Evidence map›Paper›PMID 38238336›Full record

ArticleNPJ breast cancer2024

Alternative dosing regimen of exemestane in a randomized presurgical trial: the role of obesity in biomarker modulation.

Harriet Johansson, Aliana Guerrieri-Gonzaga, Sara Gandini, Bjørn-Erik Bertelsen, Debora Macis, Davide Serrano, Gunnar Mellgren, Matteo Lazzeroni, Parijatham S Thomas, Katherine D Crew and 13 more

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Pilot Study of Daily Exemestane in Women with Endometrial Intraepithelial Neoplasia or Low-Grade Endometrial Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  2. Trial
  3. Breast Cancer and Metabolic Dysfunction-Associated Steatotic Liver Disease.International journal of molecular sciences · 2026
    Review
  4. 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

23 authors at 8 institutions in 4 countries.

Harriet JohanssonIEO, European Institute of Oncology IRCCS, Milan, Italy. harriet.johansson@ieo.it.ORCID http://orcid.org/0000-0002-4131-2030
Aliana Guerrieri-GonzagaIEO, European Institute of Oncology IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0003-1915-1688
Sara GandiniIEO, European Institute of Oncology IRCCS, Milan, Italy.
Bjørn-Erik BertelsenHormone Laboratory, Department of Medical Biochemistry and Pharmacology, Haukeland University Hospital, Bergen, Norway.ORCID http://orcid.org/0000-0001-8455-2176
Debora MacisIEO, European Institute of Oncology IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-0633-2933
Davide SerranoIEO, European Institute of Oncology IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-2945-4108
Gunnar MellgrenHormone Laboratory, Department of Medical Biochemistry and Pharmacology, Haukeland University Hospital, Bergen, Norway.
Matteo LazzeroniIEO, European Institute of Oncology IRCCS, Milan, Italy.
Parijatham S ThomasUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-2973-6639
Katherine D CrewColumbia University Irving Medical Center, New York, NY, USA.
Nagi B KumarMoffitt Cancer Center, University of South Florida, Tampa, FL, USA.
Irene Maria BriataE.O. Galliera Hospital, Genoa, Italy.ORCID http://orcid.org/0000-0003-0767-0026
Viviana GalimbertiIEO, European Institute of Oncology IRCCS, Milan, Italy.
Giuseppe VialeIEO, European Institute of Oncology IRCCS, Milan, Italy.
Lana A VornikUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA.
Valentina AristarcoIEO, European Institute of Oncology IRCCS, Milan, Italy.
Tania Buttiron WebberE.O. Galliera Hospital, Genoa, Italy.
Stefano SpinaciOspedale Villa Scassi ASL3, Genoa, Italy.
Powel H BrownUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-3398-163X
Brandy M Heckman-StoddardDivision of Cancer Prevention, NCI Bethesda, MD, USA.
Eva SzaboDivision of Cancer Prevention, NCI Bethesda, MD, USA.ORCID http://orcid.org/0000-0003-3891-0942
Bernardo BonanniIEO, European Institute of Oncology IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0003-3589-2128
Andrea DeCensiE.O. Galliera Hospital, Genoa, Italy.ORCID http://orcid.org/0000-0003-2635-4491
European Institute of Oncology · ITThe University of Texas MD Anderson Cancer Center · USCenter for Cancer Research · USEnte Ospedaliero Ospedali Galliera · ITHaukeland University Hospital · NOColumbia University Irving Medical Center · USQueen Mary University of London · GBUniversity of South Florida · US

Funding

NCI NIH HHS HHSN261201200034C
6 · The paper itself

Abstract

In a 3-arm presurgical trial, four-six weeks exemestane 25 mg three times/week (TIW) was non-inferior to 25 mg/day (QD) in suppressing circulating estradiol in postmenopausal women with ER-positive breast cancer. Since obesity may decrease exemestane efficacy, we analyzed changes in sex steroids, adipokines, Ki-67, and drug levels in relation to obesity. Postmenopausal women with early-stage ER-positive breast cancer were randomized to either exemestane 25 mg QD (n = 57), 25 mg TIW (n = 57), or 25 mg/week (QW, n = 62) for 4-6 weeks before breast surgery. Serum and tissue pre- and post-treatment biomarkers were stratified by body mass index (BMI)< or ≥30 kg/m

Identifiers

PMID38238336
PMCPMC10796398
OpenAlexW4390986350

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.