Evidence map›Paper›PMID 42806055›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Primary G-CSF prophylaxis in sacituzumab govitecan-treated mTNBC: real-world evidence from a multinational CEBCC-102 cohort.

Püsküllüoğlu Mirosława, Polakiewicz-Gilowska Anna, Konieczna Aleksandra, Pieniążek Małgorzata, Żubrowska Justyna, Holánek Miloš, Soumarová Renata, Študentová Hana, Malejčíková Miroslava, Młodzińska Agnieszka and 16 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

26 authors.

Püsküllüoğlu MirosławaDepartment of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland. miroslawa.puskulluoglu@krakow.nio.gov.pl.
Polakiewicz-Gilowska AnnaBreast Cancer Center, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland.
Konieczna AleksandraDepartment of Breast Cancer and Reconstructive Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Pieniążek MałgorzataDepartment of Oncology; Breast Unit Clinical Oncology Day Care Department, Wrocław Medical University, Wroclaw, Poland.
Żubrowska JustynaDepartment of Clinical Oncology, Holy Cross Cancer Center, Kielce, Poland.
Holánek MilošDepartment of Comprehensive Cancer Care, Faculty of Medicine, Masaryk University, and Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Soumarová RenataDepartment of Oncology, Third Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Študentová HanaDepartment of Oncology, Faculty of Medicine and Dentistry, Palacky University and University Hospital, Olomouc, Czech Republic.
Malejčíková MiroslavaOncology Clinic of LFUK, National Cancer Institute, Bratislava, Slovakia.
Młodzińska AgnieszkaDepartment of Breast Cancer and Reconstructive Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Winsko-Szczęsnowicz KarolinaDepartment of Clinical Oncology, M. Skłodowska-Curie Bialystok Oncology Center, Białystok, Poland.
Lisik-Habib MajaDepartment of Proliferative Diseases, Nicolaus Copernicus Multidisciplinary Centre for Oncology and Traumatology, Lodz, Poland.
Pękala AnikaDepartment of Proliferative Diseases, Nicolaus Copernicus Multidisciplinary Centre for Oncology and Traumatology, Lodz, Poland.
Krejčí DanielDepartment of Oncology, First Faculty of Medicine, Charles University in Prague, and Bulovka University Hospital, Prague, Czech Republic.
Šustr JanDepartment of Oncology and Radiotherapy, Faculty of Medicine in Pilsen, Charles University, and University Hospital Pilsen, Plzeň, Czech Republic.
Kolářová IvetaDepartment of Oncology and Radiotherapy, Faculty of Medicine, Hradec Kralove and University Hospital in Hradec Kralove, Charles University, Hradec Králové, Czech Republic.
Danielewicz IwonaOddział Onkologii I Radioterapii, Szpitale Pomorskie sp. Z O.O., Gdynia, Poland.
Szymanik-Resko MagdalenaOddział Onkologii I Radioterapii, Szpitale Pomorskie sp. Z O.O., Gdynia, Poland.
Ciszewski TomaszDepartment of Metabolic Diseases and Immuno-Oncology, Medical University of Lublin, Lublin, Poland.
Rušinová LenkaDepartment of Oncology, Stefan Kukura Hospital Michalovce, Michalovce, Slovakia.
Czartoryska-Arłukowicz BogumiłaDepartment of Clinical Oncology, M. Skłodowska-Curie Bialystok Oncology Center, Białystok, Poland.
Łacko AleksandraDepartment of Oncology; Breast Unit Clinical Oncology Day Care Department, Wrocław Medical University, Wroclaw, Poland.
Pacholczak-Madej RenataDepartment of Gynecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow, Poland.
Jarząb MichałBreast Cancer Center, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland.
Bielčiková ZuzanaDepartment of Oncology, First Faculty of Medicine, Charles University, and General University Hospital, Prague, Czech Republic.
Kubeczko MarcinBreast Cancer Center, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland. marcin.kubeczko@gliwice.nio.gov.pl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacituzumab govitecan (SG) is a key treatment for metastatic triple-negative breast cancer (mTNBC). Neutropenia is a common toxicity, and the optimal use of G-CSF (primary prophylaxis versus reactive administration) remains uncertain. We evaluated the association of primary G-CSF prophylaxis with clinical outcomes and treatment-related toxicities.

methodsWe conducted a multinational retrospective real-world cohort study of 303 patients with mTNBC treated with SG in the second or a later line. Efficacy endpoints included progression-free survival (PFS) and overall survival (OS), analyzed using the Kaplan-Meier method. Adverse events were assessed according to CTCAE criteria.

resultsOf 303 patients, 100 were included in the primary prophylaxis group and 203 in the no primary prophylaxis group. Median PFS was 4.2 months in the primary prophylaxis group versus 5.1 months in the no primary prophylaxis group (p = 0.66), with 6-month PFS rates of 38.5% vs. 42.1%, respectively. Median OS was 10.9 vs. 11.6 months (p = 0.95), with 12-month OS rates of 44.9% vs. 47.1%. The frequencies of the recorded individual AEs were similar between groups, apart from grade 3-4 neutropenia, which was less frequent in the primary prophylaxis group (33.0% vs. 50.7%, p = 0.005). Febrile neutropenia occurred in 4.0% vs. 4.4% of patients (p = 1.00). Other recorded AEs (anemia, diarrhea, nausea, vomiting, alopecia) were comparable. Dose reductions due to toxicity were similar (36.0% vs. 38.4%, p = 0.71). In the no primary prophylaxis group, 74.4% subsequently received secondary G-CSF.

conclusionsIn this retrospective real-world cohort, primary G-CSF prophylaxis was associated with a lower frequency of grade 3-4 neutropenia. No statistically significant differences in PFS, OS, or febrile neutropenia were observed between groups. These findings support a risk-adapted rather than universal approach to primary G-CSF prophylaxis.

Indexed as

CamptothecinGranulocyte Colony-Stimulating FactorNeutropeniaTriple Negative Breast NeoplasmsAdultAgedCohort StudiesFemaleHumansKaplan-Meier EstimateMiddle AgedProgression-Free SurvivalRetrospective StudiesSurvival RateCamptothecinGranulocyte Colony-Stimulating FactorG-CSFReal-world evidenceSacituzumab govitecanTriple-negative breast cancer

Identifiers

PMID42806055
PMCPMC13619655

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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.