Evidence map›Paper›PMID 37690320›Full record

Trial reportBreast (Edinburgh, Scotland)2023

Anti-hormonal maintenance treatment with the CDK4/6 inhibitor ribociclib after 1st line chemotherapy in hormone receptor positive / HER2 negative metastatic breast cancer: A phase II trial (AMICA).

Thomas Decker, Kerstin Lüdtke-Heckenkamp, Luidmila Melnichuk, Nader Hirmas, Kristina Lübbe, Mark-Oliver Zahn, Marcus Schmidt, Carsten Denkert, Ralf Lorenz, Volkmar Müller and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Breast (Edinburgh, Scotland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03555877 (Anti-hormonal Maintenance Treatment With the CDK4/6 Inhibitor Ribociclib After 1st Line Chemotherapy in Hormone Receptor Positive / HER2 Negative Metastatic Breast Cancer), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT03555877 phase2completednot on this map

Anti-hormonal Maintenance Treatment With the CDK4/6 Inhibitor Ribociclib After 1st Line Chemotherapy in Hormone Receptor Positive / HER2 Negative Metastatic Breast Cancer: A Phase II Trial

TypeinterventionalSponsorGBG Forschungs GmbHRan2018 to 2022Enrolled56ConditionsBreast Cancer MetastaticArmsRibociclib, Anastrozole, Letrozole, Exemestane, Fulvestrant
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Discussion of ABC7 Consensus and German Recommendations.Geburtshilfe und Frauenheilkunde · 2024
    Article
  9. ABC7 Consensus: Assessment by a German Group of Experts.Breast care (Basel, Switzerland) · 2024
    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

17 authors at 15 institutions in 1 country.

Thomas DeckerStudienzentrum Onkologie, Ravensburg, Germany.
Kerstin Lüdtke-HeckenkampFranziskus-Hospital Harderberg Georgsmarienhütte, Germany.
Luidmila MelnichukAsklepios Paulinen Klinik Wiesbaden, Germany.
Nader HirmasGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Kristina LübbeDiakovere Henriettenstift, Breast Center, Hannover, Germany.
Mark-Oliver ZahnMVZ Onkologische Kooperation Harz, Goslar, Germany.
Marcus SchmidtUniversitätsmedizin Mainz, Germany.
Carsten DenkertInstitut für Pathologie, Philipps Universität Marburg und Universitätsklinikum Marburg (UKGM), Germany.
Ralf LorenzFrauenärztliche Gemeinschaftspraxis Braunschweig, Germany.
Volkmar MüllerUniversitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Dirk-Michael ZahmSH Wald-Klinikum Gera, Germany.
Christoph MundhenkeGynäkologisches Krebszentrum, Klinikum Bayreuth, Germany.
Stefan BauerGemeinschaftspraxis für Hämatologie und Onkologie, Lebach, Germany.
Marc ThillDepartment of Gynecology and Gynecological Oncology, Agaplesion Markus Krankenhaus Frankfurt, Germany.
Peter SeropianKrankenhäuser Landkreis Freudenstadt gGmbH, Germany.
Natalie FilmannGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Sibylle LoiblGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany; Centre for Haematology and Oncology/Bethanien Frankfurt/M Freudenstadt, Germany. Electronic address: sibylle.loibl@gbg.de.
German Breast group · DEAgaplesion Markus Hospital · DEAsklepios Fachklinikum Brandenburg · DEBayreuth Medical Center · DECardiovascular Center Bethanien · DEDiakovere · DEJohannes Gutenberg University Mainz · DEKrankenhäuser Landkreis Freudenstadt · DEPhilipps University of Marburg · DEPraxis für Hämatologie und Onkologie · DEPraxis für Humangenetik · DERavensburg University of Cooperative Education · DESRH Wald-Klinikum Gera · DESt. Franziskus Hospital · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis phase II study evaluated the impact of adding ribociclib to maintenance endocrine therapy (ET) treatment of physicians' choice following the first palliative chemotherapy in pre- and post-menopausal women with hormone receptor positive (HR+)/human epidermal growth factor 2 negative (HER2-) metastatic breast cancer (mBC). PATIENTS AND

methodsThe initial randomized study design was later amended into a single-arm study, and all subsequent patients received ribociclib and ET. The primary end point was locally assessed progression-free survival (PFS). Secondary end points included overall survival (OS), clinical benefit rate (CBR), safety, compliance, and quality of life (QoL).

resultsA total of 43 patients received ribociclib + ET and 10 patients received ET only. Median PFS was 12.4 months [95% CI 8.7-24.4] for patients who received ribociclib + ET and 4.75 months [95% CI 1.0-10.3] for those who received ET only. Median OS was not reached for patients who received ribociclib + ET, and 28 (65.1%) patients experienced clinical benefit [95% CI 49.1-79.0]. For patients who received ribociclib + ET, grade 3-4 hematological adverse events (AEs) occurred in 25 (58.1%) patients, and grade 3-4 non-hematological AEs occurred in 17 (39.5%) patients. During the study, 15 patients died - 14 of whom due to tumor-related reasons, and one patient due to pneumonia, which was not treatment-related.

conclusionThe results of the AMICA study show a promising efficacy and safety of maintenance treatment with ribociclib added to ET after at least stable disease following the first metastatic chemotherapy in patients with HR+/HER2-mBC.

trial registrationAnti-hormonal Therapy With Ribociclib in HR-positive/HER2- Negative Metastatic Breast Cancer (AMICA), NCT03555877, https://clinicaltrials.gov/ct2/show/NCT03555877.

Indexed as

Breast NeoplasmsAminopyridinesAntineoplastic Combined Chemotherapy ProtocolsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Erb-b2 Receptor Tyrosine KinasesFemaleHumansPurinesQuality of LifeAminopyridinesCDK4 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Erb-b2 Receptor Tyrosine KinasesPurinesribociclibAdvanced breast cancerAMICAClinical responseEfficacyHER2 negativeHormone receptor positiveMetastatic breast cancerQuality of lifeRibociclibSafety

Identifiers

PMID37690320
PMCPMC10507224
OpenAlexW4386365840

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.