Evidence map›Paper›PMID 40888443›Full record

Trial reportEndocrine-related cancer2025

Neoadjuvant palbociclib in women with operable, hormone receptor-positive breast cancer.

Takayuki Ueno, Louis W C Chow, Wonshik Han, Chiun Sheng Huang, G Bruce Mann, Satoshi Morita, Hironori Haga, Elham Fakhrejahani, Takayuki Kobayashi, Hiroko Bando and 24 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Endocrine-related cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03969121 (A Phase III Randomized, Double-Blind, Neoadjuvant Study of Hormonal Therapy Plus Palbociclib Versus Hormonal Therapy Plus Placebo in Women With Operable, Hormone Sensitive and HER2-Negative Primary Breast Cancer), which is not on this map. Not yet cited in PubMed.

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

NCT03969121 phase3completednot on this map

A Phase III Randomized, Double-Blind, Neoadjuvant Study of Hormonal Therapy Plus Palbociclib Versus Hormonal Therapy Plus Placebo in Women With Operable, Hormone Sensitive and HER2-Negative Primary Breast Cancer

TypeinterventionalSponsorKyoto Breast Cancer Research NetworkRan2019 to 2021Enrolled141ConditionsBreast Cancer Female, Hormone Receptor Positive Malignant Neoplasm of BreastArmsPalbociclib, Endocrine therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

34 authors.

Takayuki UenoBreast Surgical Oncology, Breast Oncology Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research (JFCR), Tokyo, Japan.ORCID 0000-0002-9080-9377
Louis W C ChowUNIMED Medical Institute Comprehensive Center for Breast Diseases, Hong Kong, Hong Kong.
Wonshik HanSeoul National University Hospital, Seoul, Korea.
Chiun Sheng HuangNational Taiwan University Hospital, Taipei, Taiwan.
G Bruce MannThe Royal Melbourne Hospital, Melbourne, Australia.
Satoshi MoritaDepartment of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hironori HagaDepartment of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan.
Elham FakhrejahaniKyoto Breast Cancer Research Network, Kyoto, Japan.
Takayuki KobayashiDepartment of Breast Medical Oncology, The Cancer Institute Hospital of JFCR, Tokyo,Japan.
Hiroko BandoUniversity of Tsukuba Hospital, Tsukuba, Japan.
Kenichi InoueDivision of Breast Oncology, Saitama Cancer Center, Saitama,Japan.
Mariko TokiwaKobe City Medical Center General Hospital, Kobe, Japan.
Hirofumi SuwaHyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Tomoyuki ArugaTokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Bunkyo, Japan.
Sachiko MinamiguchiDepartment of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan.
Yosuke YamadaDepartment of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan.
Yuko TanabeToranomon Hospital, Minato, Japan.
Masahiro TakadaDepartment of Breast Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Toshinari YamashitaKanagawa Cancer Center, Yokohama, Japan.
Hiroji IwataAichi Cancer Center, Nagoya, Japan.
Chi-Feng ChungKoo Foundation Sun Yat-Sen Cancer Center, Taipei City, Taiwan.
Sachiko TakaharaMedical Research Institute, Kitano Hospital, Osaka, Japan.
Eriko TokunagaNational Hospital Organization Kyushu Cancer Center, Fukuoka City, Japan.
Shigeru ImotoKyorin University Hospital, Mitaka, Japan.
Eun Sook LeeNational Cancer Center, Goyang, Korea.
Yasuaki SagaraHakuaikai Sagara Hospital, Kagoshima, Japan.
Jee Hyun KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.
Richard H DeBoerPeter MacCallum Cancer Centre, Melbourne, Australia.
Hyun-Ah KimKorea Cancer Center Hospital, Nowon-gu, Korea.ORCID 0000-0001-9713-2605
Hung Wen LaiChanghua Christian Hospital, Changhua City, Taiwan.
Ming Feng HouKaohsiung Medical University Hospital, Kaohsiung City, Taiwan.
Michelle WhiteMonash Medical Centre, Clayton, Australia.
Yoshiko UmeyamaPfizer R&D Japan, Shibuya, Japan.
Masakazu ToiKyoto Breast Cancer Research Network, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The addition of a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor to endocrine therapy augments biological response in breast cancer. This phase III randomized, double-blind study evaluated the efficacy of adding palbociclib to neoadjuvant endocrine therapy (NET) for operable, hormone receptor-positive human epidermal growth factor receptor 2 (HER2)-negative breast cancer. Patients randomly received 16 weeks of endocrine therapy (letrozole for postmenopausal and tamoxifen plus ovarian function suppression for pre-/perimenopausal patients) plus palbociclib or placebo. The co-primary endpoints included preoperative endocrine prognostic index (PEPI) score and EndoPredict (EPclin) risk score according to the gatekeeping procedure. Of 141 randomized patients, 130 completed the treatment with surgical samples evaluable for endpoints in 126 patients. The proportion of patients with a low, moderate, and high PEPI score was 15.2, 50.0, and 34.8% in the palbociclib arm and 13.3, 55.0, and 31.7% in the placebo arm, respectively, with no statistical difference (one-sided P = 0.563). Statistical analysis was not performed on EPclin risk score. No new safety signals were reported. Permanent treatment discontinuation by adverse events was reported for seven (9.7%) and zero patients in the palbociclib and placebo arms, respectively. In conclusion, the addition of palbociclib to NET did not improve the efficacy. ClinicalTrials.gov NCT03969121.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsPiperazinesPyridinesAdultAgedDouble-Blind MethodErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoadjuvant TherapyReceptors, EstrogenReceptors, ProgesteroneERBB2 protein, humanErb-b2 Receptor Tyrosine KinasespalbociclibPiperazinesPyridinesReceptors, EstrogenReceptors, Progesteronebreast cancerCDK4/6neoadjuvant endocrine therapypalbociclibpre-operative endocrine prognostic index (PEPI)

Identifiers

PMID40888443
PMCPMC12433830

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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.