Evidence map›Paper›PMID 33242755›Full record

ArticleBreast (Edinburgh, Scotland)2020

Palbociclib combined with endocrine therapy in heavily pretreated HR

Luis Manso, Cristina Hernando, María Galán, Mafalda Oliveira, Miguel A Cabrera, Raquel Bratos, César A Rodríguez, Manuel Ruiz-Borrego, Salvador Blanch, Antonio Llombart-Cussac and 25 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Breast (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 26% of its field
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
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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

35 authors at 20 institutions in 1 country.

Luis MansoHospital Universitario 12 de Octubre, Madrid, Spain.
Cristina HernandoHospital Clínico Universitario de Valencia, Valencia, Spain.
María GalánHospital Universitario Son Llàtzer, Palma, Spain.
Mafalda OliveiraHospital Universitari Vall D'Hebron, Barcelona, Spain.
Miguel A CabreraHospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.
Raquel BratosHospital MD Anderson Cancer Center, Madrid, Spain.
César A RodríguezHospital Universitario de Salamanca, Madrid, Spain.
Manuel Ruiz-BorregoHospital Universitario Virgen del Rocío, Sevilla, Spain.
Salvador BlanchInstituto Valenciano de Oncología, Valencia, Spain.
Antonio Llombart-CussacHospital Arnau de Vilanova, Valencia, Spain.
Juan I Delgado-MingoranceHospital Universitario de Badajoz, Badajoz, Spain.
Iñaki Álvarez-BustoHospital Universitario Miguel Servet, Zaragoza, Spain.
Isabel GallegosHospital General de Segovia, Segovia, Spain.
Lucía González-CortijoHospital Universitario Quirónsalud, Madrid, Spain.
Serafín MoralesHospital Universitario Arnau de Vilanova, Lleida, Spain.
Elena AguirreHospital Quirónsalud, Zaragoza, Spain.
Blanca A HernandoHospital Universitario de Burgos, Burgos, Spain.
Ana BallesterosHospital Universitario de La Princesa, Madrid, Spain.
José E Alés-MartínezHospital Nuestra Señora de Sonsoles, Ávila, Spain.
Cristina ReboredoComplejo Hospitalario Universitario A Coruña, A Coruña, Spain.
Amparo OltraHospital Virgen de Los Lirios, Alcoy, Alicante, Spain.
María González-CaoHospital Universitario Dexeus, Barcelona, Spain.
Marta SantistebanClínica Universidad de Navarra, Pamplona, Spain.
Diego MalónHospital Universitario de Fuenlabrada, Madrid, Spain.
Isabel EcheverríaHospital General Universitario Gregorio Marañón, Madrid, Spain.
Elisa García-GarreHospital General Universitario Morales Meseguer, Murcia, Spain.
Estela VegaHospital Universitario HM Sanchinarro, Madrid, Spain.
Sònia ServitjaHospital Del Mar, Barcelona, Spain.
Raquel AndrésHospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Carlos E RoblesHospital Universitario Virgen de Valme, Sevilla, Spain.
Rafael LópezHospital Clínico Universitario de Santiago, Santiago de Compostela, Spain.
Elena GalveHospital Universitario de Basurto, Bilbao, Spain.
María J EcharriHospital Universitario Severo Ochoa, Madrid, Spain.
Marta LegerenHospital Universitario Clínico San Cecilio, Granada, Spain.
Fernando MorenoHospital Clínico San Carlos, Madrid, Spain. Electronic address: fmorenoa@salud.madrid.org.
Centro de Implantología Cirugía Oral y Maxilofacial · ESClinica Universidad de Navarra · ESComplejo Hospitalario de Salamanca · ESComplejo Hospitalario Universitario de Santiago · ESComplexo Hospitalario Universitario A Coruña · ESFundación Instituto Valenciano de Oncología · ESHospital Arnau de Vilanova · ESHospital Clínico San Carlos · ESHospital Clínico Universitario de Valencia · ESHospital Clínico Universitario Lozano Blesa · ESHospital de Basurto · ESHospital Del Mar · ESHospital General De Segovia · ESHospital General Universitario Gregorio Marañón · ESHospital General Universitario Morales Meseguer · ESHospital Nuestra Señora de Alarcos · ESHospital Quirónsalud Barcelona · ESHospital Son Llatzer · ESHospital Universitari Arnau de Vilanova · ESHospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated efficacy and safety of palbociclib, a CDK4/6 inhibitor, in heavily-pretreated hormone receptor-positive and human epidermal growth factor receptor 2-negative (HR PATIENTS AND

methodsPatient data were collected retrospectively from 35 hospitals in Spain. Patients with HR

resultsA total of 219 patients received palbociclib in combination with aromatase inhibitors (110; 50.2%), fulvestrant (87; 39.7%), tamoxifen (8; 3.6%) or as single agent (10; 4.6%). Mean age of the patients was 58 years; 31 patients (16.1%) were premenopausal and 162 (83.9%) were postmenopausal at the beginning of treatment with palbociclib. Patients had received a median of 3 previous lines of endocrine therapy (ET) for advanced disease. Real-world tumor response (rwTR) and clinical benefit rate were 5.9% (n = 13) and 46.2% (n = 101), respectively. The median real world progression-free survival (rwPFS) was 6.0 months (95% CI 5.7-7.0) and the median overall survival was 19.0 months (95% CI 16.4-21.7). Subgroup analysis revealed a significant difference in median rwPFS in patients treated with palbociclib plus fulvestrant depending on the duration of prior treatment with fulvestrant monotherapy (>6 versus ≤6 months; HR 1.93, 95% CI 1.37-2.73, p < 0.001). The most frequently reported toxicities were neutropenia, asthenia, thrombopenia and anemia.

conclusionsPalbociclib can be an effective and safe treatment option in patients with heavily pretreated endocrine-sensitive mBC, especially in those with longer PFS to previous ET.

Indexed as

Antineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsAromatase InhibitorsBreast NeoplasmsCompassionate Use TrialsFemaleFulvestrantHumansMiddle AgedPiperazinesPostmenopausePremenopauseProgression-Free SurvivalPyridinesReceptors, EstrogenReceptors, ProgesteroneAntineoplastic Agents, HormonalAromatase InhibitorsFulvestrantpalbociclibPiperazinesPyridinesReceptors, EstrogenReceptors, ProgesteroneTamoxifenAdvanced breast cancerCDK4/6 inhibitorsCompassionate use programEndocrine therapyPalbociclib

Identifiers

PMID33242755
PMCPMC7695980
OpenAlexW3101320422

What Socratic 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 Socratic graph.