Evidence map›Paper›PMID 42755923›Full record

SynthesisFrontiers in oncology2026

Oral selective estrogen receptor degraders in ER+/HER2- breast cancer: a systematic review with pooled analysis of metastatic randomized trials and narrative synthesis of adjuvant evidence.

Bing Guan, Sijia Zhang, Rong Zhou, Yawen Chen, Lulu Li, Ping He

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in 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

6 authors.

Bing Guan *Department of Pathology, Suzhou BenQ Medical Center, Suzhou, China.
Sijia Zhang *Department of Pathology, Suzhou BenQ Medical Center, Suzhou, China.
Rong ZhouDepartment of Pathology, Suzhou BenQ Medical Center, Suzhou, China.
Yawen ChenDepartment of Pathology, Suzhou BenQ Medical Center, Suzhou, China.
Lulu LiDepartment of Pathology, Suzhou BenQ Medical Center, Suzhou, China.
Ping HeDepartment of Pathology, Suzhou BenQ Medical Center, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oral selective estrogen receptor degraders (SERDs) have become a key therapeutic option for hormone receptor-positive, HER2-negative advanced breast cancer. The recent presentation of lidERA-the first positive adjuvant Phase III trial of any oral SERD-necessitates a comprehensive evidence synthesis spanning both early and advanced disease settings, beyond the scope of existing meta-analyses confined to metastatic disease. Methods: This review was prospectively registered (PROSPERO CRD420261358420). We searched PubMed, Cochrane CENTRAL, and conference abstract archives (SABCS, ESMO, ASCO; 2020-2026) for Phase II/III randomized controlled trials comparing oral SERDs (giredestrant, imlunestrant, elacestrant, camizestrant, vepdegestrant, amcenestrant) with standard endocrine therapy in ER-positive, HER2-negative breast cancer. Progression-free survival hazard ratios in the metastatic setting were pooled using random-effects models. Prespecified sensitivity analyses included Bayesian re-analysis. Results: Ten randomized controlled trials met inclusion criteria (one adjuvant, n = 4,170; nine metastatic). Giredestrant significantly improved invasive disease-free survival in the adjuvant lidERA trial (HR 0.70; 95% CI 0.57-0.87; Conclusions: Oral SERDs confer a consistent progression-free survival benefit in advanced breast cancer, with the most robust and consistent effect in Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php, identifier CRD420261358420.

Indexed as

adjuvant endocrine therapybreast cancercamizestrantelacestrantESR1 mutationgiredestrantimlunestrantoral SERD

Identifiers

PMID42755923
PMCPMC13581930

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.