Evidence map›Paper›PMID 38275057›Full record

SynthesisCurrent cancer drug targets2024

Efficacy and Safety of Phosphatidylinositol 3-kinase Inhibitors for Patients with Breast Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Yi Wang, Xianling Du, Hongqiang Xin, Ruimin Xu

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Current cancer drug targets, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 4 institutions in 1 country.

Yi WangDepartment of Nail and Breast Surgery, Panzhihua Hospital of Integrated Traditional Chinese and Western Medicine (Affiliated Hospital of Panzhihua University, Panzhihua City, Sichuan Province, 617000, China.
Xianling DuDepartment of Oncology, The Central Hospital of Enshi Tujia Ang Miao Autonomous Prefecture (Enshi Clinical College of Wuhan University), Enshi City,Hubei Province, 445000, China.
Hongqiang XinDepartment of two gland surgery, Qilu Hospital Huantai Branch, People's Hospital of Huantai County, Zibo city, Shandong Province, 256400, China.
Ruimin XuDepartment of Anorectal, Shanghai Pudong New Area Hospital of Traditional Chinese Medicine, Shanghai City, 212000, China.ORCID 0009-0001-5760-6105
Panzhihua University · CNPudong New Area People's Hospital · CNThe Central Hospital of Enshi Tujia and Miao Autonomous Prefecture · CNXintai People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhosphatidylinositol 3-kinase (PI3K) inhibitors belong to the class of drugs that inhibit the activity of the PI3K protein, which is commonly overexpressed in breast cancer cells. However, there is a need to summarize the evidence to provide conclusive advice on the benefit of PI3K inhibitors in breast cancer patients. Therefore, this review assessed the effectiveness and safety of the PI3K inhibitors amongst breast cancer patients.

methodsSearches were made in PubMed Central, EMBASE, MEDLINE, SCOPUS, CENTRAL, WHO trial registry and Clinicaltrials.gov up to December 2022. Meta-analysis was executed using the random-effects model. Pooled hazard ratio (HR)/risk ratio (RR) was reported with 95% confidence intervals (CIs).

resultsIn total, 13 studies were included in the analysis. Most were multi-country studies and had a higher risk of bias. Regarding the efficacy parameters, pooled HR for progression-free survival was 0.79 (95%CI: 0.67-0.92), pooled RR for complete response was 1.54 [95%CI: 1.14 to 2.09], partial response was 1.18 [95%CI: 0.87-1.61], overall response was 1.20 [95%CI: 0.93-1.56], stable disease was 1.09 [95%CI: 0.78-1.53], progressive disease was 0.80 [95%CI: 0.74 to 0.87], and clinical benefit was 1.08 [95%CI: 0.80-1.49]. For safety parameters, pooled RR for hyperglycemia was 4.57 [95%CI: 3.15-6.62], and gastrointestinal toxicity was 1.82 [95%CI: 1.56 to 2.14].

conclusionPI3K inhibitors had better efficacy than the present standard of concern for patients with breast cancer, especially among patients with PIK3CA mutations. Hence, clinicians and oncologists can provide this drug for the target population with extra caution for diabetes patients.

Indexed as

Breast NeoplasmsPhosphoinositide-3 Kinase InhibitorsRandomized Controlled Trials as TopicAntineoplastic AgentsFemaleHumansAntineoplastic AgentsPhosphoinositide-3 Kinase InhibitorsBreast cancermeta-analysisoverall survivalphosphatidylinositol 3-kinase inhibitorsprogression free survival.systematic review

Identifiers

PMID38275057
OpenAlexW4391231536

What Socratic holds

Textmetadata
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.