Evidence map›Paper›PMID 38886794›Full record

Trial reportBMC medicine2024

Taxane combined with lobaplatin or anthracycline for neoadjuvant chemotherapy of triple-negative breast cancer: a randomized, controlled, phase II study.

Cheng Wang, Long Yuan, Xiujuan Wu, Yan Wang, Hao Tian, Guozhi Zhang, Andi Wan, Siyi Xiong, Chengfang Wang, Yuqin Zhou and 6 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. 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

16 authors.

Cheng Wang *Department of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Long Yuan *Department of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Xiujuan WuDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Yan WangDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Hao TianDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Guozhi ZhangDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Andi WanDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Siyi XiongDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Chengfang WangDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Yuqin ZhouDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Dandan MaDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Yangqiu BaoDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Man QuDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.
Jun JiangDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China. jcbd@medmail.com.cn.
Yi ZhangDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China. zhangyi1489@sina.com.
Xiaowei QiDepartment of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China. qxw9908@foxmail.com.ORCID 0000-0002-5876-4957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that the addition of platinum to neoadjuvant chemotherapy (NAC) improved outcomes for patients with triple-negative breast cancer (TNBC). However, no studies have assessed the efficacy and safety of the combination of taxane and lobaplatin. In this study, we conducted a randomized controlled phase II clinical study to compare the efficacy and safety of taxane combined with lobaplatin or anthracycline.

methodsWe randomly allocated patients with stage I-III TNBC into Arm A and Arm B. Arm A received six cycles of taxane combined with lobaplatin (TL). Arm B received six cycles of taxane combined with anthracycline and cyclophosphamide (TEC) or eight cycles of anthracycline combined with cyclophosphamide and sequential use of taxane (EC-T). Both Arms underwent surgery after NAC. The primary endpoint was the pathologic complete response (pCR). Secondary endpoints were event-free survival (EFS), overall survival (OS), and safety.

resultsA total of 103 patients (51 in Arm A and 52 in Arm B) were assessed. The pCR rate of Arm A was significantly higher than that of Arm B (41.2% vs. 21.2%, P = 0.028). Patients with positive lymph nodes and low neutrophil-to-lymphocyte ratio (NLR) benefited significantly more from Arm A than those with negative lymph nodes and high NLR (P

conclusionsNeoadjuvant taxane plus lobaplatin has shown better efficacy than taxane plus anthracycline, and both regimens have similar toxicity profiles. This trial may provide a reference for a better combination strategy of immunotherapy in NAC for TNBC in the future.

Indexed as

AnthracyclinesAntineoplastic Combined Chemotherapy ProtocolsCyclobutanesNeoadjuvant TherapyTriple Negative Breast NeoplasmsAdultAgedBridged-Ring CompoundsCyclophosphamideFemaleHumansMiddle AgedOrganoplatinum CompoundsTaxoidsTreatment OutcomeAnthracyclinesBridged-Ring CompoundsCyclobutanesCyclophosphamidelobaplatinOrganoplatinum CompoundstaxaneTaxoidsAnthracyclineLobaplatinNeoadjuvant chemotherapypCRtaxaneTNBC

Identifiers

PMID38886794
PMCPMC11184884

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.