Evidence map›Paper›PMID 39910103›Full record

ArticleNPJ breast cancer2025

Accessible model predicts response in hormone receptor positive HER2 negative breast cancer receiving neoadjuvant chemotherapy.

Luca Mastrantoni, Giovanna Garufi, Giulia Giordano, Noemi Maliziola, Elena Di Monte, Giorgia Arcuri, Valentina Frescura, Angelachiara Rotondi, Armando Orlandi, Luisa Carbognin and 20 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. 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

30 authors.

Luca Mastrantoni *Medical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0003-1853-4927
Giovanna Garufi *Medical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy. giovanna.garufi@guest.policlinicogemelli.it.ORCID http://orcid.org/0009-0001-1800-2122
Giulia Giordano *Department of Geriatrics, Orthopedics and Rheumatological Sciences, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Noemi Maliziola *Medical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Elena Di Monte *Medical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Giorgia ArcuriMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Valentina FrescuraMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Angelachiara RotondiMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Armando OrlandiMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0001-5253-4678
Luisa CarbogninPrecision Medicine Breast Unit, Scientific Directorate, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Antonella PalazzoMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Federica MigliettaMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Letizia PontolilloMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Alessandra FabiPrecision Medicine Breast Unit, Scientific Directorate, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-0758-8033
Lorenzo GerratanaOncologia Medica, Centro di Riferimento Oncologico (CRO), IRCCS, Aviano (PN), Italy University of Udine, Udine, Italy.
Sergio PannunzioMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.
Ida ParisPrecision Medicine Breast Unit, Scientific Directorate, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-7445-3366
Sara PilottoSection of Oncology, Department of Medicine, University of Verona School of Medicine and Verona University Hospital Trust, Verona, Italy.ORCID http://orcid.org/0000-0003-2229-4874
Fabio MarazziUOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italy.
Antonio FrancoBreast Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Gianluca FranceschiniBreast Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0002-2950-3395
Maria Vittoria DieciMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.ORCID http://orcid.org/0000-0002-3967-9861
Roberta MazzeoOncologia Medica, Centro di Riferimento Oncologico (CRO), IRCCS, Aviano (PN), Italy University of Udine, Udine, Italy.
Fabio PuglisiOncologia Medica, Centro di Riferimento Oncologico (CRO), IRCCS, Aviano (PN), Italy University of Udine, Udine, Italy.ORCID http://orcid.org/0000-0003-0573-4938
Valentina GuarneriMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.ORCID http://orcid.org/0000-0002-2375-8397
Michele MilellaSection of Oncology, Department of Medicine, University of Verona School of Medicine and Verona University Hospital Trust, Verona, Italy.
Giovanni ScambiaDepartment of Woman, Child, and Public Health, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy.
Diana GiannarelliBiostatistic, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Giampaolo TortoraMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0002-1378-4962
Emilio BriaMedical Oncology, Università Cattolica del Sacro Cuore, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hormone receptor-positive/HER2-negative breast cancer (BC) is the most common subtype of BC and typically occurs as an early, operable disease. In patients receiving neoadjuvant chemotherapy (NACT), pathological complete response (pCR) is rare and multiple efforts have been made to predict disease recurrence. We developed a framework to predict pCR using clinicopathological characteristics widely available at diagnosis. The machine learning (ML) models were trained to predict pCR (n = 463), evaluated in an internal validation cohort (n = 109) and validated in an external validation cohort (n = 151). The best model was an Elastic Net, which achieved an area under the curve (AUC) of respectively 0.86 and 0.81. Our results highlight how simpler models using few input variables can be as valuable as more complex ML architectures. Our model is freely available and can be used to enhance the stratification of BC patients receiving NACT, providing a framework for the development of risk-adapted clinical trials.

Identifiers

PMID39910103
PMCPMC11799161

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.