Evidence map›Paper›PMID 36859649›Full record

Trial reportBreast cancer research and treatment2023

Aromatase inhibition plus/minus Src inhibitor saracatinib (AZD0530) in advanced breast cancer therapy (ARISTACAT): a randomised phase II study.

Ailsa J Oswald, Stefan N Symeonides, Duncan Wheatley, Stephen Chan, Adrian Murray Brunt, Karen McAdam, Peter Schmid, Simon Waters, Christopher Poole, Chris Twelves and 9 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Breast cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Dual Drug Repurposing: The Example of Saracatinib.International journal of molecular sciences · 2024
    Review
  7. Review
  8. Article
  9. 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

19 authors at 10 institutions in 1 country.

Ailsa J OswaldUniversity of Edinburgh, Edinburgh, Scotland, UK. ailsa.oswald@ed.ac.uk.ORCID http://orcid.org/0000-0002-0702-3892
Stefan N SymeonidesUniversity of Edinburgh, Edinburgh, Scotland, UK.
Duncan WheatleyRoyal Cornwall Hospital, Truro, Cornwall, England, UK.
Stephen ChanNottingham University Hospitals NHS Trust, Nottingham, England, UK.
Adrian Murray BruntUniversity Hospitals of North Midlands NHS Trust, Stoke-On-Trent & University of Keele, Staffordshire, England, UK.
Karen McAdamPeterborough City Hospital, Peterborough, England, UK.
Peter SchmidBarts Cancer Institute, London, England, UK.
Simon WatersVelindre Hospital, Whitchurch, Cardiff, Wales, UK.
Christopher PooleUniversity Hospitals Coventry & Warwickshire, Coventry, England, UK.
Chris TwelvesUniversity of Leeds and St James' Hospital, Leeds, England, UK.
Timothy PerrenUniversity of Leeds and St James' Hospital, Leeds, England, UK.
John BartlettUniversity of Edinburgh, Edinburgh, Scotland, UK.
Tammy PiperUniversity of Edinburgh, Edinburgh, Scotland, UK.
Eve Macdonald ChisholmScottish Clinical Trials Research Unit, Edinburgh, Scotland, UK.
Michelle WelshScottish Clinical Trials Research Unit, Edinburgh, Scotland, UK.
Robert HillScottish Clinical Trials Research Unit, Edinburgh, Scotland, UK.
Lisa E M HopcroftScottish Clinical Trials Research Unit, Edinburgh, Scotland, UK.
Peter Barrett-LeeVelindre Cancer Centre, Cardiff, Wales, UK.
David A CameronUniversity of Edinburgh, Edinburgh, Scotland, UK.
University of Edinburgh · GBUniversity of Leeds · GBBarts Health NHS Trust · GBNottingham University Hospitals NHS Trust · GBPeterborough City Hospital · GBRoyal Cornwall Hospital · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBUniversity Hospitals of North Midlands NHS Trust · GBVelindre Cancer Centre · GBVelindre NHS Trust · GB

Funding

Cancer Research UK 13375
6 · The paper itself

Abstract

purposeThe development of oestrogen resistance is a major challenge in managing hormone-sensitive metastatic breast cancer. Saracatinib (AZD0530), an oral Src kinase inhibitor, prevents oestrogen resistance in animal models and reduces osteoclast activity. We aimed to evaluate the efficacy of saracatinib addition to aromatase inhibitors (AI) in patients with hormone receptor-positive metastatic breast cancer.

methodsThis phase II multicentre double-blinded randomised trial allocated post-menopausal women to AI with either saracatinib or placebo (1:1 ratio). Patients were stratified into an "AI-sensitive/naïve" group who received anastrozole and "prior-AI" group who received exemestane. Primary endpoint was progression-free survival (PFS). Secondary endpoints included overall survival (OS), objective response rate (ORR) and toxicity.

results140 patients were randomised from 20 UK centres to saracatinib/AI (n = 69) or placebo/AI (n = 71). Saracatinib was not associated with an improved PFS (3.7 months v. 5.6 months placebo/AI) and did not reduce likelihood of bony progression. There was no benefit in OS or ORR. Effects were consistent in "AI-sensitive/naive" and "prior-AI" sub-groups. Saracatinib was well tolerated with dose reductions in 16% and the main side effects were gastrointestinal, hypophosphatemia and rash.

conclusionSaracatinib did not improve outcomes in post-menopausal women with metastatic breast cancer. There was no observed beneficial effect on bone metastases. CRUKE/11/023, ISRCTN23804370.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsAromataseAromatase InhibitorsBenzodioxolesEstrogensFemaleHumansQuinazolinesAromataseAromatase InhibitorsBenzodioxolesEstrogensQuinazolinessaracatinibBone metastasisEndocrine resistanceHormone receptor-positive breast cancerSrc

Identifiers

PMID36859649
PMCPMC10147753
OpenAlexW4322753274

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.