Evidence map›Paper›PMID 33608590›Full record

ArticleScientific reports2021

Real-world data of fulvestrant as first-line treatment of postmenopausal women with estrogen receptor-positive metastatic breast cancer.

I Blancas, C Olier, V Conde, J L Bayo, C Herrero, I Zarcos-Pedrinaci, F Carabantes, J M Baena-Cañada, J Cruz, M Ruiz-Borrego

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. An Open-label Phase I Study of GDC-0927 in Postmenopausal Women with Locally Advanced or Metastatic Estrogen Receptor-Positive Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  6. Article
  7. 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

10 authors at 10 institutions in 1 country.

I BlancasOncology Department, Hospital Universitario Clínico San Cecilio and Medicine Department, Granada University, Avenida del Conocimiento s/n, 18006, Granada, Spain. iblancas@ugr.es.ORCID 0000-0002-5867-6615
C OlierOncology Department, Hospital Universitario Fundación Alcorcón, Calle Budapest, 1, 28922, Alcorcón, Madrid, Spain.
V CondeOncology Department, Hospital Universitario Virgen de Las Nieves, Av. de las Fuerzas Armadas, s/n, 18014, Granada, Spain.
J L BayoOncology Department, Hospital Juan Ramón Jiménez, Ronda Exterior Norte s/n, 21005, Huelva, Spain.
C HerreroOncology Department, Hospital Provincial de Castellón, Castelló de La Plana, Av. del Dr. Clarà, 19, 12002, Castellón, Spain.
I Zarcos-PedrinaciOncology Unit, Hospital Costa del Sol, Km 187, 29603, Marbella, Málaga, Spain.
F CarabantesOncology Department, Hospital Regional Universitario de Málaga, Av. de Carlos Haya, s/n, 29010, Málaga, Spain.
J M Baena-CañadaOncology Department, Hospital Universitario Puerta del Mar and Instituto de Investigación E Innovación Biomédica de Cádiz (INiBICA), 11009, Cádiz, Spain.
J CruzOncology Department, Hospital Universitario de Canarias, Carretera de Ofra, s/n, 38320, Santa Cruz de Tenerife, Spain.
M Ruiz-BorregoOncology Department, Hospital Universitario Virgen del Rocío, Av. Manuel Siurot, s/n, 41013, Sevilla, Spain.
Biomedical Research and Innovation Institute of Cadiz · ESFundación Hospital Provincial de Castellón · ESHospital Costa del Sol · ESHospital Juan Ramón Jiménez · ESHospital Regional Universitario de Málaga · ESHospital Universitario de Canarias · ESHospital Universitario Fundación Alcorcón · ESHospital Universitario Virgen de las Nieves · ESHospital Universitario Virgen del Rocío · ESInstituto de Investigación Biosanitaria de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Goals of endocrine therapy for advanced breast cancer (ABC) include prolonging survival rates, maintaining the quality of life, and delaying the initiation of chemotherapy. We evaluated the effectiveness of fulvestrant as first-line in patients with estrogen receptor (ER)-positive ABC with relapse during or after adjuvant anti-estrogenic therapy in real-world settings. Retrospective, observational study involving 171 postmenopausal women with ER-positive ABC who received fulvestrant as first-line between January 2011 and May 2018 in Spanish hospitals. With a median follow-up of 31.4 months, the progression-free survival (PFS) with fulvestrant was 14.6 months. No differences were seen in the visceral metastatic (14.3 months) versus non-visceral (14.6 months) metastatic subgroup for PFS. Overall response rate and clinical benefit rate were 35.2% and 82.8%. Overall survival was 43.1 months. The duration of the clinical benefit was 19.2 months. Patients with ECOG performance status 0 at the start of treatment showed a significant greater clinical benefit rate and overall survival than with ECOG 1-2. Results in real-world settings are in concordance with randomized clinical trials. Fulvestrant continues to demonstrate clinical benefits in real-world settings and appears be well tolerated as first-line for the treatment of postmenopausal women with ER-positive ABC.

Indexed as

AgedAntineoplastic Agents, HormonalBiomarkers, TumorBreast NeoplasmsEstrogen Receptor AntagonistsFemaleFulvestrantHumansMiddle AgedNeoplasm StagingPostmenopausePrognosisReceptors, EstrogenRetrospective StudiesTreatment OutcomeAntineoplastic Agents, HormonalBiomarkers, TumorEstrogen Receptor AntagonistsFulvestrantReceptors, Estrogen

Identifiers

PMID33608590
PMCPMC7895931
OpenAlexW3130995535

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.