Table 3 Studies evaluating survival outcomes of ER-low positive BCs as compared to ER-negative BCs (only studies reporting ER expression in terms of % of ER-positive tumor cells and directly comparing the survival outcomes of ER low positive BC patients with either ER-negative or ER-positive subgroups are here reported; studies reporting ER expression as Allred score or H-score were not included).

From: Impact of estrogen receptor levels on outcome in non-metastatic triple negative breast cancer patients treated with neoadjuvant/adjuvant chemotherapy

 

ER subgroups

Patients in each subgroup

Relapse outcome definition

Relapse outcome %

Relapse outcome hazard ratio (95% CI)

Relapse outcome p-value

Timepoint of OS evaluation

% OS at timepoint

OS hazard ratio (95% CI)

OS p-value

Iwamoto et al. (2012) 4

ER < 1%

183a

NR

NR

NR

NR

8 year- OS

75%

NR

Ref

ER1–9%

25

NR

NR

NR

NR

8 year- OS

80%

NR

p = 0.21

Raghav et al. (2013) 16

ER < 1%

897

3 year-RFS

64%

Ref

Ref

3 year-OS

79%

Ref

Ref

ER1–5%

241

3 year-RFS

67%

1.11

(0.88–1.41)

p = 0.37

3 year-OS

81%

1.10

(0.84–1.44)

p = 0.47

ER6–10%

119

3 year-RFS

77%

0.92

(0.65–1.30)

p = 0.64

3 year-OS

88%

0.88

(0.6–1.31)

p = 0.54

Balduzzi et al. (2014) 17

ER < 1%

1300

5 year-DFS

74%

1.40

(0.92–2.12)

p = 0.115

5 year-OS

86%

1.50

(0.82–2.77)

p = 0.192

ER1–10%

124

5 year-DFS

79%

Ref b

Ref b

5 year-OS

90%

Ref b

Ref b

Yi et al. (2014) 24

ER < 1%

1625a

RFS (no timepoint)

NR

1.2 (0.9–1.7)

p = 0.2

OS (no timepoint)

NR

1.5 (1.1–2)

p = 0.02

ER1–9%

250

RFS (no timepoint)

NR

Ref b

Ref b

OS (no timepoint)

NR

Ref b

Ref b

Fujii et al. (2017) 7

ER < 1%

932

TTR (no timepoint)

NR

1.64

(1.34–1.99)c

p < 0.001c

OS (no timepoint)

NR

2.07

(1.67–2.58)c

p < 0.001c

ER1–9%

171

TTR (no timepoint)

NR

1.92

(1.40–2.62)c

p < 0.001c

OS (no timepoint)

NR

2.35

(1.66–3.32)c

p < 0.001c

  1. DFS disease-free survival, ER estrogen receptor, HR hazard ratio, OS overall survival, RFS recurrence-free survival, TTR time to recurrence.
  2. aHER2-positive BC included.
  3. bHazard ratio and p-value of multivariate analysis.
  4. cHazard ratio and p-value of univariate analysis; ER ≥ 10% considered as reference.