Evidence map›Paper›PMID 19844234›Full record

Trial reportBritish journal of cancer2009

Lapatinib monotherapy in patients with relapsed, advanced, or metastatic breast cancer: efficacy, safety, and biomarker results from Japanese patients phase II studies.

M Toi, H Iwata, Y Fujiwara, Y Ito, S Nakamura, Y Tokuda, T Taguchi, Y Rai, K Aogi, T Arai and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00320411 (Phase II Clinical Study of Lapatinib), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT00320411 phase2completednot on this map

Phase II Clinical Study of Lapatinib (GW572016) in Patients With ErbB2 Over - Expressing Advanced or Metastatic Breast Cancer

TypeinterventionalSponsorGlaxoSmithKlineRan2005 to 2009Enrolled62ConditionsNeoplasms, BreastArmslapatinib
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Trial
  6. Trial
  7. Article
  8. Article
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  10. Dissecting sources of variability in patient response to targeted therapy: anti-HER2 therapies as a case study.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2023
    Article
  11. Review
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  15. Observational
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  18. Journal of breast cancer · 2018
    Article
  19. Article
  20. Mutation distributions and clinical correlations of PIK3CA gene mutations in breast cancer.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    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 15 institutions in 2 countries.

M ToiDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Kawaracho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan. toi@kuhp.kyoto-u.ac.jp
H Iwata
Y Fujiwara
Y Ito
S Nakamura
Y Tokuda
T Taguchi
Y Rai
K Aogi
T Arai
J Watanabe
T Wakamatsu
K Katsura
C E Ellis
R C Gagnon
K E Allen
Y Sasaki
S Takashima
GlaxoSmithKline (Japan) · JPShikoku Cancer Center · JPSouth College · USAichi Cancer Center · JPGlaxoSmithKline (United States) · USKyoto University · JPNational Cancer Center Hospital East · JPNational Sagamihara Hospital · JPOsaka University Hospital · JPSaitama Medical University · JPShizuoka Cancer Center · JPSt. Luke's International Hospital · JPThe Cancer Institute Hospital · JPTochigi Cancer Center · JPTokai University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHER2-positive metastatic breast cancer (MBC) relapsing after trastuzumab-based therapy may require continued HER2 receptor inhibition to control the disease and preserve the patients' quality-of-life. Efficacy and safety of lapatinib monotherapy was evaluated in Japanese breast cancer patients after trastuzumab-based therapies.

methodsIn studies, EGF100642 and EGF104911 evaluated the efficacy and safety of oral lapatinib given 1500 mg once daily in patients with advanced or MBC. All patients progressed on anthracyclines and taxanes; HER2-positive patients had also progressed on trastuzumab.

resultsFor HER2-positive tumours (n=100), objective response rate was 19.0% (95% confidence interval (CI): 11.8-28.1) and clinical benefit rate (CBR) was 25.0% (95% CI: 16.9-34.7). One out of 22 HER2-negative tumour was documented as complete response (n=22). The median time-to-progression (TTP) in the HER2-positive and HER2-negative groups was 13.0 and 8.0 weeks (P=0.007); median overall survival was 58.3 and 40.0 weeks, respectively. The most frequent adverse event was diarrhoea. TTP and CBR were significantly associated with HER2 expression. Patients with tumours harbouring an H1047R PIK3CA mutation or low expression of PTEN derived clinical benefit from lapatinib.

conclusionLapatinib monotherapy had shown anti-tumour activity in Japanese patients with HER2-positive MBC that relapsed after trastuzumab-based therapy, including those with brain metastases. Patients benefiting from lapatinib may have biomarker profiles differing from that reported for trastuzumab.

Indexed as

AdultAgedAntineoplastic AgentsBiomarkers, TumorBreast NeoplasmsDisease ProgressionErb-b2 Receptor Tyrosine KinasesFemaleHumansJapanKaplan-Meier EstimateLapatinibMiddle AgedQuinazolinesYoung AdultAntineoplastic AgentsBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesLapatinibQuinazolines

Identifiers

PMID19844234
PMCPMC2778543
OpenAlexW2100337530

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.