Evidence map›Paper›PMID 38793046›Full record

ReviewJournal of personalized medicine2024

Cyclin-Dependent Kinase 4/6 Inhibitors Plus Endocrine Therapy versus Endocrine Therapy Alone for HR-Positive, HER-2-Negative Early Breast Cancer: Meta-Analysis of Phase III Randomized Clinical Trials.

Francisco Cezar Aquino de Moraes, Gustavo de Oliveira Almeida, Vinícius Freire Costa Alves, Jonathan N Priantti, Giovanna da Conceição Gomes, Sarah Vitória Bristot Carnevalli, Thiago Madeira, Maysa Vilbert, Carlos Stecca, Maria Cristina Figueroa Magalhães and 2 more

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. 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.

Francisco Cezar Aquino de MoraesOncology Research Center, Federal University of Pará, Belem 66073-005, Brazil.ORCID 0000-0003-0623-8135
Gustavo de Oliveira AlmeidaSchool of Medicine, Federal University of Triângulo Mineiro, Uberaba 38025-180, Brazil.ORCID 0000-0001-8891-2431
Vinícius Freire Costa AlvesSchool of Medicine, University of São Paulo, São Paulo 01246-903, Brazi.
Jonathan N PrianttiSchool of Medicine, Federal University of Amazonas, Manaus 69080-900, Brazil.ORCID 0000-0002-7804-3022
Giovanna da Conceição GomesSchool of Medicine, Catholic University of Minas Gerais, Belo Horizonte 32010-025, Brazil.
Sarah Vitória Bristot CarnevalliSchool of Medicine, Federal University of Santa Catarina, Florianópolis 88040-900, Brazil.
Thiago MadeiraSchool of Medicine, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil.
Maysa VilbertDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada.ORCID 0000-0003-0627-1023
Carlos SteccaMackenzie Evangelical University Hospital, Curitiba 80730-150, Brazil.ORCID 0000-0001-9103-9119
Maria Cristina Figueroa MagalhãesMackenzie Evangelical University Hospital, Curitiba 80730-150, Brazil.ORCID 0000-0001-7748-8399
Marianne Rodrigues FernandesOncology Research Center, Federal University of Pará, Belem 66073-005, Brazil.ORCID 0000-0002-1396-3442
Ney Pereira Carneiro Dos SantosOncology Research Center, Federal University of Pará, Belem 66073-005, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCyclin-dependent kinase 4/6 (CDK4/6) inhibitors are approved for advanced breast cancer combined with endocrine therapy (ET). The efficacy of CDK4/6 inhibitors plus ET in hormone estrogen-positive, human epidermal growth factor 2-negative (HR+/HER2-) early-stage breast cancer (esBC) is still to be confirmed.

methodsWe performed a systematic review and a meta-analysis to investigate the efficacy of CDK4/6i plus ET in esBC. Main outcomes included invasive disease-free survival (iDFS), distant relapse-free survival (DRFS), and overall survival (OS). We included only phase III randomized controlled trials. We used RStudio version 4.2.3, and we considered

resultsFour studies were selected, including 14,168 patients, of which 7089 were treated with CDK4/6i plus ET and 7079 received ET monotherapy. Regarding patient characteristics, 6828 (48.2%) were premenopausal. Compared with ET alone, iDFS rates (HR 0.81; 95% CI: 0.67, 0.98;

conclusionsOur results show that the addition of CDK4/6 inhibitors is associated with a significant benefit for HR+/HER2- esBC patients in iDFS. More studies and longer follow-up are needed to assess overall survival benefits.

Indexed as

cancercyclin-dependent kinase 4/6 inhibitorsearly-stage breast cancerendocrine therapy

Identifiers

PMID38793046
PMCPMC11121774

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.