Evidence map›Paper›PMID 33766814›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2021

A Surgical Window Trial Evaluating Medroxyprogesterone Acetate with or without Entinostat in Patients with Endometrial Cancer and Validation of Biomarkers of Cellular Response.

Linda R Duska, Virginia L Filiaci, Joan L Walker, Laura L Holman, Emily K Hill, Richard G Moore, Kari L Ring, Michael L Pearl, Carolyn Y Muller, Christina L Kushnir and 8 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. CRL4International journal of biological sciences · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  8. Uterine carcinosarcoma: Unraveling the role of epithelial-to-mesenchymal transition in progression and therapeutic potential.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Endometrial cancer.Nature reviews. Disease primers · 2021
    Review
  17. Review
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

18 authors at 12 institutions in 1 country.

Linda R DuskaDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Virginia School of Medicine, Charlottesville, Virginia. lduska@virginia.edu.ORCID 0000-0002-8878-4123
Virginia L FiliaciNRG Oncology SDMC, CTD Division, Roswell Park Comprehensive Cancer Center, Buffalo, New York.ORCID 0000-0002-0623-9667
Joan L WalkerDepartment of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.ORCID 0000-0002-5034-4309
Laura L HolmanDepartment of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Emily K HillDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.ORCID 0000-0002-7612-0266
Richard G MooreDepartment of Obstetrics and Gynecology, Wilmont Cancer Institute, University of Rochester Medical Center, Rochester, New York.
Kari L RingDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Virginia School of Medicine, Charlottesville, Virginia.
Michael L PearlDepartment of Obstetrics, Gynecology and Reproductive Medicine, Division of Gynecologic Oncology, Stony Brook University Medical Center, Stony Brook, New York.
Carolyn Y MullerDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of New Mexico, Albuquerque, New Mexico.
Christina L KushnirDepartment of Obstetrics and Gynecology, Women's Cancer Center, Las Vegas, Nevada.
Heather A LankesNRG Oncology, Operations Center-Philadelphia East, Philadelphia, Pennsylvania.
Megan I SamuelsonDepartment of Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.ORCID 0000-0003-2582-1078
Kelley S CarrickDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas.
Anand RajanDepartment of Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.ORCID 0000-0002-6368-5217
William H RodgersDepartment of Pathology, New York Hospital Queens, Weill Medical College of Cornell University, Flushing, New York.
Elise C KohnCancer Therapy Evaluation Program, NCI, Rockville, Maryland.
Richard PiekarzCancer Therapy Evaluation Program, NCI, Rockville, Maryland.ORCID 0000-0002-3591-7893
Kimberly K LeslieDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
University of Iowa Hospitals and Clinics · USNational Blood Clot Alliance · USUniversity of Oklahoma Health Sciences Center · USUniversity of Virginia · USCornell University · USRoswell Park Comprehensive Cancer Center · USStony Brook University Hospital · USThe Ohio State University Wexner Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of New Mexico · USUniversity of Rochester Medical Center · USWomen's Cancer Center of Nevada · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$210.7M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Elaina Harper · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Michael J Goodheart · 2000 to 2026
$70.0M
VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Katrina S Korfmacher · 1985 to 2026
$42.8M
NRG Oncology Biospecimen BankU24CA196067 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Tanner J. Freeman, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$42.6M
University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
A Lead Academic Participating Site in Oklahoma for the Design and Conduct of NCTN Clinical TrialsUG1CA233193 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Muhammad Furqan · 2019 to 2026
$13.7M
Rochester Network Lead Academic Participating SiteUG1CA233230 · NCI · UNIVERSITY OF ROCHESTER · PI Paul M Barr · 2019 to 2026
$6.9M
Targeted Therapy for Endometrial CancerR01CA099908 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI LESLIE, KIMBERLY K. · 2002 to 2023
$5.8M
NCATS NIH HHS UL1 TR001412NCI NIH HHS R01 CA099908NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA196067NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233230NIEHS NIH HHS P30 ES001247
6 · The paper itself

Abstract

purposeThis surgical window of opportunity (window) study assessed the short-term effect of medroxyprogesterone acetate (MPA) alone versus MPA plus the histone deacetylase (HDAC) inhibitor entinostat on regulation of progesterone receptor (PR) in women with newly diagnosed endometrioid endometrial adenocarcinoma. PATIENTS AND

methodsThis multisite, randomized, open-label surgical window study treated women intramuscularly on day 1 with 400 mg MPA. Entinostat given 5 mg by mouth on days 1, 8, and 15 was randomly assigned with equal probability. Surgery followed on days 21-24. Pretreatment and posttreatment tissue was assessed for PR H-scores, Ki-67 levels, and histologic response.

resultsFifty patients were accrued in 4 months; 22 and 20 participants had PR evaluable pretreatment and posttreatment slides in the MPA and MPA/entinostat arms, respectively. Median posttreatment PR H-scores were significantly lower than pretreatment H-scores in both arms but did not differ significantly (MPA: 247 vs. 27, MPA/entinostat 260 vs. 23, respectively,

conclusionsThis surgical window trial rapidly accrued in a multisite setting and evaluated PR as its primary endpoint and Ki-67 as secondary endpoint. Despite no immediate effect of entinostat on PR in this short-term study, lessons learned can inform future window and treatment trials.

Indexed as

HysterectomyAdultAgedAged, 80 and overAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsBenzamidesClinical Decision-MakingDisease ManagementEndometrial NeoplasmsFemaleHumansMedroxyprogesterone AcetateMiddle AgedPyridinesTime-to-TreatmentAntineoplastic Agents, HormonalBenzamidesentinostatMedroxyprogesterone AcetatePyridines

Identifiers

PMID33766814
PMCPMC8127359
OpenAlexW3136128457

What Socratic holds

Textmetadata
LicenceTDM
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.