Evidence map›Paper›PMID 39921934›Full record

Trial reportESMO open2025

The prognostic and predictive value of the luminal-like subtype in hormone receptor-positive breast cancer: an analysis of the DATA trial.

S W M Lammers, S M E Geurts, K E P E Hermans, L F S Kooreman, A C P Swinkels, C H Smorenburg, M J C van der Sangen, J R Kroep, A H Honkoop, F W P J van den Berkmortel and 6 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in ESMO open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00301457 (A Prospective Randomised, Open, Multicentre, Phase III Study to Assess Different Durations of Anastrozole Therapy After 2 to 3 Years Tamoxifen as Adjuvant Therapy in Postmenopausal Women With Breast Cancer.), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT00301457 phase3completednot on this map

A Prospective Randomised, Open, Multicentre, Phase III Study to Assess Different Durations of Anastrozole Therapy After 2 to 3 Years Tamoxifen as Adjuvant Therapy in Postmenopausal Women With Breast Cancer.

TypeinterventionalSponsorMaastricht University Medical CenterRan2006 to 2022Enrolled1,914ConditionsBreast CancerArmsAnastrozole
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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  5. Review
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  11. Effects of the efficacy of theFrontiers in pharmacology · 2025
    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

16 authors.

S W M LammersDepartment of Medical Oncology, Maastricht University Medical Centre, GROW, Maastricht University, Maastricht, The Netherlands. Electronic address: senna.lammers@mumc.nl.
S M E GeurtsDepartment of Medical Oncology, Maastricht University Medical Centre, GROW, Maastricht University, Maastricht, The Netherlands.
K E P E HermansDepartment of Medical Oncology, Maastricht University Medical Centre, GROW, Maastricht University, Maastricht, The Netherlands.
L F S KooremanDepartment of Pathology, GROW School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.
A C P SwinkelsClinical Research Department, Netherlands Comprehensive Cancer Organisation (IKNL), Nijmegen, The Netherlands.
C H SmorenburgDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
M J C van der SangenDepartment of Radiation Oncology, Catharina Hospital, Eindhoven, The Netherlands.
J R KroepDepartment of Medical Oncology, Leiden University Medical Centre, Leiden, The Netherlands.
A H HonkoopDepartment of Medical Oncology, Isala Clinics, Zwolle, The Netherlands.
F W P J van den BerkmortelDepartment of Medical Oncology, Zuyderland Medical Centre Heerlen-Sittard-Geleen, Geleen, The Netherlands.
W K de RoosDepartment of Surgery, Gelderse Vallei Hospital, Ede, The Netherlands.
S C LinnDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands; Department of Pathology, University Medical Centre Utrecht, Utrecht, The Netherlands.
A L T ImholzDepartment of Medical Oncology, Deventer Hospital, Deventer, The Netherlands.
I J H VriensDepartment of Medical Oncology, Maastricht University Medical Centre, GROW, Maastricht University, Maastricht, The Netherlands.
V C G Tjan-HeijnenDepartment of Medical Oncology, Maastricht University Medical Centre, GROW, Maastricht University, Maastricht, The Netherlands. Electronic address: vcg.tjan.heijnen@mumc.nl.
Dutch Breast Cancer Research Group (BOOG) for the DATA investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study determines the prognostic value of the luminal-like subtype in patients with hormone receptor-positive breast cancer and explores whether the efficacy of extended anastrozole therapy differs between patients with luminal A-like versus luminal B-like tumours. MATERIALS AND

methodsThe phase III DATA study (NCT00301457) examined the efficacy of 6 versus 3 years of anastrozole in postmenopausal women with early-stage hormone receptor-positive breast cancer who had received 2-3 years of tamoxifen. Patients with available formalin-fixed paraffin-embedded tissue blocks were identified and classified by immunohistochemical luminal-like subtype. Distant recurrence (DR) and breast cancer-specific mortality (BCSM) were compared by luminal-like subtype and treatment arm using competing risk methods.

resultsThis study included 788 patients: 491 had a luminal A-like tumour and 297 had a luminal B-like tumour. The median follow-up time was 13.1 years. Patients with luminal B-like tumours experienced a higher risk of DR [subdistribution hazard ratio (sHR) 1.44, 95% confidence interval (CI) 1.03-2.01, P = 0.03] and BCSM (sHR 1.68, 95% CI 1.15-2.45, P = 0.008) than patients with luminal A-like tumours. The efficacy of extended anastrozole therapy differed between patients with luminal A-like tumours (DR: sHR 0.51, 95% CI 0.30-0.88, P = 0.02; BCSM: sHR 0.39, 95% CI 0.19-0.82, P = 0.01) and patients with luminal B-like tumours (DR: sHR 2.09, 95% CI 0.96-4.53, P = 0.06; BCSM: sHR 2.36, 95% CI 0.80-7.00, P = 0.12) (P-interaction = 0.03 and P-interaction = 0.06, respectively).

conclusionIn patients with hormone receptor-positive breast cancer, the luminal B-like subtype was associated with a significantly worse prognosis when compared with the luminal A-like subtype. Extended anastrozole therapy halved the risk of DR and BCSM in patients with luminal A-like tumours, whereas no effect was seen in patients with luminal B-like tumours.

Indexed as

Breast NeoplasmsReceptors, EstrogenAgedAnastrozoleAntineoplastic Agents, HormonalFemaleHumansMiddle AgedPrognosisReceptors, ProgesteroneTamoxifenAnastrozoleAntineoplastic Agents, HormonalReceptors, EstrogenReceptors, ProgesteroneTamoxifenaromatase inhibitorsbreast neoplasmsKi-67 antigenluminal-like subtypeprognosis

Identifiers

PMID39921934
PMCPMC11850755

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Registered trials

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.