Evidence map›Paper›PMID 25186428›Full record

Trial reportBreast cancer research : BCR2014

Molecular effects of lapatinib in patients with HER2 positive ductal carcinoma in situ.

Laura G Estévez, Ana Suarez-Gauthier, Elena García, Cristina Miró, Isabel Calvo, María Fernández-Abad, Mercedes Herrero, Manuel Marcos, Cristina Márquez, Fernando Lopez Ríos and 2 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Breast cancer research : BCR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Targeted therapy for HER2 positive breast cancer.Journal of hematology & oncology · 2013
    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

12 authors at 3 institutions in 1 country.

Laura G EstévezBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. lestevez@hmhospitales.com.
Ana Suarez-GauthierBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. asuarez@hmhospitales.com.
Elena GarcíaPathology Department, Hospital Universitario Fundación Alcorcón, Madrid, 28922, Spain. egarcia@fhalcorcon.es.
Cristina MiróBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. cmiro@hmhospitales.com.
Isabel CalvoBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. icalvo@hmhospitales.com.
María Fernández-AbadBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. mfabad@hmhospitales.com.
Mercedes HerreroBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. mherrero@hmhospitales.com.
Manuel MarcosBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. mmarcos@hmhospitales.com.
Cristina MárquezBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. cmarquez@hmhospitales.com.
Fernando Lopez RíosBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. flopezrios@hmhospitales.com.
Sofía PereaBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. sperea@hmhospitales.com.
Manuel HidalgoBreast Cancer Program, Centro Integral Oncológico Clara Campal, C/Oña 10, Madrid, 28050, Spain. mhidalgo@cnio.es.
HM Hospitales · ESHospital Universitario Fundación Alcorcón · ESSpanish National Cancer Research Centre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHuman epidermal growth factor receptor 2 (HER2) amplification is frequent in ductal carcinoma in situ (DCIS) of the breast and is associated with poorly differentiated tumors and adverse prognosis features. This study aimed to determine the molecular effects of the HER2 inhibitor lapatinib in patients with HER2 positive DCIS.

methodsPatients with HER2 positive DCIS received 1,500 mg daily of lapatinib for four consecutive weeks prior to surgical resection. Magnetic resonance imaging (MRI) was used to determine changes in tumor volume. The molecular effects of lapatinib on HER2 signaling (PI3K/AKT and RAS/MAPK pathways), cell proliferation (Ki67 and p27) and apoptosis (TUNEL) were determined in pre and post-lapatinib treatment samples.

resultsA total of 20 patients were included. Lapatinib was well tolerated with only minor and transient side effects. The agent effectively modulated HER2 signaling decreasing significantly pHER2 and pERK1 expression, together with a decrease in tumor size evaluated by MRI. There was no evidence of changes in Ki67.

conclusionsFour weeks of neoadjuvant lapatinib in patients with HER2-positive DCIS resulted in inhibition of HER2 and RAS/MAPK signaling pathway.

trial registration2008-004492-21 (Registered June 25th 2008).

Indexed as

AdultAgedApoptosisBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingCell ProliferationErb-b2 Receptor Tyrosine KinasesErbB ReceptorsFemaleGene AmplificationGene Expression Regulation, NeoplasticHumansIn Situ Hybridization, FluorescenceLapatinibMiddle AgedMitogen-Activated Protein Kinase KinasesEGFR protein, humanERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesErbB ReceptorsLapatinibMitogen-Activated Protein Kinase KinasesQuinazolines

Identifiers

PMID25186428
PMCPMC4448559
OpenAlexW2168041374

What OpenQuestion 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 OpenQuestion graph.