Evidence map›Paper›PMID 38831191›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2024

Retrospective registry of patients with locally advanced/metastatic HR

Natalia Chavarría Piudo, Isabel Blancas, Encarna González Flores, Fernando Henao Carrasco, Pilar López Álvarez, David Morales Pancorbo, Salvador Gámez Casado, María de la Cabeza Lomas Garrido, José Manuel Rodríguez García, Antonia Martínez Guisado and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 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
–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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Natalia Chavarría PiudoMedical Oncology Service, Instituto de Investigación E Innovación Biomédica de Cádiz (INIBiCA), Institute for Biomedica Research and Innovation, Hospital Universitario de Jerez de La Frontera, Jerez, Cadiz, Spain. nachapi@hotmail.com.ORCID http://orcid.org/0009-0000-5501-4432
Isabel BlancasMedical Oncology Service, Instituto de Investigación Biosanitaria de Granada (Ibs.Granada) and Medicine Department, Hospital Universitario San Cecilio, Granada University, Granada, Spain.
Encarna González FloresMedical Oncology Service, Hospital Universitario Virgen de Las Nieves, Instituto de Investigación Biosanitaria de Granada (Ibs. GRANADA), Granada, Spain.
Fernando Henao CarrascoMedical Oncology Service, Hospital Universitario Virgen Macarena, Fundacion Para La Gestión de La Investigacion en Salud de Sevilla (FISEVI), Seville, Spain.
Pilar López ÁlvarezMedical Oncology Service, Hospital Universitario Virgen de Valme, Seville, Spain.
David Morales PancorboMedical Oncology Service, Hospital Universitario Juan Ramón Jiménez, Huelva, Spain.
Salvador Gámez CasadoMedical Oncology Service, Instituto de Investigación E Innovación Biomédica de Cádiz (INIBiCA), Institute for Biomedica Research and Innovation, Hospital Universitario Puerta del Mar, Cádiz, Spain.
María de la Cabeza Lomas GarridoMedical Oncology Service, Hospital Universitario de Jaén, Jaén, Spain.
José Manuel Rodríguez GarcíaMedical Oncology Service, Hospital Punta de Europa, Álgeciras, Cádiz, Spain.
Antonia Martínez GuisadoMedical Oncology Service, Hospital Universitario de Torrecárdenas, Almería, Spain.
Adrián Sánchez VegaMedical Oncology Service, Hospital Universitario de Puerto Real, Instituto de Investigación e Innovación Biomédica de Cádiz (INIBiCA) [Institute for Biomedica Research and Innovation], Puerto Real, Cádiz, Spain.
Manuel Ruíz BorregoMedical Oncology Service, Hospital Universitario Virgen del Rocío, Fundacion para la Gestión de la Investigacion en Salud de Sevilla (FISEVI), Sevilla, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data are available regarding the real-world effectiveness and safety of Cyclin Dependent Kinase 4/6 inhibitor (CDK4/6i) (palbociclib/ribociclib) just as a first-line treatment for patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR + /HER2‒) metastatic breast cancer (MBC).

objectiveTo assess whether clinical or demographic characteristics limit access to first-line CDK4/6i treatment in clinical practice in the Autonomous Community of Andalusia (Spain) between November 2017 and April 2020. In addition, effectiveness will be described in an exploratory analysis.

methodsPhysicians from 12 centers participated in selecting demographic and clinical characteristics, treatment, and outcome data from women with HR + /HER2- MBC treated with or without CDK4/6i in addition to hormonal in the first-line setting, in a 3:1 proportion. Kaplan-Meier analysis estimated progression-free rates (PFRs) and survival rates (SRs).

resultsA total of 212 patients were included, of whom 175 (82.5%) were in the CDK4/6i treatment group and 37 (17.5%) were in the non-CDK4/6i treatment group (control group). Patients in the CDK 4/6i treatment group were younger (p = 0.0011), the biopsies of the metastatic site at the moment of the relapse were most commonly performed (p = 0.0454), and had multiple metastatic sites (p = 0.0025). The clinical benefit rate (CBR) was 82.3% in the CDK4/6i group and 67.8% in the control group. Median time to a progression event or death (PFS) was 20.4 months (95%CI 15.6-28) in the CDK4/6i group and 12.1 months (95%CI 7.9-not reached) in the control group.

conclusionsYounger patients, biopsies of metastatic disease and with multiple metastatic sites were more frequently treated with CDK4/6i in our daily clinical practice.

Indexed as

Breast NeoplasmsCyclin-Dependent Kinase 4Erb-b2 Receptor Tyrosine KinasesRegistriesAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCyclin-Dependent Kinase 6FemaleHumansKaplan-Meier EstimateMiddle AgedProgression-Free SurvivalProtein Kinase InhibitorsPyridinesCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesProtein Kinase InhibitorsPyridinesReceptors, EstrogenReceptors, ProgesteroneBreast cancerCyclin-dependent kinase 4/6 inhibitorsMetastatic breast cancerPalbociclibReal-world evidenceRibociclib

Identifiers

PMID38831191
PMCPMC11564311

What Socratic holds

Textmetadata
LicenceCC BY
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.