Evidence map›Paper›PMID 27239176›Full record

ArticleBreast care (Basel, Switzerland)2016

Anti-HER2 Therapy Beyond Second-Line for HER2-Positive Metastatic Breast Cancer: A Short Review and Recommendations for Several Clinical Scenarios from a Spanish Expert Panel.

Noelia Martínez-Jañez, Ignacio Chacón, Ana de Juan, Luis Cruz-Merino, Sònia Del Barco, Isaura Fernández, Paula García-Teijido, Amalia Gómez-Bernal, Arrate Plazaola, José Ponce and 2 more

Open access · greenAbstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 11 institutions in 1 country.

Noelia Martínez-JañezMedical Oncology Department, Hospital Ramón y Cajal, Madrid, Spain.
Ignacio ChacónMedical Oncology Department, Hospital Virgen de la Salud, Toledo, Spain.
Ana de JuanMedical Oncology Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Luis Cruz-MerinoMedical Oncology Department, Hospital Virgen de la Macarena, Sevilla, Spain.
Sònia Del BarcoInstituto Catalán de Oncología, Hospital Universitario Doctor Josep Trueta, Gerona, Spain.
Isaura FernándezHospital Xeral Cies de Vigo, Pontevedra, Spain.
Paula García-TeijidoHospital de Avilés, Asturias, Spain.
Amalia Gómez-BernalHospital Clínico de Salamanca, Salamanca, Spain.
Arrate PlazaolaOnkologikoa, San Sebastián, Spain.
José PonceHospital General Universitario de Alicante, Alicante, Spain.
Sonia ServitjaHospital del Mar, Barcelona, Spain.
Pilar ZamoraHospital la Paz, Madrid, Spain.
Hospital Del Mar · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitario La Paz · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Virgen Macarena · ESHospital Virgen de la Salud · ESHospital Virgen de los Lirios · ESHospital Xeral Calde · ESMarqués de Valdecilla University Hospital · ESOnkologikoa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this project was to provide an expert opinion regarding anti-human epidermal growth factor receptor 2 (HER2) therapy beyond second-line treatment of metastatic breast cancer (mBC).

methodsA group of experts discussed specific issues concerning anti-HER2 therapy in late-line settings in mBC.

resultsTrastuzumab emtansine (T-DM1) or dual HER2 blockade appeared to be good options for HER2-positive mBC after ≥ 2 HER2-targeted therapies. Once an objective response has been achieved with anti-HER2-containing therapy, the anti-HER2 agent can be continued until progression of the disease, unacceptable toxicity or patient decision. mBC treated with ≥ 3 consecutive lines of anti-HER therapy, ≥ 1 being a dual HER2 blockade and with early progression of disease during a fourth or later-line treatment, are clinically resistant to anti-HER therapy. For progression of metastasis in the brain after anti-HER2 therapy, lapatinib and chemotherapy appear to be a good alternative after best local treatment.

conclusionsFurther clinical trials are needed to provide valuable knowledge about the best treatment options in the later settings of mBC.

Indexed as

Anti-HER2Clinical practiceMetastatic breast cancer

Identifiers

PMID27239176
PMCPMC4881249
OpenAlexW2342727247

What OpenQuestion holds

Textmetadata
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.