Evidence map›Paper›PMID 22918394›Full record

ArticleBritish journal of cancer2012

Brain metastases in Asian HER2-positive breast cancer patients: anti-HER2 treatments and their impact on survival.

Y S Yap, G H Cornelio, B C R Devi, C Khorprasert, S B Kim, T Y Kim, S C Lee, Y H Park, J H Sohn, N Sutandyo and 6 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01064349 (Breast Cancer With Over-expression of erbB2 Study of the Treatment Paradigm in Metastasis to BRAIN), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–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.

NCT01064349 completednot on this map

Breast Cancer With Over-expression of erbB2 Study of the Treatment Paradigm in Metastasis to BRAIN (BRAINSTORM)

TypeobservationalSponsorGlaxoSmithKlineRan2009 to 2011Enrolled144ConditionsCancerArmsAnti-erbB2 therapy as part of a treatment regimen for either brain metastases or primary breast cancer
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Management of Brain Metastases in the New Era of Checkpoint Inhibition.Current neurology and neuroscience reports · 2018
    Review
  17. Article
  18. Article
  19. Targeted Treatment of Brain Metastases.Current neurology and neuroscience reports · 2017
    Review
  20. 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

16 authors.

Y S YapDepartment of Medical Oncology, National Cancer Centre Singapore, 11 Hospital Drive, Singapore 169610, Singapore.
G H Cornelio
B C R Devi
C Khorprasert
S B Kim
T Y Kim
S C Lee
Y H Park
J H Sohn
N Sutandyo
D W Y Wong
M Kobayashi
S H Landis
E M Yeoh
H Moon
J Ro

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Asia, large-scale studies on anti-HER2 treatment in HER2-positive breast cancer patients with brain metastases are limited. We studied the treatment patterns of these patients in Asia to evaluate the impact of anti-HER2 treatment on the time to occurrence of brain metastases (TTBM) and survival after brain metastasis (BM).

methodsA retrospective study of HER2-positive breast cancer patients diagnosed with BM between January 2006 and December 2008 in six Asian countries was conducted. Demographics, tumour characteristics, treatment details, and events dates were collected from medical records.

resultsData from 280 patients were analysed. Before BM, 63% received anti-HER2 treatment. These patients had significantly longer TTBM than those without anti-HER2 treatment (median 33 vs 19 months; P<0.002). After BM, 93% received radiotherapy, 57% received chemotherapy, and 41% received anti-HER2 treatment (trastuzumab and/or lapatinib). Use of both anti-HER2 agents, primarily sequentially, after BM demonstrated the longest survival after BM and was associated with a significant survival benefit over no anti-HER2 treatment (median 26 vs 6 months; hazard ratio 0.37; 95% CI 0.19-0.72).

conclusionAnti-HER2 treatment before BM was associated with longer TTBM. Anti-HER2 treatment after BM was associated with a survival benefit, especially when both trastuzumab and lapatinib were utilised.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsBrain NeoplasmsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleHumansLapatinibMiddle AgedProtein Kinase InhibitorsQuinazolinesRetrospective StudiesTrastuzumabYoung AdultAntibodies, Monoclonal, HumanizedAntineoplastic AgentsErb-b2 Receptor Tyrosine KinasesLapatinibProtein Kinase InhibitorsQuinazolinesTrastuzumab

Identifiers

PMID22918394
PMCPMC3461152

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.