Evidence map›Paper›PMID 35470572›Full record

ArticleCancer medicine2022

Treatment patterns, effectiveness, and patient-reported outcomes of palbociclib therapy in Chinese patients with advanced breast cancer: A multicenter ambispective real-world study.

Lesang Shen, Jun Zhou, Yiding Chen, Jinhua Ding, Haiyan Wei, Jian Liu, Wenjie Xia, Bojian Xie, Xiaohong Xie, Xujun Li and 11 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  6. Observational
  7. Review
  8. Article
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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

21 authors at 14 institutions in 2 countries.

Lesang ShenDepartment of Breast Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Jun ZhouDepartment of Breast Surgery, Affiliated Hangzhou First People's Hospital of Zhejiang University, Hangzhou, China.
Yiding ChenDepartment of Breast Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.ORCID 0000-0002-2263-6275
Jinhua DingDepartment of Breast Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Haiyan WeiDepartment of Breast Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Jian LiuDepartment of Breast Surgery, Affiliated Hangzhou First People's Hospital of Zhejiang University, Hangzhou, China.
Wenjie XiaDepartment of Breast Surgery, Zhejiang Provincial People's Hospital, Hangzhou, China.
Bojian XieDepartment of Breast Surgery, Taizhou Enze Medical Center Enze Hospital, Taizhou, China.
Xiaohong XieDepartment of Breast Surgery, First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Xujun LiDepartment of Breast Surgery, Hwa Mei Hospital University of Chinese Academy of Sciences, Ningbo, China.
Yuechu DaiDepartment of Breast Surgery, Taizhou Municipal Hospital, Taizhou.
Guobing ZhangQuality Management Office, Zhejiang Provincial People's Hospital, Hangzhou, China.
Xia QiuDepartment of Breast Surgery, Zhoushan Hospital of Zhejiang University, Zhoushan, China.
Chao LiDepartment of Breast Surgery, Hwa Mei Hospital University of Chinese Academy of Sciences, Ningbo, China.
Shanshan SunDepartment of Breast Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Wuzhen ChenDepartment of Breast Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.ORCID 0000-0003-0210-6645
Dihe GongDepartment of Breast Surgery, Ningbo Hangzhou Bay Hospital, Ningbo, China.
Hengyu LiDepartment of General Surgery, Affiliated Changhai Hospital of The Second Military Medical University, Shanghai, China.
Jian HuangDepartment of Breast Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Xia JiangDepartment of Nutrition, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Chao NiDepartment of Breast Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Blood Center of Zhejiang Province · CNHangzhou First People's Hospital · CNUniversity of Chinese Academy of Sciences · CNZhejiang Provincial People's Hospital · CNFirst Affiliated Hospital Zhejiang University · CNNingbo Medical Center Lihuili Hospital · CNNingbo No. 2 Hospital · CNSecond Affiliated Hospital of Zhejiang University · CNSecond Military Medical University · CNSichuan University · CNTaizhou Municipal Hospital · CNWenzhou Medical University · CNZhejiang Chinese Medical University · CNZhoushan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalbociclib was the only available cyclin-dependent kinase 4/6 inhibitor in China until very recently, and its effect has not been systemically evaluated among Chinese patients. This study aims to assess the efficacy, safety and patient-reported outcomes (PROs) of palbociclib plus endocrine therapy (ET) in real-world China.

methodsAn ambispective cohort study was conducted on patients with advanced HR+HER2- breast cancer who received palbociclib between July 2018, and November 2020 and were enrolled from 12 hospitals. Treatment patterns, survival outcomes, and safety events were documented, and PROs (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 items [EORTC QLQ-C30] and EuroQoL 5 dimensions [EQ-5D]) were analyzed. The Kaplan-Meier method was used to visualize and estimate the median progression-free survival (mPFS). Log-rank tests, Cox regressions, t tests, and chi-square tests were performed for comparison.

resultsA total of 190 patients (median follow-up of 18.0 months) were enrolled. Palbociclib was mostly combined with aromatase inhibitors (66.3%), fulvestrant (32.6%), and tamoxifen (1.1%). The mPFS values were 21.0, 14.0, and 7.0 months with palbociclib administered in first- (n = 83), second- (n = 41) and subsequent-line settings (n = 66), respectively. Endocrine sensitivity was significantly associated with patient prognosis (mPFS: 23.0, 12.0, and 6.0 months for endocrine naïve, acquired, and primary resistant patients, respectively, p < 0.01). The outcome was worse for patients who failed to meet the inclusion criteria of PALOMA-3 than for those who met the criteria (later-line: 6.0 months vs. 9.0 months). The most common adverse events (AEs) were neutropenia (74.2%; grade 3/4: 30.0%), fatigue (48.4%), anemia (32.6%), and thrombocytopenia (22.1%). PRO data suggested that palbociclib plus ET significantly improved cognitive and emotional function, pain symptoms, and overall quality of life.

conclusionsPalbociclib is effective for front-line use and for treating endocrine-sensitive patients in real-world China and is generally well tolerated. The prevalence of AEs in the Chinese population is different from that reported in the PALOMA-2/3 trials.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesErb-b2 Receptor Tyrosine KinasesFemaleHumansPatient Reported Outcome MeasuresPiperazinesPyridinesQuality of LifeReceptors, EstrogenErb-b2 Receptor Tyrosine KinasespalbociclibPiperazinesPyridinesReceptors, Estrogenadverse eventsendocrine therapymetastatic breast cancerpalbociclibpatient-reported outcomesreal-world study

Identifiers

PMID35470572
PMCPMC9678098
OpenAlexW4224717515

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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.