Evidence map›Paper›PMID 34439317›Full record

ArticleCancers2021

Efficacy of Fulvestrant in Women with Hormone-Resistant Metastatic Breast Cancer (mBC): A Canadian Province Experience.

Samitha Andrahennadi, Amer Sami, Kamal Haider, Haji Ibraheem Chalchal, Duc Le, Osama Ahmed, Mita Manna, Ali El-Gayed, Philip Wright, Shahid Ahmed

Abstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

10 authors.

Samitha AndrahennadiCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.ORCID 0000-0002-6716-6908
Amer SamiCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Kamal HaiderCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Haji Ibraheem ChalchalCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Duc LeCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Osama AhmedCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.ORCID 0000-0001-9241-7695
Mita MannaCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Ali El-GayedCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Philip WrightCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.
Shahid AhmedCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N5E5, Canada.ORCID 0000-0002-2099-698X

Funding

Mach-Gaensslen Foundation of Canada Dean Summer Student-2019-2020
6 · The paper itself

Abstract

introductionFulvestrant has demonstrated efficacy in hormone receptor positive (HR+) metastatic breast cancer (mBC), both in first-and second-line settings. In clinical practice, however, fulvestrant has been used as a later-line therapy. This study assessed the efficacy of fulvestrant in women with mBC in early-versus later-line therapy.

methodsThis retrospective cohort study assessed Saskatchewan women with HR+ mBC who received fulvestrant between 2003-2019. A multivariate Cox proportional survival analysis was performed.

resultsOne hundred and eighty-six women with a median age of 63.5 years were identified-178 (95.6%) had hormone-resistant mBC, 57.5% had visceral disease, and 43.0% had received chemotherapy before fulvestrant. 102 (54.8%) women received ≤2-line-therapy, and 84 (45.2%) received ≥3 line-therapy before fulvestrant. The median time to progression (TTP) was 12 months in the early-treatment vs. 6 months in the later-treatment group,

conclusionsFulvestrant has demonstrated efficacy as both early-and later-line therapy in hormone-resistant mBC. Our results show that women with clinical benefit from fulvestrant, who received post-fulvestrant chemotherapy, or had non-visceral disease, had better survival.

Indexed as

fulvestranthormone receptor positive breast cancerhormone-resistantsurvivalvisceral metastases

Identifiers

PMID34439317
PMCPMC8391338

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Registered trials

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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.