Evidence map›Paper›PMID 37046691›Full record

ArticleCancers2023

Pathologic Response to Neoadjuvant Sequential Chemoradiation Therapy in Locally Advanced Breast Cancer: Preliminary, Translational Results from the French Neo-APBI-01 Trial.

Nhu Hanh To, Isabelle Gabelle-Flandin, Thi My Hanh Luong, Gokoulakrichenane Loganadane, Nabila Ouidir, Chahrazed Boukhobza, Noémie Grellier, Camille Verry, Allan Thiolat, José L Cohen and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02806258 (Comparing Sequential Neoadjuvant Treatment Including Chemotherapy and Accelerated Radiation Focused to the Tumor Bed vs Neoadjuvant Chemotherapy Alone, for Triple Negative Locally Advanced Breast Cancers and Luminal B Proliferating, Inaccessible to a Conservative Surgery the Outset), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT02806258 phase1 / phase2terminatednot on this map

Comparing Sequential Neoadjuvant Treatment Including Chemotherapy and Accelerated Radiation Focused to the Tumor Bed vs Neoadjuvant Chemotherapy Alone, for Triple Negative Locally Advanced Breast Cancers and Luminal B Proliferating, Inaccessible to a Conservative Surgery the Outset

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2016 to 2025Enrolled362ConditionsRadiation Therapy, Breast Cancer, Sequential Partial Breast Irradiation, Intermediate and High-risk Luminal and Triple Negative Breast CancerArmsAccelerated partial breast irradiation, Chemotherapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. 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

12 authors at 4 institutions in 2 countries.

Nhu Hanh ToDepartment of Radiation Oncology and The Henri Mondor Breast Center, Henri Mondor University Hospital, AP-HP, 1 Rue Gustave Eiffel, 94010 Creteil, France.ORCID 0000-0002-8486-9728
Isabelle Gabelle-FlandinThe Grenoble Alpes University Hospital Centre, University Clinic of Cancerology-Radiotherapy, Avenue des Maquis du Grésivaudan, 38041 Grenoble, France.
Thi My Hanh LuongSolna Rheumatology Unit, Department of Medicine, Karolinska Institutet, 171 77 Solna, Sweden.
Gokoulakrichenane LoganadaneDepartment of Radiation Oncology and The Henri Mondor Breast Center, Henri Mondor University Hospital, AP-HP, 1 Rue Gustave Eiffel, 94010 Creteil, France.
Nabila OuidirDepartment of Pathology, Henri Mondor University Hospital, AP-HP, 1 Rue Gustave Eiffel, 94010 Creteil, France.
Chahrazed BoukhobzaDepartment of Radiation Oncology and The Henri Mondor Breast Center, Henri Mondor University Hospital, AP-HP, 1 Rue Gustave Eiffel, 94010 Creteil, France.
Noémie GrellierDepartment of Radiation Oncology and The Henri Mondor Breast Center, Henri Mondor University Hospital, AP-HP, 1 Rue Gustave Eiffel, 94010 Creteil, France.
Camille VerryThe Grenoble Alpes University Hospital Centre, University Clinic of Cancerology-Radiotherapy, Avenue des Maquis du Grésivaudan, 38041 Grenoble, France.
Allan ThiolatINSERM Unit 955, Immunoregulation and Biotherapy (I-Biot) Team, The Mondor Institute for Biomedical Research (IMRB), University of Paris-Est Creteil (UPEC), 94000 Creteil, France.
José L CohenINSERM Unit 955, Immunoregulation and Biotherapy (I-Biot) Team, The Mondor Institute for Biomedical Research (IMRB), University of Paris-Est Creteil (UPEC), 94000 Creteil, France.
Nina Radosevic-RobinINSERM Unit 1240 (IMoST), Radiopharmaceuticals & Biomarkers (RoBust) Team, Centre Jean Perrin, Department of Pathology, University Clermont Auvergne, 58 Rue Montalembert, 63000 Clermont-Ferrand, France.ORCID 0000-0002-1633-8730
Yazid BelkacemiDepartment of Radiation Oncology and The Henri Mondor Breast Center, Henri Mondor University Hospital, AP-HP, 1 Rue Gustave Eiffel, 94010 Creteil, France.ORCID 0000-0003-1343-8370
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRUniversité Grenoble Alpes · FRKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiation therapy (RT), a novel approach to boost the anticancer immune response, has been progressively evaluated in the neoadjuvant setting in breast cancer (BC). PURPOSE: We aimed to evaluate immunity-related indicators of response to neoadjuvant chemoradiation therapy (NACRT) in BC for better treatment personalization. PATIENTS AND

methodsWe analyzed data of the first 42 patients included in the randomized phase 2 Neo-APBI-01 trial comparing standard neoadjuvant chemotherapy (NACT) and NACRT regimen in locally advanced triple-negative (TN) and luminal B (LB) subtype BC. Clinicopathological parameters, blood counts and the derived parameters, total tumor-infiltrating lymphocytes (TILs) and their subpopulation, as well as

resultsTwenty-one patients were equally assigned to each group. The pathologic complete response (pCR) was 33% and 38% in the NACT and NACRT groups, respectively, with a dose-response effect. Only one LB tumor reached pCR after NACRT. Numerous parameters associated with response were identified, which differed according to the assigned treatment. In the NACRT group, baseline hemoglobin of ≥13 g/dL and body mass index of <26 were strongly associated with pCR. Higher baseline neutrophils-to-lymphocytes ratio, total TILs, and T-effector cell counts were favorable for pCR.

conclusionThis preliminary analysis identified LB and low-TIL tumors as poor responders to the NACRT protocol, which delivered RT after several cycles of chemotherapy. These findings will allow for amending the selection of patients for the trial and help better design future trials of NACRT in BC.

Indexed as

luminal Bneoadjuvantneutrophils-to-lymphocytes ratioradiotherapytriple negative breast cancertumor-infiltrating lymphocytes

Identifiers

PMID37046691
PMCPMC10092968
OpenAlexW4361285620

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.