Evidence map›Paper›PMID 33272980›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2021

A Randomized Phase IIb Study of Low-dose Tamoxifen in Chest-irradiated Cancer Survivors at Risk for Breast Cancer.

Smita Bhatia, Melanie R Palomares, Lindsey Hageman, Yanjun Chen, Wendy Landier, Kandice Smith, Heidi Umphrey, Caroline A Reich, Kathryn W Zamora, Saro H Armenian and 12 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Aging and cancer.Molecular cancer · 2024
    Review
  6. Review
  7. Review
  8. Article
  9. Review
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

22 authors at 15 institutions in 3 countries.

Smita BhatiaUniversity of Alabama at Birmingham, Birmingham, Alabama. sbhatia@peds.uab.edu.
Melanie R PalomaresCancer Prevention Movement, Arcadia, California.
Lindsey HagemanUniversity of Alabama at Birmingham, Birmingham, Alabama.
Yanjun ChenUniversity of Alabama at Birmingham, Birmingham, Alabama.
Wendy LandierUniversity of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0003-3319-5652
Kandice SmithUniversity of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-5867-8485
Heidi UmphreyMidSouth Imaging, Germantown, Tennessee.
Caroline A ReichUniversity of Alabama at Birmingham, Birmingham, Alabama.
Kathryn W ZamoraUniversity of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0003-4606-706X
Saro H ArmenianCity of Hope, Duarte, California.ORCID 0000-0003-2604-8603
Therese B BeversThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Anne BlaesUniversity of Minnesota, Minneapolis, Minnesota.
Tara HendersonUniversity of Chicago, Chicago, Illinois.
David HodgsonUniversity of Toronto, Toronto, Ontario, Canada.
Melissa M HudsonSt. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0001-6984-2407
Larissa A KordeSeattle Cancer Care Alliance, Seattle, Washington, DC.
Susan A MelinWake Forest School of Medicine, Winston-Salem, North Carolina.
Sofia D MerajverUniversity of Michigan, Ann Arbor, Michigan.
Linda OverholserUniversity of Colorado, Denver, Colorado.
Sandhya PruthiMayo Clinic, Rochester, Minnesota.
F Lennie WongCity of Hope, Duarte, California.
Judy E GarberDana Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-9449-3982
University of Alabama at Birmingham · USCity Of Hope National Medical Center · USArcadia · USDana-Farber Cancer Institute · USLebanese German University · LBMayo Clinic · USSeattle Cancer Care Alliance · USSt. Jude Children's Research Hospital · USThe University of Texas MD Anderson Cancer Center · USUniversity of Colorado Denver · USUniversity of Illinois Chicago · USUniversity of Michigan · USUniversity of Minnesota · USUniversity of Toronto · CAWake Forest University · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
Low Dose Tamoxifen in Hodgkin Lymphoma Survivors for Breast Cancer Risk ReductionR01CA140245 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, SMITA · 2010 to 2014
$3.0M
NCI NIH HHS P30 CA046592NCI NIH HHS R01 CA140245
6 · The paper itself

Abstract

purposeLow-dose tamoxifen reduces breast cancer risk, but remains untested in chest-irradiated cancer survivors-a population with breast cancer risk comparable with PATIENTS AND

methodsWe conducted an investigator-initiated, randomized, phase IIb, double-blinded, placebo-controlled trial (FDA IND107367) between 2010 and 2016 at 15 U.S. sites. Eligibility included ≥12 Gy of chest radiation by age 40 years and age at enrollment ≥25 years. Patients were randomized 1:1 to low-dose tamoxifen (5 mg/day) or identical placebo tablets for 2 years. The primary endpoint was mammographic dense area at baseline, 1 and 2 years. IGF-1 plays a role in breast carcinogenesis; circulating IGF-1 and IGF-BP3 levels at baseline, 1 and 2 years served as secondary endpoints.

resultsSeventy-two participants (low-dose tamoxifen:

conclusionsIn this randomized trial in chest-irradiated cancer survivors, we find that low-dose tamoxifen is effective in reducing established biomarkers of breast cancer risk and could serve as a risk-reduction strategy.

Indexed as

AdultBiomarkers, TumorBreastBreast DensityBreast NeoplasmsCancer SurvivorsDose-Response Relationship, DrugFemaleHumansMammographyMiddle AgedNeoplasms, Radiation-InducedOrgans at RiskTamoxifenTreatment OutcomeBiomarkers, TumorTamoxifen

Identifiers

PMID33272980
PMCPMC7887034
OpenAlexW3109674153

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.