Evidence map›Paper›PMID 26578067›Full record

SynthesisBreast cancer research : BCR2015

The benefit of HER2-targeted therapies on overall survival of patients with metastatic HER2-positive breast cancer--a systematic review.

Diogo Mendes, Carlos Alves, Noémia Afonso, Fátima Cardoso, José Luís Passos-Coelho, Luís Costa, Sofia Andrade, Francisco Batel-Marques

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Breast cancer research : BCR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 1% 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.

NCT05904964 phase3recruitingnot on this mapstarted 2023, after this paper: background citation

Disitamab Vedotin or Endocrine Therapy for Patients With Metastatic Breast Cancer With Hormone Receptor-positive and HER2-low-expression

TypeinterventionalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2030Enrolled288ConditionsHR Positive/HER2 Low Expression Metastatic Breast CancerArmsDisitamab vedotin, Endocrine therapy
NCT06278870 phase3recruitingnot on this mapstarted 2023, after this paper: background citation

Disitamab Vedotin in Combination With Pyrotinib Versus THP in the First-line Treatment for HER2-positive Advanced Breast Cancer, a Multicentre, Randomized, Double-blind Controlled, Phase III Trial

TypeinterventionalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2031Enrolled312ConditionsHER2-positive Metastatic Breast Cancer, First-line TreatmentArmsdisitamab vedotin, Pyrotinib, trastuzumab, Pertuzumab, taxane drug
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Efficacy of the PARP Inhibitor Veliparib with Carboplatin or as a Single Agent in Patients with GermlineClinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

36 more citing papers are in PubMed but not listed here.

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

8 authors at 7 institutions in 1 country.

Diogo MendesCHAD - Centre for Health Technology Assessment and Drug Research, AIBILI - Association for Innovation and Biomedical Research on Light and Image, Azinhaga de Santa Comba, Celas, 3000-548, Coimbra, Portugal. diogomendes26@gmail.com.
Carlos AlvesCHAD - Centre for Health Technology Assessment and Drug Research, AIBILI - Association for Innovation and Biomedical Research on Light and Image, Azinhaga de Santa Comba, Celas, 3000-548, Coimbra, Portugal.
Noémia AfonsoMedical Oncology Service, IPO - Portuguese Institute of Oncology Professor Francisco Gentil, Rua Dr. António Bernardino de Almeida, 4200-072, Oporto, Portugal.
Fátima CardosoBreast Cancer Unit, Champalimaud Cancer Center, Avenida De Brasília s/n, 1400-038, Lisbon, Portugal.
José Luís Passos-CoelhoMedical Oncology Service, Hospital da Luz, Avenida Lusíada, 100, 1500-650, Lisbon, Portugal.
Luís CostaMedical Oncology Service, Santa Maria Hospital, Rua de Santa Marta, 1169-024, Lisbon, Portugal.
Sofia AndradeMarket Access Department, Roche Pharmaceuticals, Estrada Nacional 249-1, 2720-413, Amadora, Portugal.
Francisco Batel-MarquesCHAD - Centre for Health Technology Assessment and Drug Research, AIBILI - Association for Innovation and Biomedical Research on Light and Image, Azinhaga de Santa Comba, Celas, 3000-548, Coimbra, Portugal.
University of Coimbra · PTAssociation for Innovation and Biomedical Research on Light and Image · PTChampalimaud Foundation · PTHospital da Luz · PTHospital de Santa Maria · PTInstituto Português de Oncologia Francisco Gentil · PTRoche (Portugal) · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed at evaluating the overall survival (OS) gain associated with human epidermal growth factor receptor 2 (HER2)-directed therapies in patients with metastatic breast cancer (mBC).

methodsA bibliographic search was conducted in PubMed and Cochrane databases. Only phase III randomized controlled trials (RCTs) including HER2-positive (HER2+) mBC patients were included in this review. OS was defined as time from randomization until the occurrence of death from any cause. Studies have been grouped according to the line of treatment, i.e., first-line or second-line or beyond.

resultsNineteen RCTs were eligible for inclusion, of which 12 assessed therapies targeting HER2+ mBC in the first-line setting. OS improved from 20.3 months in the first RCT (standard chemotherapy; Slamon et al. (N Engl J Med 344:783-92, 2001)) evaluating HER2-targeting therapies to 48 months in the study of Swain et al. (Lancet Oncol 14:461-71, 2013), with triple combination of pertuzumab, trastuzumab and docetaxel. Seven RCTs evaluated the OS of HER2-targeting therapies in the second-line setting and beyond. The OS in second-line setting improved from 15.3 months (capecitabine; Cameron et al. (Breast Cancer Res Treat 112:533-43, 2008)) to 30.7 months (trastuzumab emtansine; Verma et al. (N Engl J Med 367:1783-91, 2012)). In the third-line setting, the association of lapatinib and trastuzumab has demonstrated to improve OS to 4.5 months compared with lapatinib alone (14 months vs. 9.5 months; Blackwell et al. (J Clin Oncol 30:2585-92, 2012)).

conclusionsHER2-directed therapies had an undeniable beneficial impact on the OS of patients with HER2+ mBC. The triple combination of docetaxel, pertuzumab and trastuzumab is associated with a survival extent of more than 4.5 years, compared with a life expectancy of 1.5 years achieved 14 years ago.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsClinical Trials, Phase III as TopicDisease-Free SurvivalDocetaxelErb-b2 Receptor Tyrosine KinasesFemaleHumansLapatinibMolecular Targeted TherapyQuinazolinesRandomized Controlled Trials as TopicTaxoidsTrastuzumabAntibodies, Monoclonal, HumanizedDocetaxelERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesLapatinibpertuzumabQuinazolinesTaxoidsTrastuzumab

Identifiers

PMID26578067
PMCPMC4650834
OpenAlexW2176175311

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.