Evidence map›Paper›PMID 27181019›Full record

ReviewTargeted oncology2016

Long-term Follow-up Data from Pivotal Studies of Adjuvant Trastuzumab in Early Breast Cancer.

Hartmut Kristeleit, Marina Parton, Mark Beresford, Iain R Macpherson, Rajan Sharma, Loren Lazarus, Muireann Kelleher

Open access · hybridAbstract readReview
In one paragraph

Review in Targeted oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Prognosis and cardiotoxicity associated to adjuvant trastuzumab for breast cancer: real world study in a public health system.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Article
  2. Article
  3. Cancer Progress and Priorities: Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Review
  4. Article
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

7 authors at 6 institutions in 1 country.

Hartmut KristeleitGuy's and St Thomas' NHS Foundation Trust, London, UK. Hartmut.Kristeleit@gstt.nhs.uk.
Marina PartonRoyal Marsden NHS Foundation Trust and Kingston NHS Foundation Trust, London, UK.
Mark BeresfordRoyal United Hospital, Bath, UK.
Iain R MacphersonBeatson West of Scotland Cancer Centre, Glasgow, UK.
Rajan SharmaSt George's Hospital NHS Trust, London, UK.
Loren LazarusRoche Products Ltd, Welwyn Garden City, UK.
Muireann KelleherSt George's Hospital NHS Trust, London, UK.
St George's Hospital · GBBeatson West of Scotland Cancer Centre · GBGuy's and St Thomas' NHS Foundation Trust · GBRoche (United Kingdom) · GBRoyal Marsden NHS Foundation Trust · GBRoyal United Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The addition of adjuvant trastuzumab therapy for 1 year to standard chemotherapy significantly improved disease-free survival and overall survival versus chemotherapy alone in a number of pivotal early breast cancer studies. Here we review long-term follow-up data on the efficacy, cardiac safety, and general safety of trastuzumab in these pivotal studies. We also evaluate ongoing phase II/III adjuvant trials with newer HER2-targeted agents and the efficacy and safety of the recently developed subcutaneous (SC) formulation of trastuzumab in early breast cancer. Long-term follow-up data confirm the significant survival benefit afforded by the addition of trastuzumab to chemotherapy in patients with HER2-positive disease, with an acceptable safety profile. Long-term cardiac safety data suggest that the incidence of cardiac adverse events is maintained at a relatively low level with continued follow-up. At this present time, 1 year of trastuzumab treatment remains the standard of care in HER2-positive early breast cancer. Future adjuvant trastuzumab treatment strategies should focus on reducing cardiotoxicity, particularly in elderly patients, by identifying potential predictive biomarkers of cardiac dysfunction. Clinicians must also decide whether to omit trastuzumab in women who would achieve little benefit from treatment to avoid cardiotoxicity.

Indexed as

Antineoplastic AgentsBreast NeoplasmsChemotherapy, AdjuvantFemaleFollow-Up StudiesHumansTrastuzumabAntineoplastic AgentsTrastuzumab

Identifiers

PMID27181019
PMCPMC5054055
OpenAlexW2367874297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.