Evidence map›Paper›PMID 41422321›Full record

ReviewNPJ breast cancer2025

Novel treatment strategies and key research priorities for patients with breast cancer and central nervous system (CNS) metastases.

Katarzyna J Jerzak, Evangelia D Razis, Elisa Agostinetto, Priscilla K Brastianos, Margaret E Gatti-Mays, Manmeet S Ahluwalia, Carey Anders, Rupert Bartsch, Fatima Cardoso, Elisabeth G E de Vries and 10 more

Abstract readReview
In one paragraph

Review 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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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.

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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. Article
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  7. Article
  8. Review
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

20 authors.

Katarzyna J JerzakSunnybrook Odette Cancer Centre, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Evangelia D Razis3rd Department of Oncology, Hygeia Hospital, Marousi, Greece.
Elisa AgostinettoUniversité libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), Institut Jules Bordet, Rue Meylemeersch 90, Bruxelles, Belgium.
Priscilla K BrastianosMassachusetts General Hospital, Boston, MA, USA.
Margaret E Gatti-MaysThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Manmeet S AhluwaliaBaptist Health Miami Cancer Institute, Miami, FL, USA.
Carey AndersDuke Cancer Institute, Durham, NC, USA.
Rupert BartschMedical University of Vienna, Vienna, Austria.
Fatima CardosoAdvanced Breast Cancer (ABC) Global Alliance, Lisbon, Portugal.
Elisabeth G E de VriesUniversity Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Sarra El-AbedBreast International Group, Brussels, Belgium.
Barbro LinderholmDepartment of Oncology/ Institute of Clinical Sciences at Sahlgrenska Academy and Sahlgrenska University Hospital, Gothenburg, Sweden.
Ciara C O'SullivanMayo Clinic Comprehensive Cancer Center, Rochester, MN, USA.
Arjun SahgalSunnybrook Odette Cancer Centre, Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Sarah SammonsDana-Farber Cancer Institute, Boston, MA, USA.
Patricia A SpearsUNC Lineberger Comprehensive Cancer Centre, Chapel Hill, NC, USA.
Eva Schumacher-WulfMamma MIA! Brustkrebsmagazin, Köln, Germany.
Carlo PalmieriThe Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.
Nancy U LinDana-Farber Cancer Institute, Boston, MA, USA. nancy_lin@dfci.harvard.edu.
CNS working group of the BIG-NCTN collaboration

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite improvements in surgical techniques, advances in delivery of radiation therapy, and development of therapies with central nervous system (CNS) activity, the presence of CNS metastases from breast cancer is frequently associated with a poor prognosis. In 2023, the leadership of the Breast International Group and National Cancer Institute's National Clinical Trials Network convened a CNS working group to identify key challenges and discuss ways that international collaborations could push forward progress in the field. This review reflects initial discussions of the working group and addresses (1) the possible role of screening for CNS metastases, (2) optimal sequencing of local and systemic therapies among patients with human epidermal growth factor receptor 2 (HER2)-positive CNS metastases, (3) management of leptomeningeal disease, and (4) the importance of developing innovative clinical trials for treatment and prevention of CNS metastases across breast cancer subtypes that is informed by preclinical data/basic science, with seamless knowledge translation to allow for rapid clinical adoption.

Identifiers

PMID41422321
PMCPMC12795840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.