Evidence map›Paper›PMID 33242757›Full record

ArticleBreast (Edinburgh, Scotland)2020

Real life efficacy of palbociclib and endocrine therapy in HR positive, HER2 negative advanced breast cancer.

B Porte, M Carton, F Lerebours, E Brain, D Loirat, L Haroun, A Bellesoeur, S Bach Hamba, Y Kirova, P Cottu

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Breast (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 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

10 authors at 1 institution in 1 country.

B PorteDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France.
M CartonDepartment of Biostatistics, Institut Curie, Paris and Saint Cloud, France.
F LereboursDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France.
E BrainDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France.
D LoiratDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France.
L HarounDepartment of Data, Institut Curie, Paris and Saint Cloud, France.
A BellesoeurDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France.
S Bach HambaDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France.
Y KirovaDepartment of Radiation Oncology, Institut Curie, Paris and Saint Cloud, France.
P CottuDepartment of Medical Oncology, Institut Curie, Paris and Saint Cloud, France. Electronic address: paul.cottu@curie.fr.
Institut Curie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalbociclib is indicated for the treatment of hormone receptor-positive (HR+), HER2-negative (HER2-) advanced breast cancer (ABC), in combination with endocrine therapy. Emerging real-life data suggest that the efficacy of a palbociclib-based therapy is highly conserved. We report the Institut Curie hospital experience. PATIENTS AND

methodsWe retrospectively reviewed all patients with HR + HER2- ABC treated with a palbociclib-based therapy as first or second line for ABC, with an initial prescription from November 2016 to December 2018. Clinical, laboratory and imaging data were retrieved from electronic records. Data lock was December 31st, 2019. Descriptive analyses, univariate and multivariate Cox regression analyses were performed.

resultsWe included 310 consecutive patients. Median age was 61.8 years old. Palbociclib was prescribed in first line in 225 patients (72.6%). Before palbociclib-based therapy initiation, 122 patients (39.3%) were endocrine naive, 96 (31.0%) endocrine sensitive and 92 (29.7%) endocrine resistant. Median follow-up was 20.7 months. Median progression free survival (PFS) was 23.4 months (95%CI: 21.6-NR) in endocrine naive patients, 22.7 months (95%CI: 14.7-NR) in endocrine sensitive, and 13.4 months (95%CI: 10.7-20.8) in endocrine resistant. At 12 months from the initiation of palbociclib, 94.5% of patients were alive. By multivariate analysis, poor prognosis factors for PFS were identified in the endocrine naive/sensitive population: initial ECOG status 2, previous endocrine therapy for ABC, 3 metastatic sites or more. Toxicity profile was similar to previously published data.

conclusionIn a non-selected population of patients with HR + HER2- ABC, the efficacy and safety data are strikingly similar to those previously reported.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAromatase InhibitorsBreast NeoplasmsFemaleFulvestrantHumansMiddle AgedPiperazinesProgression-Free SurvivalProportional Hazards ModelsPyridinesReceptors, EstrogenReceptors, ProgesteroneAromatase InhibitorsFulvestrantpalbociclibPiperazinesPyridinesReceptors, EstrogenReceptors, ProgesteroneAdvanced breast cancerEndocrine therapyPalbociclibReal-life

Identifiers

PMID33242757
PMCPMC7695984
OpenAlexW3103014577

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.