Evidence map›Paper›PMID 36969030›Full record

ArticleFrontiers in oncology2023

Case report: Vitiligo-like toxicity due to ribociclib during first-line treatment of metastatic breast cancer: two cases of premature interruption of therapy and exceptional response.

Mariangela Pasqualoni, Armando Orlandi, Antonella Palazzo, Giovanna Garufi, Maria Chiara Cannizzaro, Letizia Pontolillo, Sergio Pannunzio, Claudia Cutigni, Pietro Sollena, Francesco Federico and 2 more

Open access · goldFull text readCase Reports
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-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

13 citing papers in PubMed, 16 citations in OpenAlex.

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  10. Survey of Drugs Induced Skin Pigmentation (Hyper and Hypo Pigmentation).Clinical, cosmetic and investigational dermatology · 2025
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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

12 authors at 3 institutions in 1 country.

Mariangela PasqualoniComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Armando OrlandiComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Antonella PalazzoComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Giovanna GarufiComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Maria Chiara CannizzaroComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Letizia PontolilloComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Sergio PannunzioComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Claudia CutigniComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Pietro SollenaDepartment of Dermatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Francesco FedericoDepartment of Pathology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Emilio BriaComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Giampaolo TortoraComprehensive Cancer Center, Medical Oncology Unit, Fondazione Policlinico Universitario 'A. Gemelli' - IRCCS, Rome, Italy.
Agostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer treatment-related adverse events (AEs) are sometimes associated with outcomes for cancer patients, especially with the newest therapies such as target therapy and immunotherapy. A few years ago, the first-line therapy for hormone-receptor-positive metastatic breast cancer (mBC) patients has been deeply changed by the introduction of cyclin-dependent kinase (CDK) 4/6 inhibitors, and now, we are improving our knowledge about their AEs and significance in clinical practice. Here, we report our experience with two cases of vitiligo-like lesions that occur early during treatment with ribociclib. We tried to change the CDK4/6 inhibitor for one patient, but the skin reaction persisted. Both patients retained only the endocrine therapy alone and had an unexpected durable progression-free survival (PFS). Some data on skin toxicities, including vitiligo-like lesions by CDK4/6 inhibitors, have recently been reported in the literature, but for the first time, we highlight a possible correlation with improved survival outcomes of patients. Uncovering the etiology of this toxicity, verifying the involvement of the immune system, and demonstrating a possible positive impact in survival represent an intriguing research objective for the near future.

Indexed as

breast cancerCDK4/6 inhibitorlymphocytic infiltrationskin adverse eventvitiligo

Identifiers

PMID36969030
PMCPMC10034067
OpenAlexW4323666523

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read25
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.