Skip to main content

Table 5 Literature reviews of metformin and breast cancer

From: Metformin increases survival in hormone receptor-positive, HER2-positive breast cancer patients with diabetes

Study

Year

Study population of breast cancer

Number (met/non-met/non-DM)

DFS

CSS

OS

Follow up (months or years)

HR (met versus non-met)1; 95 % CI

Special subgroup

Duration of metformin treatment

Tumor characteristics

He et al. [15]

2012

Stage II, HER2+ only

88/66/1829

N

Y

Y

47.6

OS (HR 0.52; 0.28 to 0.97)

 

NA

Done

CSS (HR 0.47; 0.24 to 0.90)

Bayraktar et al. [17]

2012

Triple-negative only

63/67/1318

Y

Y

Y

62

OS (HR 1.22; 0.66 to 2.28)

 

NA

Done

RFS (HR 1.37; 0.78 to 2.40)

DMFS (HR 1.63; 0.87 to 3.06)

Peeters et al. [12]

2013

All

508/550/NA

N

Y

Y

 

OS (HR 0.74; 0.58 to 0.96)

Increased risk in the first 12 months after discontinuation

Done

NA

CSS (HR 0.88; 0.59 to 1.29)

Lega et al. [14]

2013

All

1094/1267/NA

N

Y

Y

4.5 (years)

OS (HR 0.97; 0.92 to 1.02)

 

Done

NA

CSS (HR 0.91; 0.81 to 1.03)

Hou et al. [18]

2013

All

419/594/4612

N

N

Y

68

OS2 (HR 0.762; 0.6 to 0.986)

 

NA

Done

OS3 (HR 1.708; 1.461 to 1.997)

Xiao et al. [19]

2014

Luminal

275/405/5105

N

Y

Y

70

OS (HR 3.579; 1.506 to 8.506) luminal A

 

NA

Done

OS (HR 3.232;1.839 to 5.678) luminal B (high Ki67)

OS (HR 2.034;1.019 to 4.059) Luminal B (HER2+)

Kim et al. (present study)

 

All

202/184/6581

Y

Y

Y

100

OS (HR 1.87;1.25 to 2.81)

1.Hormone receptor+/HER2 +

NA

Done

CSS (HR1.85;1.17 to 2.92)

2.Chemotherapy and endocrine therapy

DFS (HR 1.59, 1.06 to 2.39)

  1. 1Hazard ratio (HR) for metformin (met) versus non-metformin (non-met) (reference): He et al., Peeters et al., Lega et al. HR for non-metformin versus metformin (reference): Bayraktar et al. Xiao et al., Present study
  2. 2Metformin versus non diabetes mellitus (DM) (reference) 3Non-metformin versus non diabetes mellitus (reference). OS, overall survival; CSS, cancer-specific survival; DMFS, distant metastasis-free survival; RFS, relapse-free survival; DFS, disease-free survival; HER2, human epidermal growth factor receptor-2
  3. NA, Not applicable