Evidence map›Paper›PMID 35223459›Full record

ArticleFrontiers in oncology2021

Derived Neutrophil-to-Lymphocyte Ratio Predicts Pathological Complete Response to Neoadjuvant Chemotherapy in Breast Cancer.

Alberto Ocaña, Jose Ignacio Chacón, Lourdes Calvo, Antonio Antón, Mauro Mansutti, Joan Albanell, María Teresa Martínez, Ainhara Lahuerta, Giancarlo Bisagni, Begoña Bermejo and 12 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00432172 ("A Randomized Multicenter Phase II Trial to Evaluate the Effectiveness of Selective Neoadjuvant Treatment According to Immunohistochemical Subtype for HER2 Negative Breast Cancer Patients"), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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.

NCT00432172 phase2completednot on this map

"A Randomized Multicenter Phase II Trial to Evaluate the Effectiveness of Selective Neoadjuvant Treatment According to Immunohistochemical Subtype for HER2 Negative Breast Cancer Patients"

TypeinterventionalSponsorSpanish Breast Cancer Research GroupRan2007 to 2010Enrolled189ConditionsBreast CancerArmsEpirubicin, Cyclophosphamide, Docetaxel, Exemestane, Goserelin
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

22 authors.

Alberto OcañaHospital Clínico San Carlos, Madrid e Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid and Universidad de Castilla La Mancha, Albacete, Spain.
Jose Ignacio ChacónGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Lourdes CalvoGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Antonio AntónGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Mauro MansuttiOncology Department, University Hospital, Udine, Italy.
Joan AlbanellCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
María Teresa MartínezCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Ainhara LahuertaGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Giancarlo BisagniOncology Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Begoña BermejoCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Vladimir SemiglazovOncology Department, NN Petrov Research Inst of Oncology, St. Petersburg, Russia.
Marc ThillOncology Department, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
Arlene ChanBreast Cancer Research Center, Curtin University, Perth, WA, Australia.
Serafin MoralesGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Jesús HerranzGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Ignacio TusquetsCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Massimo ChiesaGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Rosalía CaballeroGEICAM Spanish Breast Cancer Group, San Sebastián de los Reyes, Madrid, Spain.
Pinuccia ValagussaFondazione Michelangelo, Milano, Italy.
Giampaolo BianchiniFondazione Michelangelo, Milano, Italy.
Emilio AlbaCentro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
Luca GianniFondazione Michelangelo, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDerived neutrophil-to-lymphocyte ratio (dNLR) is a biomarker associated with clinical outcome in breast cancer (BC). We analyzed the association of dNLR with pathological complete response (pCR) in triple-negative BC (TNBC) patients receiving neoadjuvant chemotherapy (CT).

methodsThis is a retrospective analysis of two randomized studies involving early stage/locally advanced TNBC patients receiving anthracycline/taxane-based CT+/-carboplatin (GEICAM/2006-03) or nab-paclitaxel/paclitaxel followed by anthracycline regimen (ETNA). dNLR was calculated as the ratio of neutrophils to the difference between total leukocytes and neutrophils in peripheral blood before CT (baseline) and at the end of treatment (EOT). Logistic regression analyses were used to explore dNLR association with pCR.

resultsIn total, 308 TNBC patients were analyzed, 216 from ETNA and 92 from GEICAM/2006-03. Baseline median dNLR was 1.61 (interquartile range (IQR): 1.25-2.04) and at EOT 1.53 (IQR: 0.96-2.22). Baseline dNLR showed positive correlation with increased tumor size (

conclusionsHigh baseline and EOT dNLR correlates with lower benefit from neoadjuvant CT in TNBC.

Indexed as

breast cancerDNLRimmunologyneoadjuvant chemotherapyPCR

Identifiers

PMID35223459
PMCPMC8875201

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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.