Evidence map›Paper›PMID 34065180›Full record

ArticleCancers2021

Estetrol Combined to Progestogen for Menopause or Contraception Indication Is Neutral on Breast Cancer.

Anne Gallez, Silvia Blacher, Erik Maquoi, Erika Konradowski, Marc Joiret, Irina Primac, Céline Gérard, Mélanie Taziaux, René Houtman, Liesbet Geris and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-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

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Chapter 3. Impact of estrogens on hemostasis.Frontiers in endocrinology · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Estetrol: A New Choice for Contraception.Journal of clinical medicine · 2021
    Review
  10. Estetrol and Mammary Gland: Friends or Foes?Journal of mammary gland biology and neoplasia · 2021
    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

16 authors at 5 institutions in 3 countries.

Anne GallezLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Silvia BlacherLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Erik MaquoiLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Erika KonradowskiLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Marc JoiretBiomechanics Research Unit, GIGA-In Silico Medicine, University of Liège, 4000 Liège, Belgium.ORCID 0000-0001-5381-4196
Irina PrimacLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Céline GérardMithra Pharmaceuticals, rue Saint-Georges 5/7, 4000 Liège, Belgium.
Mélanie TaziauxMithra Pharmaceuticals, rue Saint-Georges 5/7, 4000 Liège, Belgium.
René HoutmanPrecision Medicine Lab, 5349 AB Oss, The Netherlands.ORCID 0000-0001-7639-6310
Liesbet GerisBiomechanics Research Unit, GIGA-In Silico Medicine, University of Liège, 4000 Liège, Belgium.ORCID 0000-0002-8180-1445
Françoise LenfantINSERM U1048, Institut des Maladies Métaboliques et Cardiovasculaires, University Paul Sabatier, 31432 Toulouse, France.
Elisabetta MarangoniTranslational Research Department, Institute Curie, PSL Research University, 75248 Paris, France.
Nor Eddine SounniLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.ORCID 0000-0001-9962-9236
Jean-Michel FoidartLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Agnès NoëlLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.
Christel PéqueuxLaboratory of Biology, Tumors and Development, GIGA-Cancer, University of Liège, 4000 Liège, Belgium.ORCID 0000-0001-8275-1489
University of Liège · BEMithra Pharmaceuticals (Belgium) · BEIBS Precision Engineering (Netherlands) · NLUniversité Paris Sciences et Lettres · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

Belgium National Fund for Scientific Research (FNRS) CDR-J.0131.19Belgium National Fund for Scientific Research (FNRS) CDR-J.0197.17FNRS-Télévie 7.4597.16FNRS-Télévie 7.6526.18FFondation Léon Frédéricq 2016-2021SPW Economie, Emploi, Recherche (Belgium) 0University of Liège FSRC-S-SS-16/05University of Liège FSR-F-M-17/1042University of Liège FSR-F-M-18/4204University of Liège FSR-F-M-19/6761
6 · The paper itself

Abstract

Given the unequivocal benefits of menopause hormone therapies (MHT) and combined oral contraceptives (COC), there is a clinical need for new formulations devoid of any risk of breast cancer promotion. Accumulating data from preclinical and clinical studies support that estetrol (E4) is a promising natural estrogen for MHT and COC. Nevertheless, we report here that E4 remains active on the endometrium, even under a dose that is neutral on breast cancer growth and lung metastasis dissemination. This implies that a progestogen should be combined with E4 to protect the endometrium of non-hysterectomized women from hyperplasia and cancer. Through in vivo observations and transcriptomic analyses, our work provides evidence that combining a progestogen to E4 is neutral on breast cancer growth and dissemination, with very limited transcriptional impact. The assessment of breast cancer risk in patients during the development of new MHT or COC is not possible given the requirement of long-term studies in large populations. This translational preclinical research provides new evidence that a therapeutic dose of E4 for MHT or COC, combined with progesterone or drospirenone, may provide a better benefit/risk profile towards breast cancer risk compared to hormonal treatments currently available for patients.

Indexed as

breast cancercombined oral contraceptivedrospirenoneestetrolestrogen receptor alphamenopause hormone therapyprogesterone

Identifiers

PMID34065180
PMCPMC8160902
OpenAlexW3163554067

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.