Evidence map›Paper›PMID 36739285›Full record

ArticleNPJ breast cancer2023

Type of adjuvant endocrine therapy and disease-free survival in patients with early HR-positive/HER2-positive BC: analysis from the phase III randomized ShortHER trial.

Maria Vittoria Dieci, Giancarlo Bisagni, Stefania Bartolini, Antonio Frassoldati, Roberto Vicini, Sara Balduzzi, Roberto D'amico, Pierfranco Conte, Valentina Guarneri

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in NPJ breast cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00629278 (SHORT-HER), which is not on this map. Cited by 10 papers.

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

NCT00629278 phase3unknown statusnot on this map

Short-her: multicentric randomised phase iii trial of 2 different adjuvant chemotherapy regimens plus 3 vs 12 months of trastuzumab in her2 positive breast cancer patients

TypeinterventionalSponsorAzienda Ospedaliero-Universitaria di ModenaRan2007Enrolled2,500ConditionsBreast CancerArmstrastuzumab, aromatase inhibition therapy, cyclophosphamide, docetaxel, doxorubicin hydrochloride
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Maria Vittoria DieciDepartment of Surgery, Oncology and Gastroenterology, University of Padova, via Giustiniani 2, 35128, Padova, Italy. mariavittoria.dieci@unipd.it.ORCID http://orcid.org/0000-0002-3967-9861
Giancarlo BisagniDepartment of Oncology and Advanced Technologies, Oncology Unit, Azienda USL-IRCCS, via Giovanni Amendola 2, 42122, Reggio Emilia, Italy.
Stefania BartoliniNervous System Medical Oncology Department, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto delle Scienze Neurologiche di Bologna, Via Altura 3, 40139, Bologna, Italy.
Antonio FrassoldatiClinical Oncology, Department of Translational Medicine and for Romagna, S. Anna University Hospital, via Aldo Moro 8, 44124, Ferrara, Italy.ORCID http://orcid.org/0000-0003-3487-3259
Roberto ViciniDepartment of Medical and Surgical Sciences for Children & Adults, University of Modena, via del Pozzo, 71, 41124, Modena, Italy.ORCID http://orcid.org/0000-0002-1799-6567
Sara BalduzziDepartment of Medical and Surgical Sciences for Children & Adults, University of Modena, via del Pozzo, 71, 41124, Modena, Italy.ORCID http://orcid.org/0000-0003-1205-1895
Roberto D'amicoDepartment of Medical and Surgical Sciences for Children & Adults, University of Modena, via del Pozzo, 71, 41124, Modena, Italy.
Pierfranco ConteVeneto Oncology Network, via Gattamelata 64, 35128, Padova, Italy.
Valentina GuarneriDepartment of Surgery, Oncology and Gastroenterology, University of Padova, via Giustiniani 2, 35128, Padova, Italy.ORCID http://orcid.org/0000-0002-2375-8397

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) MFAG 2014Ministry of Health, Italy | Agenzia Italiana del Farmaco, Ministero della Salute (Italian Medicines Agency) FARM62MC97
6 · The paper itself

Abstract

The optimal adjuvant endocrine therapy for HR-positive/HER2-positive breast cancer patients is unknown. We included in this analysis 784 patients with HR-positive/HER2-positive BC from the randomized ShortHER trial of adjuvant trastuzumab (1 year vs 9 weeks) + chemotherapy. At a median follow-up of 8.7 years, patients who received AI had a significantly better DFS vs patients who received TAM or TAM-AI: 8-yr DFS 86.4 vs 79.7%, log-rank P = 0.013 (HR 1.52, 95% CI 1.09-2.11). In multivariate analysis, the type of endocrine therapy maintained a significant association with DFS (HR 1.64, 95% CI 1.07-2.52, p = 0.025 for TAM/TAM-AI vs AI). Among premenopausal patients aged ≤45 years, the use of GnRHa was associated with longer DFS: 8-yr DFS rate 85.2 vs 62.6% (log-rank p = 0.019, HR 0.41, 95% CI 0.19-0.88). In this post-hoc analysis of the ShortHER trial adjuvant treatment with AI was independently associated with improved DFS. Subgroup analysis in premenopausal patients suggests benefits with ovarian suppression.Trial registration: NCI ClinicalTrials.gov number: NCT00629278.

Identifiers

PMID36739285
PMCPMC9899279

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.