Evidence map›Paper›PMID 33477469›Full record

ReviewCancers2021

CDK4/6 Inhibitor Treatments in Patients with Hormone Receptor Positive, Her2 Negative Advanced Breast Cancer: Potential Molecular Mechanisms, Clinical Implications and Future Perspectives.

Michela Roberto, Antonio Astone, Andrea Botticelli, Luisa Carbognin, Alessandra Cassano, Giuliana D'Auria, Agnese Fabbri, Alessandra Fabi, Teresa Gamucci, Eriseld Krasniqi and 12 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  5. Clinical Significance of PIK3CA and ESR1 Mutations in Circulating Tumor DNA: Analysis from the MONARCH 2 Study of Abemaciclib plus Fulvestrant.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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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

22 authors at 11 institutions in 1 country.

Michela RobertoOncology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy.ORCID 0000-0001-5339-8348
Antonio AstoneDivision of Medical Oncology, Fatebenefratelli San Pietro Hospital, 00189 Rome, Italy.
Andrea BotticelliMedical Oncology Unit B, Policlinico Umberto I, 00161 Rome, Italy.
Luisa CarbogninDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Alessandra CassanoDepartment of Medical Oncology, Catholic University of Sacred Heart, 00168 Rome, Italy.
Giuliana D'AuriaMedical Oncology, Sandro Pertini Hospital, 00157 Rome, Italy.
Agnese FabbriMedical Oncology Unit, Belcolle Hospital, 01100 Viterbo, Italy.
Alessandra FabiPhase 1 Unit and Pre+cision Medicine, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Teresa GamucciMedical Oncology, Sandro Pertini Hospital, 00157 Rome, Italy.
Eriseld KrasniqiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Mauro MinelliSan Giovanni Addolorata Hospital, 00184 Rome, Italy.
Armando OrlandiDepartment of Medical Oncology, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0001-5253-4678
Francesco PantanoDepartment of Oncology, University Campus Biomedico of Rome, 00155 Rome, Italy.
Ida ParisDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-7445-3366
Laura PizzutiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Ilaria PortarenaMedical Oncology Unit, Department of Systems Medicine, Tor Vergata Clinical Center University Hospital, 00133 Rome, Italy.
Nello SalesiMedical Oncology, S.M. Goretti Hospital, 04100 Latina, Italy.
Simone ScagnoliDepartment of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0003-4943-5622
Paola ScavinaSan Giovanni Addolorata Hospital, 00184 Rome, Italy.
Giuseppe ToniniDepartment of Oncology, University Campus Biomedico of Rome, 00155 Rome, Italy.
Patrizia ViciDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Paolo MarchettiOncology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, Italy.ORCID 0000-0002-9064-8761
Istituti di Ricovero e Cura a Carattere Scientifico · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera San Giovanni Addolorata · ITOspedale Sandro Pertini · ITPoliclinico Umberto I · ITSapienza University of Rome · ITUniversità Campus Bio-Medico · ITUniversità Cattolica del Sacro Cuore · ITFatebenefratelli Hospital · ITOspedale di Belcolle · ITOspedale Santa Maria Goretti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative breast cancer is the most common breast cancer subtype, and endocrine therapy (ET) remains its therapeutic backbone. Although anti-estrogen therapies are usually effective initially, approximately 50% of HR+ patients develop resistance to ET within their lifetime, ultimately leading to disease recurrence and limited clinical benefit. The recent addition of cyclin-dependent kinase 4 (CDK4) and CDK6 inhibitors (palbociclib, ribociclib, abemaciclib) to ET have remarkably improved the outcome of patients with HR+ advanced breast cancer (ABC) compared with anti-estrogens alone, by targeting the cell-cycle machinery and overcoming some aspects of endocrine resistance. However, which patients are the better candidates for these drugs, which are the main characteristics for a better selection of patients or if there are predictive biomarkers of response, is still unknown. In this review we reported the mechanism of action of CDK4/6 inhibitors as well as their potential mechanism of resistance, their implications in clinical practice and the forthcoming strategies to enhance their efficacy in improving survival and quality of life of patients affected with HR+, HER2-, ABC.

Indexed as

advanced breast cancer (ABC)breast cancerCDK4/6 inhibitorsendocrine resistanceendocrine therapy (ET)

Identifiers

PMID33477469
PMCPMC7830463
OpenAlexW3123151883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.