Evidence map›Paper›PMID 39516670›Full record

ArticleBJC reports2024

Real-world effectiveness of CDK 4/6 inhibitors in estrogen-positive metastatic breast cancer.

Mathilde Louise Gehrchen, Tobias Berg, Rasmus Garly, Maj-Britt Jensen, Saskia Eßer-Naumann, Jeanette Dupont Rønlev, Hanne Melgaard Nielsen, Ann Knoop, Iben Kümler

Abstract read
In one paragraph

Article in BJC reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Clinical experience and satisfaction in patients with advanced breast cancer participating in the abemaciclib patient support program in Spain: a prospective observational study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
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  18. Palbociclib as an Antitumor Drug: A License to Kill.Molecules (Basel, Switzerland) · 2024
    Review
  19. Disparities in receipt of 1-Breast cancer research : BCR · 2024
    Observational
  20. 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

9 authors.

Mathilde Louise GehrchenDanish Breast Cancer Group, Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. mathilde.gehrchen@gmail.com.ORCID http://orcid.org/0000-0002-6528-1259
Tobias BergDanish Breast Cancer Group, Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Rasmus GarlyDanish Breast Cancer Group, Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Maj-Britt JensenDanish Breast Cancer Group, Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Saskia Eßer-NaumannDepartment of Oncology, Næstved Hospital, Næstved, Denmark.
Jeanette Dupont RønlevDepartment of Oncology, University Hospital of Odense, Odense, Denmark.
Hanne Melgaard NielsenDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Ann KnoopDanish Breast Cancer Group, Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Iben KümlerDepartment of Oncology, Herlev and Gentofte University Hospital, Herlev, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInitial treatment for advanced ER-positive/HER2-negative breast cancer involves a CDK 4/6 inhibitor (CDK 4/6i). Recent overall survival (OS) analyses led the Danish Medical Council to exclude palbociclib as preferred option. This study aimed to evaluate the real-world effectiveness of abemaciclib, palbociclib, and ribociclib in a Danish context. Additionally, to compare the inhibitors to identify potential endpoint differences. MATERIAL AND

methodsPatients undergoing first or second line CDK 4/6i treatments from January 1st, 2017, until December 31st, 2021 were included. The primary endpoint was progression free survival (PFS).

resultsAmong 2069 Danish patients, 1554 received first line treatment, 515 received second line treatment. In first line, abemaciclib's median PFS was unreached; palbociclib had a median PFS of 32.0 months (95% CI: 28.9-35.3); ribociclib 42.4 months (95% CI: 35.1-52.9). First-line median OS was 37.8 months (95% CI: 32.5-NA); 49.7 months (95% CI: 44.7-54.1); and 54.4 months (95% CI: 47.9-NA) for abemaciclib, palbociclib and ribociclib, respectively. No significant differences in OS were observed, nor in PFS in second line.

conclusionThis study confirms first-line CDK 4/6i effectiveness, with abemaciclib and ribociclib showing prolonged PFS vs. palbociclib. This study could not confirm a ranking of the three CDK 4/6i.

Identifiers

PMID39516670
PMCPMC11523969

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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.