Evidence map›Paper›PMID 40017682›Full record

ArticleEClinicalMedicine2025

Trifluridine-tipiracil in previously treated patients with oestrogen receptor-positive, HER2-negative metastatic breast cancer (BOOG 2019-01 TIBET trial): a single-arm, multicentre, phase 2 trial.

Niels A D Guchelaar, Ron H J Mathijssen, Maaike de Boer, Marlies L van Bekkum, Joan B Heijns, Birgit E P J Vriens, Mandy M van Rosmalen, Lonneke W Kessels, Lisanne Hamming, Karin J Beelen and 6 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Niels A D GuchelaarDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Ron H J MathijssenDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Maaike de BoerDepartment of Internal Medicine, Division of Medical Oncology, GROW-School for Oncology and Developmental Biology, Maastricht UMC+, Maastricht, the Netherlands.
Marlies L van BekkumDepartment of Internal Medicine, Reinier de Graaf Hospital, Delft, the Netherlands.
Joan B HeijnsDepartment of Internal Medicine, Amphia, Breda, the Netherlands.
Birgit E P J VriensDepartment of Internal Medicine, Catharina Hospital, Eindhoven, the Netherlands.
Mandy M van RosmalenDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Lonneke W KesselsDepartment of Internal Medicine, Deventer Hospital, Deventer, the Netherlands.
Lisanne HammingDepartment of Internal Medicine, Medical Center Leeuwarden, Leeuwarden, the Netherlands.
Karin J BeelenDepartment of Internal Medicine, Rijnstate, Arnhem, the Netherlands.
Peter NieboerDepartment of Internal Medicine, Wilhelmina Hospital Assen, Assen, the Netherlands.
Susan M van den BergDutch Breast Cancer Research Group (BOOG), the Netherlands.
Esther Oomen-de HoopDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Rhodé M BijlsmaDepartment of Medical Oncology, UMC Utrecht Cancer Center, Utrecht, the Netherlands.
Monique E M M BosDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Dutch Breast Cancer Research Group (BOOG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective later-line chemotherapy treatment options are scarce for patients with metastatic breast cancer (MBC). Trifluridine-tipiracil has shown survival benefit in heavily pre-treated patients with metastatic colorectal and in gastric cancer refractory to a fluoropyrimidine. This study aimed to investigate the efficacy of trifluridine-tipiracil in a Western population of previously treated patients with oestrogen receptor (ER+), HER2- MBC to facilitate further optimization of this treatment strategy. Methods: Adult patients at least 18 years old diagnosed with hormone receptor positive, HER2- receptor negative MBC with a performance status of 0 or 1 who have been treated with capecitabine in the metastatic setting and up to two other lines of chemotherapy, including a taxane, were enrolled in this single-arm, multicentre, phase 2 study in the Netherlands. The participants received trifluridine-tipiracil 35 mg/m Findings: Fifty female patients were enrolled from September 2020 to July 2023, with a median of 3 (IQR, 2-3) previous endocrine therapy lines and 2 (IQR, 2-3) chemotherapy lines for MBC. The DCR rate at 8 weeks was 64.0% ( Interpretation: Trifluridine-tipiracil demonstrated promising efficacy in heavily pre-treated patients with MBC, despite prior exposure to a fluoropyrimidine. Clinically, this suggests that trifluridine-tipiracil holds potential as a viable oral later-line treatment option with a manageable toxicity profile while maintaining quality of life. Preparations for a phase 3 trial are underway. Funding: Servier, France.

Indexed as

ChemotherapyMetastatic breast cancerTreatmentTrifluridine-tipiracil

Identifiers

PMID40017682
PMCPMC11867194

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.