Evidence map›Paper›PMID 39431459›Full record

ArticleFuture oncology (London, England)2024

Implementing geriatric assessment for dose optimization of CDK4/6 inhibitors in older breast cancer patients.

Antonis Valachis, Laura Biganzoli, Athina Christopoulou, Kamilla Fjermeros, Elena Fountzila, Jürgen Geisler, Raquel Gomez-Bravo, Peeter Karihtala, Paris Kosmidis, Angelos Koutras and 28 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Future oncology (London, England), 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. Article
  4. Anticancer Activity of Ethanolic Extract ofInternational journal of molecular sciences · 2025
    Article
  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

38 authors.

Antonis ValachisDepartment of Oncology, Faculty of Medicine & Health, Örebro University, Sweden.ORCID 0000-0001-6059-0194
Laura BiganzoliDepartment of Oncology, Hospital of Prato, Azienda USL Toscana Centro, Florence, Italy.
Athina ChristopoulouDepartment of Medical Oncology, St Andrews General Hospital of Patras, Patras, Greece.
Kamilla FjermerosDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Elena FountzilaDepartment of Medical Oncology, St Luke's Clinic, Thessaloniki, Greece, European University Cyprus, Nicosia, Cyprus.
Jürgen GeislerDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway & Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Raquel Gomez-BravoMedical Oncology Department Hospital Clinic & Translational Genomics & Targeted Therapies in Solid Tumors, IDIBAPS, Barcelona, Spain.
Peeter KarihtalaDepartment of Oncology, Helsinki University Hospital Comprehensive Cancer Center & University of Helsinki, Helsinki, Finland.
Paris KosmidisSecond Medical Oncology Department, Hygeia Hospital, Athens, Greece.
Angelos KoutrasDivision of Oncology, Department of Medicine, University Hospital of Patras, Patras, Greece.
Helena LinardouFourth Oncology Dept & Comprehensive Clinical Trials Center, Metropolitan Hospital, Athens, Greece.
Henrik LindmanDepartment of Oncology, Uppsala University Hospital & Department of Immunology, Genetics & Pathology Uppsala University, Uppsala, Sweden.
Iván Martínez-BallesteroFundació Clínic per a la Recerca Biomèdica, Barcelona, Spain.
Anna Belén RodríguezMedical Oncology Department Hospital Clinic & Translational Genomics & Targeted Therapies in Solid Tumors, IDIBAPS, Barcelona, Spain.
Icro MeattiniDepartment of Experimental & Clinical Biomedical Sciences "M. Serio", University of Florence, Florence, Italy & Radiation Oncology Unit, Breast Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Montserrat Munoz-MateuMedical Oncology Department Hospital Clinic & Translational Genomics & Targeted Therapies in Solid Tumors, IDIBAPS, Barcelona, Spain.
Mukhrizah OthmanDepartment of Oncology, Faculty of Medicine & Health, Örebro University, Sweden.
Amanda PsyrriSection of Medical Oncology, Department of Internal Medicine, Faculty of Medicine, National & Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.
Emanuela RisiDepartment of Oncology, Hospital of Prato, Azienda USL Toscana Centro, Florence, Italy.
Aglaia SchizaDepartment of Oncology, Uppsala University Hospital & Department of Immunology, Genetics & Pathology Uppsala University, Uppsala, Sweden.
Nikolaos SpathasFourth Oncology Dept & Comprehensive Clinical Trials Center, Metropolitan Hospital, Athens, Greece.
Meri UtriainenDepartment of Oncology, Helsinki University Hospital Comprehensive Cancer Center & University of Helsinki, Helsinki, Finland.
Luca VisaniRadiation Oncology Unit, Breast Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Soledad BallesterosStudies of Aging & Neurodegenerative Diseases Research Group, Universidad Nacional de Educación a Distancia, Madrid, Spain.
Ioannis BasdekisCircular Economy Foundation, Brussels, Belgium.
Susanne Dieroff HayThe Swedish Breast Cancer Association, Stockholm, Sweden.
Theo FotisSecurity Labs Consulting Ltd, Dublin, Ireland.
Samuel FrickerInstitute for Interactive Technologies, University of Applied Sciences Northwestern Switzerland, Windisch, Switzerland.
Gimon de GraafInstitute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Marit JensetThe Swedish Breast Cancer Association, Stockholm, Sweden.
Tim KantersInstitute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Kostas LampropoulosDepartment of Electrical & Computer Engineering, University of Patras, Patras, Greece.
Christiana MarkouSchool of Law, European University Cyprus, Nicosia, Cyprus & Eunomia Ltd, Dublin, Ireland.
Kalliopi MastorakiCircular Economy Foundation, Brussels, Belgium.
Christina NanouEunomia Ltd, Dublin, Ireland.
José Manuel Reales AvilesStudies of Aging & Neurodegenerative Diseases Research Group, Universidad Nacional de Educación a Distancia, Madrid, Spain.
Marianne SantaholmaInstitute for Interactive Technologies, University of Applied Sciences Northwestern Switzerland, Windisch, Switzerland.
Thanos KosmidisCareAcross Ltd, London, UK.

Funding

European Union's Horizon Europe Research and Innovation Program No. 101104589
6 · The paper itself

Abstract

Current evidence from both randomized trials and real-world studies suggests that older patients with advanced hormone receptor-positive/HER2-negative (HR+/HER2) breast cancer derive clinical benefit from the addition of CDK4/6 inhibitors to endocrine therapy. However, a higher risk for adverse events due to CDK4/6 inhibitors among older patients is evident, leading to a trend of initiating CDK4/6 inhibitors at lower dose in clinical practice, though without evidence. The aim of the IMPORTANT-trial, a pragmatic, multinational, open-label, partly decentralized randomized trial is to investigate whether lower starting dose of CDK4/6 inhibitors combined with endocrine therapy is comparable to full dose in older (≥70 years old) patients with advanced HR+/HER2- breast cancer who are assessed as vulnerable or frail based on comprehensive geriatric assessment.

Indexed as

Breast NeoplasmsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Geriatric AssessmentProtein Kinase InhibitorsAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansMulticenter Studies as TopicPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Erb-b2 Receptor Tyrosine KinasesProtein Kinase Inhibitorsadvanced breast cancerCDK4/6 inhibitorscomprehensive geriatric assessmentlower doserandomized

Identifiers

PMID39431459
PMCPMC11572072

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.