Evidence map›Paper›PMID 42566731›Full record

ArticleJCO precision oncology2026

Francesco Schettini, Alexandro Membrino, Giuseppe Di Grazia, Aldo Caltavituro, Carla Strina, Manuela Milani, Antonina Impeduglia, Leda Paganini, Anna Bosi, Sara Tedoldi and 6 more

Abstract read
In one paragraph

Article in JCO precision oncology, 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

16 authors.

Francesco SchettiniClinic Barcelona Comprehensive Cancer Center, Hospital Clinic Barcelona, Barcelona, Italy.ORCID 0000-0001-6561-1919
Alexandro MembrinoMultidisciplinary Oncology Unit and Breast Unit, ASST of Cremona Hospital, Cremona, Italy.
Giuseppe Di GraziaTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi I Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0009-0001-6147-9655
Aldo CaltavituroTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi I Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-5952-4333
Carla StrinaMultidisciplinary Oncology Unit and Breast Unit, ASST of Cremona Hospital, Cremona, Italy.
Manuela MilaniMultidisciplinary Oncology Unit and Breast Unit, ASST of Cremona Hospital, Cremona, Italy.
Antonina ImpedugliaMedical Genetic Unit, ASST of Cremona Hospital, Cremona, Italy.
Leda PaganiniMedical Genetic Unit, ASST of Cremona Hospital, Cremona, Italy.
Anna BosiMedical Genetic Unit, ASST of Cremona Hospital, Cremona, Italy.
Sara TedoldiMedical Genetic Unit, ASST of Cremona Hospital, Cremona, Italy.
Marta GattiMedical Genetic Unit, ASST of Cremona Hospital, Cremona, Italy.ORCID 0000-0003-0627-5243
Valeria CervoniMultidisciplinary Oncology Unit and Breast Unit, ASST of Cremona Hospital, Cremona, Italy.
Marzia AlberioMultidisciplinary Oncology Unit and Breast Unit, ASST of Cremona Hospital, Cremona, Italy.
Mario GiulianoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Sergio VenturiniDepartment of Economic and Social Sciences, Catholic University of Sacred Heart-Cremona Campus, Cremona, Italy.
Daniele GeneraliMultidisciplinary Oncology Unit and Breast Unit, ASST of Cremona Hospital, Cremona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMetronomic chemotherapy with oral capecitabine + vinorelbine (Cape + VNL) provides synergistic cytostatic activity and antiangiogenic and immunomodulatory effects, potentially offering prolonged disease control with limited toxicity in HER2-negative metastatic breast cancer (MBC). However, efficacy in the real-world (RW) setting, especially in late lines, and the impact of dihydropyrimidine dehydrogenase (

methodsIn this retrospective study, 200 patients with human epidermal growth factor receptor 2 (HER2)-negative MBC were treated at the ASST Cremona Hospital (2015-2023) with metronomic Cape (1000 mg twice daily, in normal metabolizers; 500 mg twice daily, in

resultsThe median age was 61 years, and

conclusionThese RW data suggest that metronomic Cape + VNL may represent a clinically active and manageable option in heavily pretreated HER2-negative MBC. Our findings support prospective evaluation of

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCapecitabineDihydrouracil Dehydrogenase (NADP)VinorelbineAdministration, MetronomicAdultAgedErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedRetrospective StudiesCapecitabineDihydrouracil Dehydrogenase (NADP)ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesVinorelbine

Identifiers

PMID42566731
PMCPMC13465703

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.