Evidence map›Paper›PMID 34193107›Full record

ArticleBMC cancer2021

Network meta-analysis of eribulin versus other chemotherapies used as second- or later-line treatment in locally advanced or metastatic breast cancer.

Qi Zhao, Rachel Hughes, Binod Neupane, Kristin Mickle, Yun Su, Isabelle Chabot, Marissa Betts, Ananth Kadambi

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 2 countries.

Qi ZhaoGlobal Value & Access, Eisai Inc, Woodcliff Lake, NJ, USA.
Rachel HughesEvidence Synthesis, Modeling & Communication, Evidera, San Francisco, CA, USA.
Binod NeupaneEvidence Synthesis, Modeling & Communication, Evidera, Montreal, QC, Canada.
Kristin MickleEvidence Synthesis, Modeling & Communication, Evidera, Waltham, MA, USA.
Yun SuGlobal Value & Access, Eisai Inc., Woodcliff Lake, NJ, USA.
Isabelle ChabotFaculté de pharmacie, University of Montreal, Montreal, QC, Canada.
Marissa BettsEvidence Synthesis, Modeling & Communication, Evidera, Waltham, MA, USA.
Ananth KadambiEvidence Synthesis, Modeling & Communication, Evidera, San Francisco, CA, USA. ananth.kadambi@evidera.com.ORCID http://orcid.org/0000-0002-5669-4887
Eisai (United States) · USIthaka Harbors · USUniversité de Montréal · CA

Funding

Eisai Inc. N/A
6 · The paper itself

Abstract

backgroundEribulin mesylate (ERI; Halaven®) is a microtubule inhibitor approved in the United States for metastatic breast cancer patients with at least two prior chemotherapy regimens for metastatic breast cancer, and in the European Union in locally advanced breast cancer or metastatic breast cancer patients who progressed after at least one chemotherapy for advanced disease. This network meta-analysis compared the efficacy and safety of ERI versus other chemotherapies in this setting.

methodsSystematic searches conducted in MEDLINE, Embase, and the Cochrane Central Register of Clinical Trials identified randomized controlled trials of locally advanced breast cancer/metastatic breast cancer chemotherapies in second- or later-line settings. Efficacy assessment included pre-specified subgroup analysis of breast cancer subtypes. Included studies were assessed for quality using the Centre for Reviews and Dissemination tool. Bayesian network meta-analysis estimated primary outcomes of overall survival and progression-free survival using fixed-effect models. Comparators included: capecitabine (CAP), gemcitabine (GEM), ixabepilone (IXA), utidelone (UTI), treatment by physician's choice (TPC), and vinorelbine (VIN).

resultsThe network meta-analysis included seven trials. Results showed that second- or later-line patients treated with ERI had statistically longer overall survival versus TPC (hazard ratio [HR]: 0.81; credible interval [CrI]: 0.66-0.99) or GEM+VIN (0.62; 0.42-0.90) and statistically longer progression-free survival versus TPC (0.76; 0.64-0.90), but statistically shorter progression-free survival versus CAP+IXA (1.40; 1.17-1.67) and CAP+UTI (1.61; 1.23-2.12). In triple negative breast cancer, ERI had statistically longer overall survival versus CAP (0.70; 0.54-0.90); no statistical differences in progression-free survival were observed in triple negative breast cancer.

conclusionsThis network meta-analysis suggests that ERI may provide an overall survival benefit in the overall locally advanced breast cancer/metastatic breast cancer populations and triple negative breast cancer subgroup compared to standard treatments. These findings support the use of ERI in second- or later-line treatment of patients with locally advanced breast cancer/metastatic breast cancer.

Indexed as

Breast NeoplasmsFemaleFuransHumansKetonesNeoplasm MetastasisPolyether PolyketidesProgression-Free SurvivaleribulinFuransKetonesPolyether PolyketidesBreast cancerLocally advancedMetastaticNetwork meta-analysisTriple negative breast cancer, overall survival

Identifiers

PMID34193107
PMCPMC8244131
OpenAlexW3175511275

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.