Evidence map›Paper›PMID 33686753›Full record

Trial reportCancer science2021

Abemaciclib in combination with endocrine therapy for East Asian patients with HR+, HER2- advanced breast cancer: MONARCH 2 & 3 trials.

Masakazu Toi, Kenichi Inoue, Norikazu Masuda, Hiroji Iwata, Joohyuk Sohn, In Hae Park, Seock-Ah Im, Shin-Cheh Chen, Sotaro Enatsu, P Kellie Turner and 5 more

Open access · goldAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Trial
  7. 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

15 authors at 12 institutions in 4 countries.

Masakazu ToiBreast Cancer Unit, Graduate School of Medicine, Kyoto University Hospital, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0000-0003-1488-9958
Kenichi InoueDivision of Breast Oncology, Saitama Cancer Center, Saitama, Japan.
Norikazu MasudaNational Hospital Organization Osaka National Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0002-7302-0278
Hiroji IwataDepartment of Breast Oncology, Aichi Cancer Center Hospital, Nagoya, Japan.
Joohyuk SohnDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
In Hae ParkDivision of Hematology and Medical Oncology, Department of Internal Medicine, National Cancer Center, Goyang, Korea.ORCID https://orcid.org/0000-0001-7894-8772
Seock-Ah ImDepartment of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Shin-Cheh ChenDepartment of Surgery, Chang Gung Memorial Hospital, Chang Gung University Medical College Taoyuan, Taoyuan, Taiwan.
Sotaro EnatsuEli Lilly and Company, Tokyo, Japan.
P Kellie TurnerEli Lilly and Company, Indianapolis, IN, USA.
Valérie A M AndréEli Lilly and Company, Paris, France.
Molly C HardebeckEli Lilly and Company, Indianapolis, IN, USA.
Sachi SakaguchiEli Lilly and Company, Tokyo, Japan.
Matthew P GoetzDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
George W SledgeStanford University, Stanford, CA, USA.
Eli Lilly (Japan) · JPEli Lilly (United States) · USAichi Cancer Center · JPChang Gung University · TWKyoto University Hospital · JPMayo Clinic in Arizona · USNational Cancer Center · USOsaka National Hospital · JPSaitama Cancer Center · JPSeoul National University Hospital · KRStanford University · USYonsei University · KR

Funding

Eli Lilly and Company, Indianapolis
6 · The paper itself

Abstract

This post hoc analysis of MONARCH 2 and MONARCH 3 assesses the efficacy, safety, and pharmacokinetics (PK) of abemaciclib in combination with endocrine therapy (ET) in East Asian patients with hormone receptor positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer. MONARCH 2 and MONARCH 3 are global, randomized, double-blind, phase 3 studies of abemaciclib/placebo + fulvestrant and abemaciclib/placebo + nonsteroidal aromatase inhibitor (NSAI, anastrozole or letrozole), respectively. The East Asian population comprised 212 (31.7%) of the 669 intent-to-treat (ITT) population in the MONARCH 2 trial and 144 (29.2%) of the 493 ITT patients in the MONARCH 3 trial. In the East Asian population, median progression-free survival (PFS) was significantly prolonged in the abemaciclib arm compared with placebo in both MONARCH 2 (hazard ratio [HR], 0.520; 95% confidence interval [CI], 0.362 to 0.747; P < .001; median: 21.2 vs 11.6 months) and MONARCH 3 (HR, 0.326; 95% CI, 0.200 to 0.531, P < .001; median: not reached vs 12.82 months). Diarrhea (MONARCH 2: 90%; MONARCH 3: 88%) and neutropenia (MONARCH 2: 68%; MONARCH 3: 58%) were the most frequent adverse events observed in the East Asian populations. Abemaciclib exposures and PK were similar in East Asians and the non-East Asian populations of both trials. Abemaciclib in combination with ET in the East Asian populations of MONARCH 2 and MONARCH 3 provided consistent results with the ITT populations, demonstrating improvements in efficacy with generally tolerable safety profiles for patients with HR+, HER2- advanced breast cancer.

Indexed as

AminopyridinesAnastrozoleAromatase InhibitorsBenzimidazolesBreast NeoplasmsDiarrheaDouble-Blind MethodDrug Therapy, CombinationErb-b2 Receptor Tyrosine KinasesFemaleFulvestrantHumansLetrozoleNeutropeniaTreatment OutcomeabemaciclibAminopyridinesAnastrozoleAromatase InhibitorsBenzimidazolesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFulvestrantLetrozoleabemaciclibbreast cancercyclin-dependent kinase inhibitorEast Asiametastatic

Identifiers

PMID33686753
PMCPMC8177785
OpenAlexW3134669005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.