Evidence map›Paper›PMID 38861041›Full record

ArticleBreast cancer (Tokyo, Japan)2024

Breast cancer epigenetics: current and evolving treatment.

Sujata Purja, Dung Thuy Nguyen, Eunyoung Kim

Abstract read
PubMed Publisher
In one paragraph

Article in Breast cancer (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Epigenetic Regulation in Drosophila Tumor Models.Advances in experimental medicine and biology · 2025
    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

3 authors.

Sujata PurjaCentral Research Center of Epigenome Based Platform and Its Application for Drug Development, College of Pharmacy, Chung-Ang University, Seoul, 06974, Republic of Korea.
Dung Thuy NguyenThe Graduate School for Pharmaceutical Industry Management, College of Pharmacy, Chung-Ang University, Seoul, 06974, Republic of Korea.
Eunyoung KimCentral Research Center of Epigenome Based Platform and Its Application for Drug Development, College of Pharmacy, Chung-Ang University, Seoul, 06974, Republic of Korea. eykimjcb777@cau.ac.kr.ORCID http://orcid.org/0000-0003-3525-8805

Funding

Ministry of Food and Drug Safety 22183MFDS366National Research Foundation of Korea 2021R1A6A1A03044296National Research Foundation of Korea 2021R1F1A1062044
6 · The paper itself

Abstract

backgroundBreast cancer (BC) presents persistent challenges due to subtype-specific limited efficacy and potential resistance to standard therapy, influenced by the dynamic reversible nature of epigenetic plasticity. This study aims to comprehensively explore the evolving BC epigenetic landscape, analyzing trends and evaluating the therapeutic potential of epigenetic drugs (epi-drugs) for BC treatment.

methodsWe conducted a cross-sectional study of BC epigenetic trials using ClinicalTrials.gov until July 18, 2023. Additionally, results from randomized controlled trials were retrieved from the registry or PubMed using trial registration numbers.

resultsIn total, 22 epi-drugs were investigated in 100 trials, with 11 currently being studied in 38 ongoing trials for BC. Over the years, epigenetic clinical trials for BC have notably increased, with histone deacetylase inhibitors constituting 45.45% of the candidate agents in the development pipeline. All ongoing trials are enrolling human epidermal growth factor receptor2 (HER2)-negative BC patients. Epi-drugs are commonly explored in combination with multiple anti-cancer therapies, such as aromatase or microtubule inhibitors, using an intermittent sequential administration approach. Emerging strategies include new-generation epi-drugs and combination involving immunotherapy or targeted therapy. Among candidate drugs, tucidinostat and entinostat, in combination with exemestane, demonstrated significant improvements in progression-free survival in phase III trials for hormone receptor-positive, HER2-negative BC patients.

conclusionThis study highlights the growing interest in BC epigenetics, suggesting a potential shift from a one-size-fits-all approach to precision medicine, and emphasizes the necessity for robust evidence on their efficacy and safety to support continuous development and approval, addressing the unmet needs in BC treatment.

Indexed as

Breast NeoplasmsEpigenesis, GeneticAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBenzamidesClinical Trials as TopicCross-Sectional StudiesErb-b2 Receptor Tyrosine KinasesFemaleHistone Deacetylase InhibitorsHumansPyridinesRandomized Controlled Trials as TopicAntineoplastic AgentsBenzamidesentinostatErb-b2 Receptor Tyrosine KinasesHistone Deacetylase InhibitorsPyridinesBreast cancerCombination strategiesEpi-drugsEpigeneticPrecision medicine

Identifiers

PMID38861041

What OpenQuestion holds

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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.