Evidence map›Paper›PMID 35020465›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Adjuvant Capecitabine for Early Breast Cancer: 15-Year Overall Survival Results From a Randomized Trial.

Heikki Joensuu, Pirkko-Liisa Kellokumpu-Lehtinen, Riikka Huovinen, Arja Jukkola, Minna Tanner, Johan Ahlgren, Päivi Auvinen, Outi Lahdenperä, Kenneth Villman, Paul Nyandoto and 6 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06197581 (Safety Assessment of Concurrent Radiotherapy and Novel Systemic Therapy for Breast Cancer), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT06197581 narecruitingnot on this mapstarted 2024, after this paper: background citation

Safety Assessment of Concurrent Radiotherapy and Novel Systemic Therapy for Breast Cancer

TypeinterventionalSponsorCancer Institute and Hospital, Chinese Academy of Medical SciencesRan2024 to 2027Enrolled148ConditionsBreast Cancer, Familial Male, Radiotherapy, Complications, Chemotherapeutic ToxicityArmsChest wall / breast radiation with or without lymph node region radiation.(For all of the enrolled patients)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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 11 institutions in 2 countries.

Heikki JoensuuDepartment of Oncology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-0281-2507
Pirkko-Liisa Kellokumpu-LehtinenDepartment of Oncology, Tampere University Hospital and Tampere University, Tampere, Finland.ORCID 0000-0002-5557-0911
Riikka HuovinenDepartment of Oncology, Turku University Hospital, Turku, Finland.
Arja JukkolaDepartment of Oncology, Tampere University Hospital and Tampere University, Tampere, Finland.ORCID 0000-0002-6107-1764
Minna TannerDepartment of Oncology, Tampere University Hospital and Tampere University, Tampere, Finland.
Johan AhlgrenGävle Hospital, Gävle, Sweden.ORCID 0000-0001-6392-273X
Päivi AuvinenCancer Center, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0002-2392-9395
Outi LahdenperäDepartment of Oncology, Turku University Hospital, Turku, Finland.
Kenneth VillmanÖrebro University Hospital, Örebro, Sweden.
Paul NyandotoPäijät-Häme Central Hospital, Lahti, Finland.
Greger NilssonDepartment of Oncology, Gävle Hospital and Visby Hospital, and Uppsala University, Uppsala, Sweden.
Paula Poikonen-SakselaDepartment of Oncology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-2274-1937
Vesa KatajaCentral Finland Central Hospital, Jyväskylä, Finland.ORCID 0000-0003-4846-4843
Petri BonoDepartment of Oncology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-3963-0416
Jouni JunnilaEstiMates, Turku, Finland.ORCID 0000-0003-2703-0798
Henrik LindmanDepartment of Immunology, Genetics and Pathology, Uppsala University Hospital, Uppsala, Sweden.ORCID 0000-0002-5871-268X
University of Helsinki · FITampere University Hospital · FITurku University Hospital · FICentral Finland Health Care District · FIGävle Hospital · SEKuopio University Hospital · FIÖrebro University Hospital · SEOulu University Hospital · FIPäijät-Hämeen Keskussairaala · FIUppsala University · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFew data are available regarding the influence of adjuvant capecitabine on long-term survival of patients with early breast cancer.

methodsThe Finland Capecitabine Trial (FinXX) is a randomized, open-label, multicenter trial that evaluates integration of capecitabine to an adjuvant chemotherapy regimen containing a taxane and an anthracycline for the treatment of early breast cancer. Between January 27, 2004, and May 29, 2007, 1,500 patients with axillary node-positive or high-risk node-negative early breast cancer were accrued. The patients were randomly allocated to either TX-CEX, consisting of three cycles of docetaxel (T) plus capecitabine (X) followed by three cycles of cyclophosphamide, epirubicin, and capecitabine (CEX, 753 patients), or to T-CEF, consisting of three cycles of docetaxel followed by three cycles of cyclophosphamide, epirubicin, and fluorouracil (CEF, 747 patients). We performed a protocol-scheduled analysis of overall survival on the basis of approximately 15-year follow-up of the patients.

resultsThe data collection was locked on December 31, 2020. By this date, the median follow-up time of the patients alive was 15.3 years (interquartile range, 14.5-16.1 years) in the TX-CEX group and 15.4 years (interquartile range, 14.8-16.0 years) in the T-CEF group. Patients assigned to TX-CEX survived longer than those assigned to T-CEF (hazard ratio 0.81; 95% CI, 0.66 to 0.99;

conclusionAddition of capecitabine to a chemotherapy regimen that contained docetaxel, epirubicin, and cyclophosphamide prolonged the survival of patients with early breast cancer.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCapecitabineChemotherapy, AdjuvantCyclophosphamideDisease-Free SurvivalDocetaxelEpirubicinFemaleFluorouracilHumansCapecitabineCyclophosphamideDocetaxelEpirubicinFluorouracil

Identifiers

PMID35020465
PMCPMC8966968
OpenAlexW4205926926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.