Evidence map›Paper›PMID 33728524›Full record

ArticleBreast cancer research and treatment2021

Safety and efficacy of everolimus (EVE) plus exemestane (EXE) in postmenopausal women with locally advanced or metastatic breast cancer: final results from EVEREXES.

Young-Hyuck Im, Bulent Karabulut, Keun Seok Lee, Byeong-Woo Park, Aditya Adhav, Havva Yesil Cinkir, Hikmat Abdel-Razeq, Yuan-Ching Chang, Sercan Aksoy, Seock-Ah Im and 6 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Cardio-Oncology and Breast Cancer Therapies.Current treatment options in oncology · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. New Concepts in Cardio-Oncology.Cancer treatment and research · 2023
    Article
  11. Article
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

16 authors at 15 institutions in 7 countries.

Young-Hyuck ImDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. imyh00@skku.edu.ORCID http://orcid.org/0000-0001-6459-8118
Bulent KarabulutDepartment of Medical Oncology, Faculty of Medicine, Ege University, Izmir, Turkey.
Keun Seok LeeCenter for Breast Cancer, National Cancer Center, Gyeonggi do, Korea.
Byeong-Woo ParkDepartment of Surgery, Yonsei University Health System, Severance Hospital, Seoul, Korea.
Aditya AdhavDepartment of Surgical Oncology, HCG Manavata Cancer Centre, Nashik, India.
Havva Yesil CinkirDepartment of Medical Oncology, Gaziantep University Medical Faculty, Gaziantep, Turkey.
Hikmat Abdel-RazeqKing Hussein Cancer Center, Amman, Jordan.
Yuan-Ching ChangMackay Memorial Hospital, Taipei, Taiwan.
Sercan AksoyHacettepe University Medical Faculty, Ankara, Turkey.
Seock-Ah ImSeoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Joon JeongDepartment of Surgery, Gangnam Severance Hospital Yonsei University Health System, Seoul, Korea.
Yeesoo ChaeKyungpook National University Hospital, Daegu, Korea.
James BowlesNovartis Pharma AG, Basel, Switzerland.
Khemaies SlimaneNovartis Pharma AG, Basel, Switzerland.
Hongling XueNovartis Asia Pacific Pharmaceuticals Pte Ltd, Singapore, Singapore.
Sung-Bae KimDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Novartis (Switzerland) · CHEge University · TRGangnam Severance Hospital · KRGaziantep University · TRHacettepe University · TRHCG Cancer Centre · INKing Hussein Cancer Center · JOKyungpook National University Hospital · KRMackay Memorial Hospital · TWNational Cancer Center · KRNovartis (Singapore) · SGSamsung Medical Center · KRSeoul National University Hospital · KRSeverance Hospital · KRUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was conducted to collect clinical safety, tolerability, and efficacy data with the use of everolimus (EVE) combined with exemestane (EXE) in patients with advanced breast cancer (ABC).

methodsThe EVEREXES trial initiated in 2012, provided early access to the first dual blockade treatment with EVE + EXE in patients with HR+, HER2 - ABC in Asia and other emerging growth countries. Postmenopausal women with HR+, HER2 - ABC who had documented recurrence or progression, following a nonsteroidal aromatase inhibitor therapy, were treated with EVE (10 mg/day) + EXE (25 mg/day) orally.

resultsA total of 235 patients received ≥ 1 dose of study medication. At the end of the study, all patients ceased the treatment. Disease progression (66.0%) was the primary reason of discontinuation. The most common AEs (≥ 20%) were stomatitis, decreased appetite, hyperglycemia, rash, aspartate aminotransferase increased, anemia, alanine aminotransferase increased, cough, and fatigue. No new safety concerns were identified in the current study. Median progression-free survival (PFS) in the Asian subset was similar to that of the overall population (9.3 months in both groups). Confirmed overall response rate (ORR) was achieved for 19.6% of the patients. Efficacy of EVE + EXE across subgroups (prior CT, line of treatment, and presence of visceral metastases) was maintained.

conclusionThe safety and efficacy results from EVEREXES trial are consistent to data previously reported in BOLERO-2. These results support that EVE + EXE could be a viable treatment option for the postmenopausal women with HR+, HER2 - ABC in Asian region.

Indexed as

Breast NeoplasmsEverolimusAndrostadienesAntineoplastic Combined Chemotherapy ProtocolsAsiaErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoplasm Recurrence, LocalPostmenopauseSirolimusAndrostadienesErb-b2 Receptor Tyrosine KinasesEverolimusexemestaneSirolimusBreast CancerEVEREXESEverolimusExemestaneHER2 −HR +Mammalian target of rapamycin (mTOR)

Identifiers

PMID33728524
OpenAlexW3136854782

What OpenQuestion holds

Textmetadata
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.