Evidence map›Paper›PMID 31423428›Full record

ArticleWorld journal of clinical cases2019

HER2 heterogeneity is a poor prognosticator for HER2-positive gastric cancer.

Akio Kaito, Takeshi Kuwata, Masanori Tokunaga, Kohei Shitara, Reo Sato, Tetsuo Akimoto, Takahiro Kinoshita

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Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
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

46 citing papers in PubMed.

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  13. HER2-targeted therapies beyond breast cancer - an update.Nature reviews. Clinical oncology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Akio KaitoDepartment of Gastric Surgery, National Cancer Center Hospital East, Kashiwa 277-8577, Japan.
Takeshi KuwataDepartment of Pathology and Clinical Laboratories, National Cancer Center Hospital East, Kashiwa 277-8577, Japan.
Masanori TokunagaDepartment of Gastric Surgery, National Cancer Center Hospital East, Kashiwa 277-8577, Japan.
Kohei ShitaraExploratory Oncology Research & Clinical Trial Center (EPOC), National Cancer Center Hospital East, Kashiwa 277-8577, Japan.
Reo SatoDepartment of Gastric Surgery, National Cancer Center Hospital East, Kashiwa 277-8577, Japan.
Tetsuo AkimotoJuntendo University Graduate School of Medicine, Tokyo 163-8001, Japan.
Takahiro KinoshitaDepartment of Gastric Surgery, National Cancer Center Hospital East, Kashiwa 277-8577, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical significance of intratumoral human epidermal growth factor receptor 2 (HER2) heterogeneity is unclear for HER2-positive gastric cancer, although it has been reported to be a significant prognosticator for HER2-positive breast cancer, which has received trastuzumab-based chemotherapy.

aimTo clarify the clinical significance of intratumoral HER2 heterogeneity for HER2-positive gastric cancer, which has received trastuzumab-based chemotherapy.

methodsPatients with HER2-positive unresectable or metastatic gastric cancer who received trastuzumab-based chemotherapy as a first line treatment were included. The patients were classified into two groups according to their intratumoral HER2 heterogeneity status examined by immunohistochemistry (IHC) on endoscopic biopsy specimens before treatment, and their clinical response to chemotherapy and survival were compared.

resultsA total of 88 patients were included in this study, and HER2 heterogeneity was observed in 23 (26%) patients (Hetero group). The overall response rate was significantly better in patients without HER2 heterogeneity (Homo group) (Homo

conclusionIHC of HER2 heterogeneity is the pivotal predictor for trastuzumab-based chemotherapy. Thus, HER2 heterogeneity should be considered during the assessment of HER2 expression.

Indexed as

ChemotherapyGastric cancerHeterogeneityHuman epidermal growth factor receptor 2Trastuzumab

Identifiers

PMID31423428
PMCPMC6695545

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