Evidence map›Paper›PMID 25720673›Full record

ArticleCancer medicine2015

HER2 as a target in invasive urothelial carcinoma.

Joaquim Bellmunt, Lillian Werner, Aristotle Bamias, André P Fay, Rachel S Park, Markus Riester, Shamini Selvarajah, Justine A Barletta, David M Berman, Silvia de Muga and 10 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.9field-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.

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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Afatinib Activity in Platinum-Refractory Metastatic Urothelial Carcinoma in Patients With ERBB Alterations.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 3 countries.

Joaquim BellmuntBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Lillian WernerDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Aristotle BamiasUniversity of Athens and Hellenic Co-operative Oncology Group, Athens, Greece.
André P FayBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Rachel S ParkBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Markus RiesterDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Shamini SelvarajahCenter for Molecular Oncologic Pathology, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
Justine A BarlettaDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
David M BermanThe Johns Hopkins University School of Medicine, Baltimore, Maryland.
Silvia de MugaHospital de Mar Research Institute-IMIM, Barcelona, Spain.
Marta SalidoHospital de Mar Research Institute-IMIM, Barcelona, Spain.
Enrique GallardoHospital Parc Tauli, Sabadell, Spain.
Federico RojoHospital de Mar Research Institute-IMIM, Barcelona, Spain.
Elizabeth A GuancialBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID http://orcid.org/0000-0002-6518-5179
Richard BamburyMemorial Sloan Kettering Cancer Center, New York City, New York.
Stephanie A MullaneBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Toni K ChoueiriBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Massimo LodaDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
Edward StackCenter for Molecular Oncologic Pathology, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
Jonathan RosenbergBladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Harvard University · USBrigham and Women's Hospital · USDana-Farber Cancer Institute · USMemorial Sloan Kettering Cancer Center · USDeleted InstitutionHospital Universitario Fundación Jiménez Díaz · ESJohns Hopkins University · USNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated primary tumors from two cohorts, Spain (N = 111) and Greece (N = 102), for patients who were treated with platinum-based chemotherapy. Patients were tested for HER2 status (IHC score of 3+ or FISH ratio of ≥ 2.2) by immunohistochemistry (IHC), fluorescence in situ hybridization (FISH), DNA copy number, mRNA expression, and mutation status in patients with metastatic urothelial carcinoma (UC), and its impact on survival. ERBB2 mutation was determined by hotspot sequencing. mRNA expression was assessed using NanoString counting. Association of overall survival (OS) and HER2 status was assessed by a Cox regression model. NIH-3T3 cells containing HER2 V777L were assessed for growth, invasion, and HER2 kinase activation. In all, 22% of Spanish and 4% of Greek cohorts had 3+ HER2 staining by IHC. FISH amplification was identified in 20% of Spanish and 4% of Greek cohorts. Kappa coefficient between FISH and IHC was 0.47. HER2 status was not associated with OS in univariate (Spanish P = 0.34; Greek P = 0.11) or multivariate (Spanish P = 0.49; Greek P = 0.12) analysis. HER2-positive tumors expressed higher levels of HER2 mRNA than HER2-negative tumors (P < 0.001). HER2 mutations (V777L and L755S) were identified in two (2%) patients. In vitro analysis of V777L results in transformation of NIH-3T3 cells, leading to increased growth, invasion on soft agar, and HER2 kinase constitutive activation. In summary, HER2 overexpression or amplification in the primary tumor did not predict OS in patients with metastatic UC. HER2 positivity rates can differ between different populations. Further trials in genomically screened patients are needed to assess HER2-targeted therapies in UC.

Indexed as

Clinical Trials, Phase III as TopicCohort StudiesDNA Copy Number VariationsErb-b2 Receptor Tyrosine KinasesHumansImmunohistochemistryIn Situ Hybridization, FluorescenceMutationNeoplasm MetastasisObserver VariationRNA, MessengerSurvival AnalysisUrinary Bladder NeoplasmsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesRNA, MessengerERBB2genomic alterationsHER2prognosisurothelial carcinomas

Identifiers

PMID25720673
PMCPMC4472207
OpenAlexW2034838154

What OpenQuestion holds

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Registered trials

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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.