Evidence map›Paper›PMID 37578666›Full record

Trial reportBreast cancer research and treatment2023

Neoadjuvant carboplatin in triple-negative breast cancer: results from NACATRINE, a randomized phase II clinical trial.

Cristiano de Pádua Souza, Ana Suellen Barroso Carneiro, Ana Cecília de Oliveira Lessa, Domício Carvalho Lacerda, Carlos Eduardo Paiva, Marina Moreira Costa Zorzetto, Ana Julia Aguiar de Freitas, Iara Viana Vidigal Santana, Marco Antonio de Oliveira, Edenir Inêz Palmero and 2 more

Abstract readRandomized Controlled TrialClinical 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Cristiano de Pádua SouzaBarretos Cancer Hospital, Barretos, SP, Brazil. crispadua10@gmail.com.ORCID http://orcid.org/0000-0002-6412-8041
Ana Suellen Barroso CarneiroBarretos Cancer Hospital, Barretos, SP, Brazil.
Ana Cecília de Oliveira LessaBarretos Cancer Hospital, Barretos, SP, Brazil.
Domício Carvalho LacerdaBarretos Cancer Hospital, Barretos, SP, Brazil.
Carlos Eduardo PaivaBarretos Cancer Hospital, Barretos, SP, Brazil.
Marina Moreira Costa ZorzettoBarretos Cancer Hospital, Barretos, SP, Brazil.
Ana Julia Aguiar de FreitasMolecular Oncology Research Center, Barretos Cancer Hospital, Teaching and Research Institute, Barretos, SP, Brazil.
Iara Viana Vidigal SantanaPathology Department, Barretos Cancer Hospital, Barretos, SP, Brazil.
Marco Antonio de OliveiraNucleus of Epidemiology and Biostatistics, Barretos Cancer Hospital, Barretos, SP, Brazil.
Edenir Inêz PalmeroMolecular Oncology Research Center, Barretos Cancer Hospital, Teaching and Research Institute, Barretos, SP, Brazil.
Márcia Maria Chiquitelli MarquesMolecular Oncology Research Center, Barretos Cancer Hospital, Teaching and Research Institute, Barretos, SP, Brazil.
Tomás ReinertOncoclinicas, Porto Alegre, Brazil.

Funding

Ministério da Ciência, Tecnologia e Inovação 879848/2018
6 · The paper itself

Abstract

backgroundNeoadjuvant chemotherapy (NACT) is the mainstay of treatment of stages II and III triple-negative breast cancer (TNBC). This study aims to evaluate if the addition of carboplatin to NACT is associated with an increase in the pathological complete response (pCR) rates in TNBC.

methodsWe conducted an open-label phase II randomized clinical trial in a single center in Brazil. Patients with stage II and III TNBC were randomized to receive standard NACT with or without carboplatin. All the patients received doxorubicin (60 mg/m

resultsBetween 2017 and 2021, 146 patients were randomized, 73 on each arm. The median age was 45 years. Most patients (66.4%) had locally advanced stage III disease, 67.1% had T3/T4 tumors, and 56.2% had clinically positive axillary lymph nodes. Germline BRCA status was available for all patients, and 19.9% had pathogenic BRCA1/2 variants. The pCR rate (ypT0ypN0) was numerically increased by 13.7%, being 43.8% (31 of 73 patients) in the experimental and 30.1% (22 of 73 patients) in the control arm, not meeting the prespecified goal of increasing the pCR in 15% (p-value = 0.08). Survival outcomes are immature.

conclusionThe addition of carboplatin to standard NACT in stages II and III TNBC was associated with a non-statistically significant numerical increase in the pCR rate. Follow-up for survival outcomes and translational research initiatives are ongoing.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBRCA1 ProteinBRCA2 ProteinCarboplatinFemaleHumansMiddle AgedNeoadjuvant TherapyPaclitaxelTreatment OutcomeBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanCarboplatinPaclitaxelBRCABreast neoplasmNeoadjuvant chemotherapyTriple-negative breast cancer

Identifiers

PMID37578666
PMCPMC10504209

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Registered trials

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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.