Evidence map›Paper›PMID 34590007›Full record

ArticleJTO clinical and research reports2021

Investigation of Combination Treatment With an Aromatase Inhibitor Exemestane and Carboplatin-Based Therapy for Postmenopausal Women With Advanced NSCLC.

Patricia A Young, Diana C Márquez-Garbán, Zorawar Singh Noor, Neda Moatamed, David Elashoff, Tristan Grogan, Tahmineh Romero, Hironobu Sasano, Ryoko Saito, Rebecca Rausch and 4 more

Open access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

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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

14 authors at 2 institutions in 2 countries.

Patricia A YoungDivision of Hematology-Oncology, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California.
Diana C Márquez-GarbánDivision of Hematology-Oncology, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California.
Zorawar Singh NoorDivision of Hematology-Oncology, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California.
Neda MoatamedJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
David ElashoffJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
Tristan GroganJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
Tahmineh RomeroJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
Hironobu SasanoDepartment of Pathology, Tohoku University School of Medicine, Sendai, Japan.
Ryoko SaitoDepartment of Pathology, Tohoku University School of Medicine, Sendai, Japan.
Rebecca RauschJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
Nalo HamiltonJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
Steven M DubinettJonsson Comprehensive Cancer Center, University of California, Los Angeles, California.
Edward B GaronDivision of Hematology-Oncology, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California.
Richard J PietrasDivision of Hematology-Oncology, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California.
University of California, Los Angeles · USTohoku University · JP

Funding

Supporting African American Churches to Promote Cancer ScreeningU54CA143931 · NCI · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI VADGAMA, JAYDUTT V. · 2009 to 2022
$19.7M
Training and Mentoring ProgramsU54CA143930 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PIETRAS, RICHARD JOSEPH · 2009 to 2020
$7.5M
NCI NIH HHS U54 CA143930NCI NIH HHS U54 CA143931
6 · The paper itself

Abstract

introductionEstrogen receptors (ER) (ERα, ERβ) and aromatase (key enzyme for estrogen synthesis) are expressed in most human NSCLCs. High intratumoral estrogen levels and elevated aromatase expression in NSCLC predict poor outcome. This open-label, phase 1b, single-center study evaluated the safety and tolerability of escalating doses of the aromatase inhibitor, exemestane, in combination with carboplatin and pemetrexed in postmenopausal women with stage IV nonsquamous NSCLC.

methodsPatients received exemestane (starting 1-wk before chemotherapy) at 25 mg orally (PO) daily (cohort 1) or 50 mg PO daily (cohort 2) combined with carboplatin (area under the curve 6 mg × min/mL) and pemetrexed (500 mg/m

resultsA total of 10 patients consented for therapy, and two patients failed in the screening. Four patients completed the therapy in cohort 1 and four patients in cohort 2. The median number of cycles administered was 15 (range: 1-54). Maximum tolerated dose was exemestane 50 mg PO daily with combination chemotherapy. Intention-to-treat analysis revealed an objective response rate (ORR) of 62.5% (five of eight patients with partial response) and a clinical benefit rate of 87.5% (seven of eight patients with either stable disease or partial response). ORR was associated with aromatase expression (

conclusionsThe combination of carboplatin, pemetrexed, and exemestane in postmenopausal women with metastatic NSCLC is safe and well tolerated. Biomarker studies revealed that ORR correlates with tumor aromatase expression. These findings support future clinical trials to confirm the antitumor efficacy with this combination therapy.

Indexed as

AromataseEstrogenEstrogen receptorExemestaneLung cancer

Identifiers

PMID34590007
PMCPMC8474426
OpenAlexW3127715128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.