Evidence map›Paper›PMID 42416228›Full record

ReviewEcancermedicalscience2026

Breast cancer clinical trials in low- and middle-income countries (LMICs).

Adnan-Mustafiz Chowdhury, Sattam A Halaseh, Debora Joseph, Abel I Abel, Nikita Jha, Amro Al-Karadsheh, Hakam Al-Karadsheh, Omar A Salem, Sama F Salaitah, Noor M Arman and 1 more

Abstract readReview
In one paragraph

Review in Ecancermedicalscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

11 authors.

Adnan-Mustafiz ChowdhuryGeneral Surgery Department, Dorset County Hospital NHS Foundation Trust, Williams Avenue, Dorchester, Dorset DT1 2JY, UK.
Sattam A HalasehGeneral Surgery Department, Dorset County Hospital NHS Foundation Trust, Williams Avenue, Dorchester, Dorset DT1 2JY, UK.
Debora JosephGeneral Surgery Department, Dorset County Hospital NHS Foundation Trust, Williams Avenue, Dorchester, Dorset DT1 2JY, UK.
Abel I AbelGeneral Surgery Department, Dorset County Hospital NHS Foundation Trust, Williams Avenue, Dorchester, Dorset DT1 2JY, UK.
Nikita JhaGeneral Surgery Department, Dorset County Hospital NHS Foundation Trust, Williams Avenue, Dorchester, Dorset DT1 2JY, UK.
Amro Al-KaradshehUniversity Hospitals Sussex NHS Foundation Trust, Worthing Hospital, Worthing, West Sussex BN11 2DH, UK.
Hakam Al-KaradshehUnited Lincolnshire Hospitals NHS Trust, Lincoln County Hospital, Lincoln, Lincolnshire LN2 4AX, UK.
Omar A SalemEast Sussex Healthcare NHS Trust, Conquest Hospital, St Leonards-on-Sea, East Sussex TN37 7PT, UK.
Sama F SalaitahThe Hashemite University, Damascus Hwy, Zarqa 13133, Jordan.
Noor M ArmanUniversity of Jordan, Amman 11942, Jordan.
Georges RizkallahSalisbury District Hospital, Salisbury, Wiltshire, Salisbury SP2 8BJ, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer is the most diagnosed malignancy worldwide and a leading cause of cancer-related mortality in women. Clinical trials underpin advances in prevention, diagnosis and treatment; however, the landscape of breast cancer trials in low- and middle-income countries (LMICs) remains insufficiently characterised. This study aimed to describe the scope, design, interventions and funding of breast cancer clinical trials conducted in LMICs between January 2010 and December 2020. Methods: We searched the Cochrane Central Register of Controlled Trials on 15 November 2023 for trials using the keywords 'breast cancer', 'breast adenocarcinoma' and 'breast tumour'. Trials were classified by World Bank income category. Extracted variables included study design, primary purpose, time perspective, observational model, trial phase, intervention type, sample size, status, reason for termination, funding source and centre type. Descriptive statistics summarised trial characteristics. Results: A total of 333 breast cancer trials were identified; Two trials (0.6%) were conducted in low-income countries and 331 (99.4%) in lower-middle-income countries; no trials conducted exclusively in upper-middle-income countries were identified within the registry during the study period. Most trials were interventional (85.3%), prospective (95.8%) and treatment-focused (71.5%). Drug-based interventions predominated (64.9%). Funding was primarily from pharmaceutical or biotechnology companies (53.2%), followed by academic or institutional (university-based) sources (39.6%). Only 7.5% of trials addressed prevention, screening and supportive care. Multicentre trials accounted for 53.8%, single-centre 46.3%. Conclusion: Breast cancer trials in LMICs are predominantly interventional, pharmaceutically-funded and concentrated in lower-middle-income settings. There remains a substantial paucity of trials from low-income countries and in non-treatment domains such as prevention, screening and supportive care.

Indexed as

breast cancerclinical trialsglobal health disparitieslow- and middle-income countriespharmaceutical funding

Identifiers

PMID42416228
PMCPMC13338341

What OpenQuestion holds

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LicenceCC BY
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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.