Evidence map›Paper›PMID 33837871›Full record

Trial reportBreast cancer research and treatment2021

Phase II study of propranolol feasibility with neoadjuvant chemotherapy in patients with newly diagnosed breast cancer.

Madeleine B Hopson, Shing Lee, Melissa Accordino, Meghna Trivedi, Matthew Maurer, Katherine D Crew, Dawn L Hershman, Kevin Kalinsky

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report 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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 25 citations in OpenAlex.

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  12. Social Genomic Determinants of Health: Understanding the Molecular Pathways by Which Neighborhood Disadvantage Affects Cancer Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
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  14. The Neuroimmune Axis and Its Therapeutic Potential for Primary Liver Cancer.International journal of molecular sciences · 2024
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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

8 authors at 3 institutions in 1 country.

Madeleine B HopsonColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Shing LeeMailman School of Public Health, Columbia University, 722 W 168th St, New York, NY, 10032, USA.
Melissa AccordinoColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Meghna TrivediColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Matthew MaurerBristol-Myers Squibb, 100 Nassau Park Blvd #300, Princeton, NJ, 08540, USA.
Katherine D CrewColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Dawn L HershmanColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Kevin KalinskyWinship Cancer Institute at Emory University, 1365 Clifton Road, Suite B4112, Atlanta, GA, 30322, USA. kkalins@emory.edu.ORCID http://orcid.org/0000-0002-1583-3553
Columbia University Irving Medical Center · USBristol-Myers Squibb (United States) · USEmory Healthcare · US

Funding

Pre-Surgical trial of Metformin and Atorvastatin in Operable Breast CancerR03CA186931 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KALINSKY, KEVIN MICHAEL · 2014 to 2015
$150k
NCI NIH HHS R03 CA186931
6 · The paper itself

Abstract

purposePropranolol regulates angiogenesis in pre-clinical models and reduces distant breast cancer (BC) metastases in observational studies. We assessed the feasibility of combining propranolol with neoadjuvant chemotherapy (NAC) in patients with BC.

methodsWomen with clinical stage II-III BC undergoing NAC [weekly paclitaxel × 12, followed by dose-dense adriamycin/cyclophosphamide (AC) × 4] started propranolol 20 mg PO BID with paclitaxel #1, and increased to 80 mg extended release (ER) PO daily, as tolerated. The primary endpoint was to assess feasibility, defined as at least 75% of patients having at least 80% adherence to propranolol as prescribed. Secondary endpoints included identifying safety, rate of dose holds and modification, and rate of reaching 80 mg ER daily. The proposed sample size was 20 patients.

resultsFrom November 2012 to September 2015, ten patients were enrolled. Median age was 50.5 years (range, 44-67). All patients had hormone receptor-positive/HER2-negative breast cancer. Three women had grade I bradycardia that resulted in a 1-week delay in increasing the propranolol dose. Ninety percent of women reached the target propranolol dosing of 80 mg ER daily, and 70% took the target propranolol dose until the night before surgery. Of the 4 women who dose-reduced propranolol, 1 increased to the target propranolol dose. Mean adherence to propranolol dosing was 96% (range: 91-100%). All patients went to surgery.

conclusionOur results support the feasibility of combining propranolol (up to 80 mg ER) with neoadjuvant taxane/anthracycline-based chemotherapy.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideErb-b2 Receptor Tyrosine KinasesFeasibility StudiesFemaleHumansMiddle AgedPaclitaxelPropranololTreatment OutcomeCyclophosphamideErb-b2 Receptor Tyrosine KinasesPaclitaxelPropranololAngiogenesisBreast CancerNeoadjuvant chemotherapyPropranolol

Identifiers

PMID33837871
OpenAlexW3126560975

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.