Evidence map›Paper›PMID 35223447›Full record

ReviewFrontiers in oncology2021

Therapeutic Targeting of Minimal Residual Disease to Prevent Late Recurrence in Hormone-Receptor Positive Breast Cancer: Challenges and New Approaches.

David W Cescon, Kevin Kalinsky, Heather A Parsons, Karen Lisa Smith, Patricia A Spears, Alexandra Thomas, Fengmin Zhao, Angela DeMichele

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Cancer Cell Dormancy in the Bone Microenvironment.Current osteoporosis reports · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Dormancy in Breast Cancer.Cold Spring Harbor perspectives in medicine · 2023
    Review
  11. Review
  12. Emerging Therapies for Breast Cancer.Cold Spring Harbor perspectives in medicine · 2023
    Review
  13. Long-term impact of smoking cessation on new glottic cancer events in patients with early glottic cancer.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Article
  14. Circulating Tumor DNA and Late Recurrence in High-Risk Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  15. Late Recurrence Following Early Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Review
  16. 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 7 institutions in 2 countries.

David W CesconPrincess Margaret Cancer Centre, University Health Network, Toronto, CA, Canada.
Kevin KalinskyWinship Cancer Institute at Emory University, Atlanta, GA, United States.
Heather A ParsonsDepartment of Medical Oncology, Division of Breast Oncology, Dana Farber Cancer Institute, Boston, MA, United States.
Karen Lisa SmithJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Patricia A SpearsLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, United States.
Alexandra ThomasDivision of Hematology and Oncology, Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University, Winston-Salem, NC, United States.
Fengmin ZhaoDana Farber Cancer Institute - ECOG-ACRIN Biostatistics Center, Boston, MA, United States.
Angela DeMicheleAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, United States.
Dana-Farber Cancer Institute · USAtrium Health Wake Forest Baptist · USEmory University · USJohns Hopkins Medicine · USUniversity Health Network · CAUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · US

Funding

Secondary Prevention through Surveillance and InterventionR01CA208273 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CHODOSH, LEWIS A, DEMICHELE, ANGELA · 2017 to 2021
$3.2M
Can a subset of patients with HER2+ metastatic breast cancer be cured?K08CA252639 · NCI · FRED HUTCHINSON CANCER CENTER · PI PARSONS, HEATHER ANNE · 2021 to 2025
$1.3M
NCI NIH HHS K08 CA252639NCI NIH HHS R01 CA208273
6 · The paper itself

Abstract

While the majority of breast cancers are diagnosed at a curable stage, approximately 20% of women will experience recurrence at a distant site during their lifetime. These metastatic recurrences are incurable with current therapeutic approaches. Over the past decade, the biologic mechanisms underlying these recurrences have been elucidated, establishing the existence of minimal residual disease in the form of circulating micrometastases and dormant disease, primarily in the bone marrow. Numerous technologies are now available to detect minimal residual disease (MRD) after breast cancer treatment, but it is yet unknown how to best target and eradicate these cells, and whether clearance of detectable disease prior to the formation of overt metastases can prevent ultimate progression and death. Clinical trials to test this hypothesis are challenging due to the rare nature of MRD in the blood and bone marrow, resulting in the need to screen a large number of survivors to identify those for study. Use of prognostic molecular tools may be able to direct screening to those patients most likely to harbor MRD, but the relationship between these predictors and MRD detection is as yet undefined. Further challenges include the lack of a definitive assay for MRD with established clinical utility, difficulty in selecting potential interventions due to limitations in understanding the biology of MRD, and the emotional impact of detecting MRD in patients who have completed definitive treatment and have no evidence of overt metastatic disease. This review provides a roadmap for tackling these challenges in the design and implementation of interventional clinical trials aimed at eliminating MRD and ultimately preventing metastatic disease to improve survival from this disease, with a specific focus on late recurrences in ER+ breast cancer.

Indexed as

adjuvant therapybreast cancerCTC = circulating tumor cellctDNA = circulating tumor DNAminimal residual disease (MRD)molecular residual diseasetumor dormancy

Identifiers

PMID35223447
PMCPMC8867255
OpenAlexW4211157853

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.