Evidence map›Paper›PMID 35462344›Full record

SynthesisBreast (Edinburgh, Scotland)2022

Moment of truth-adding carboplatin to neoadjuvant/adjuvant chemotherapy in triple negative breast cancer improves overall survival: An individual participant data and trial-level Meta-analysis.

Neha Pathak, Aparna Sharma, Arunmozhimaran Elavarasi, Jeeva Sankar, S V S Deo, Daya N Sharma, Sandeep Mathur, Sudhir Kumar, Chandra P Prasad, Akash Kumar and 1 more

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Breast (Edinburgh, Scotland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  11. Comparative study of weekly and three-weekly neoadjuvant carboplatin in triple-negative breast cancer: retrospective analysis in real-world settings.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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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

11 authors at 1 institution in 1 country.

Neha PathakDepartment of Medical Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: drneha1pathak@gmail.com.
Aparna SharmaDepartment of Medical Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: Aparna96@gmail.com.
Arunmozhimaran ElavarasiDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India. Electronic address: arun_ela@yahoo.com.
Jeeva SankarDepartment of Paediatrics, All India Institute of Medical Sciences, New Delhi, India. Electronic address: jeevasankar@gmail.com.
S V S DeoDepartment of Surgical Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: svsdeo@yahoo.co.in.
Daya N SharmaDepartment of Radiation Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: dnsharma@aiims.ac.in.
Sandeep MathurDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India. Electronic address: mathuraiims@gmail.com.
Sudhir KumarDepartment of Medical Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: sudhirkirar@gmail.com.
Chandra P PrasadDepartment of Lab Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: researchchandra@gmail.com.
Akash KumarDepartment of Medical Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: akashjha08@yahoo.com.
Atul BatraDepartment of Medical Oncology, Dr. B.R.A.I.R.C.H, All India Institute of Medical Sciences, New Delhi, India. Electronic address: batraatul85@aiims.edu.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceCarboplatin increases the pathological complete remission (pCR) rate in triple negative breast cancer (TNBC) when added to neoadjuvant chemotherapy, however, evidence on its effect on survival outcomes is controversial.

methodsThe study was prospectively registered at PROSPERO (CRD42021228386). We systematically searched PubMed, Embase, Cochrane Central Register of Clinical Trials, and conference proceedings from January 1, 2004 to January 30, 2022 for relevant randomized clinical trials (RCTs) of (neo)adjuvant chemotherapy in TNBC patients, with carboplatin in the intervention arm and standard anthracycline taxane (AT) in the control arm. PRISMA guidelines were used for this review. Data were pooled using fixed and random effects models as appropriate on extracted hazard ratios (HR). Individual patient data (IPD)for disease free survival (DFS) and overall survival (OS) were extracted from published survival curves of included RCTs; DFS and OS curves for each trial and the combined population were reconstructed, and HR estimated. The primary outcome was DFS; OS, pCR, and toxicity were secondary outcomes.

resultsEight trials with 2425 patients were included. Carboplatin improved DFS (HR 0.60; 95% CI 0.47 to 0.78; I

conclusionand relevance: Carboplatin added to (neo)adjuvant chemotherapy in TNBC improves survival, as shown in both trial level and IPD analysis.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsAnthracyclinesAntineoplastic Combined Chemotherapy ProtocolsCarboplatinChemotherapy, AdjuvantFemaleHumansNeoadjuvant TherapyAnthracyclinesCarboplatinAdjuvantCarboplatinChemotherapyNeoadjuvantPlatinumTNBCTriple negative breast cancer

Identifiers

PMID35462344
PMCPMC9039877
OpenAlexW4223981217

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.