Evidence map›Paper›PMID 34645649›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2022

Biomarkers of Response and Resistance to Palbociclib Plus Letrozole in Patients With ER

Mitch Dowsett, Lucy Kilburn, Mothaffar F Rimawi, C Kent Osborne, Katherine Pogue-Geile, Yuan Liu, Samuel A Jacobs, Melanie Finnigan, Shannon Puhalla, Andrew Dodson and 9 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 16 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

19 authors at 7 institutions in 2 countries.

Mitch DowsettRoyal Marsden Hospital, London, United Kingdom. Mitch.dowsett@icr.ac.uk.
Lucy KilburnClinical Trials and Statistics Unit, The Institute of Cancer Research, Sutton, United Kingdom.ORCID 0000-0002-1987-7545
Mothaffar F RimawiBaylor College of Medicine, Houston, Texas.
C Kent OsborneBaylor College of Medicine, Houston, Texas.
Katherine Pogue-GeileNSABP Foundation, Pittsburgh, Pennsylvania.
Yuan LiuPfizer, New York, New York.
Samuel A JacobsNSABP Foundation, Pittsburgh, Pennsylvania.
Melanie FinniganNSABP Foundation, Pittsburgh, Pennsylvania.
Shannon PuhallaNSABP Foundation, Pittsburgh, Pennsylvania.
Andrew DodsonRoyal Marsden Hospital, London, United Kingdom.ORCID 0000-0002-7443-2362
Vera MartinsRoyal Marsden Hospital, London, United Kingdom.
Maggie CheangClinical Trials and Statistics Unit, The Institute of Cancer Research, Sutton, United Kingdom.ORCID 0000-0001-5718-2501
Sophie PerryClinical Trials and Statistics Unit, The Institute of Cancer Research, Sutton, United Kingdom.
Chris HolcombeRoyal Liverpool and Broadgreen University Hospitals National Health Service Trust, Liverpool, United Kingdom.
Nick TurnerRoyal Marsden Hospital, London, United Kingdom.
Claire SwiftRoyal Marsden Hospital, London, United Kingdom.
Judith M BlissClinical Trials and Statistics Unit, The Institute of Cancer Research, Sutton, United Kingdom.
Stephen JohnstonRoyal Marsden Hospital, London, United Kingdom.
PALLET trialists
Institute of Cancer Research · GBPittsburgh Foundation · USBreast Cancer Now · GBRoyal Marsden Hospital · GBBaylor College of Medicine · USRoyal Liverpool and Broadgreen University Hospital NHS Trust · GBThe Fertilizer Institute · US

Funding

Cancer Research UK
6 · The paper itself

Abstract

purposeTo determine (i) the relationship between candidate biomarkers of the antiproliferative (Ki67) response to letrozole and palbociclib alone and combined in ER EXPERIMENTAL

design307 postmenopausal women with ER

resultsHigher baselines ER and PgR were significantly associated with a greater chance of complete cell-cycle arrest (CCCA: Ki67 <2.7%) at 14 weeks and higher baseline Ki67, c-PARP, and CCNE1 with a lower chance. The interaction with treatment was significant only for c-PARP. CCND1 levels were decreased c.20% by letrozole at 2 and 14 weeks but showed a tendency to increase with palbociclib. CCNE1 levels fell 82% (median) in tumors showing CCCA but were unchanged in those with no CCCA. Only 2/9 tumors showed CCCA 3-9 days after stopping palbociclib.

conclusionsHigh CCNE1 levels were confirmed as a biomarker of resistance to letrozole+palbociclib. Ki67 recovery within 3-9 days of discontinuing palbociclib indicates incomplete suppression of proliferation during the "off" week of its schedule.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesFemaleHumansLetrozolePiperazinesPyridinesReceptors, EstrogenBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesLetrozolepalbociclibPiperazinesPyridinesReceptors, Estrogen

Identifiers

PMID34645649
PMCPMC9632606
OpenAlexW3206575113

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.