tyrosine kinase molecules, or modified chemotherapeutic agents are under investigation. Major aims are to improve the penetration of active drugs through the blood-brain barrier (BBB) or brain-tumor barrier (BTB), and establish the best sequence and timing of radiotherapy and systemic therapy to avoid neurocognitive impairment. Moreover, pharmacologic prevention is a new concept driven by the efficacy of targeted agents on macrometastases from specific molecular subgroups. This review aims to provide an overview of the clinical and molecular factors involved in the selection of patients for local and/or systemic therapy, as well as the results of clinical trials on advanced BC. Moreover, insight on promising therapeutic options and potential directions of future therapeutic targets against BBB and microenvironment are discussed.

Indexed as

AnimalsAntineoplastic AgentsBlood-Brain BarrierBrain NeoplasmsBreast NeoplasmsClinical Trials as TopicErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaFemaleGene Expression Regulation, NeoplasticHumansMeningeal NeoplasmsMiceNeoplasm Recurrence, LocalPrognosisTriple Negative Breast NeoplasmsAntineoplastic AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesESR1 protein, humanEstrogen Receptor alphabrain metastasesclinical trialsER-positive breast cancerHER2-positive breast cancerleptomeningeal metastasesselection criteriatargeted agentstriple negative breast cancer

Identifiers

PMID33198331
PMCPMC7698162

What OpenQuestion holds

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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.