Evidence map›Paper›PMID 31670262›Full record

ArticleBreast (Edinburgh, Scotland)2020

Safety profile of subcutaneous trastuzumab in patients with HER2-positive early breast cancer: The French HERmione non-interventional prospective study.

Jean-Philippe Jacquin, Lionel Uwer, Alexia Savignoni, Jean-Marc Ferrero, Alain Lortholary, David Solub, Flore Delaporte, Nassera Chalabi, Sophie Pibre, Yazid Belkacemi

Abstract readMulticenter Study
In one paragraph

Article in Breast (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Practical strategies to manage cancer patients during the COVID-19 pandemic: Saudi Oncology Pharmacy Assembly Experts recommendations.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2020
    Article
  2. 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

10 authors.

Jean-Philippe JacquinInstitut de Cancérologie de La Loire, Lucien Neuwirth, Saint-Priest-en-Jarez, France. Electronic address: Jean-Philippe.JACQUIN@icloire.fr.
Lionel UwerInstitut de Cancérologie de Lorraine, Alexis Vautrin, Vandœuvre-lès-Nancy, France. Electronic address: l.uwer@nancy.unicancer.fr.
Alexia SavignoniInstitut Curie, Paris, France. Electronic address: alexia.savignoni@curie.fr.
Jean-Marc FerreroCentre Antoine Lacassagne, Nice, France. Electronic address: jean-marc.ferrero@nice.unicancer.fr.
Alain LortholaryHôpital Privé Du Confluent, Institut de Cancérologie Catherine de Sienne, Nantes, France. Electronic address: ALAIN.LORTHOLARY@groupeconfluent.fr.
David SolubCentre Hospitalier de Chartres, Centre Hospitalier Louis Pasteur, Le Coudray, France. Electronic address: dsolub@ch-chartres.fr.
Flore DelaporteITM pour Roche, Boulogne-Billancourt, France. Electronic address: flore.delaporte@contractors.roche.com.
Nassera ChalabiRoche, Boulogne-Billancourt, France. Electronic address: nassera.chalabi@roche.com.
Sophie PibreRoche, Boulogne-Billancourt, France. Electronic address: sophie.pibre@roche.com.
Yazid BelkacemiAP-HP, Henri Mondor University Hospital, Henri Mondor Breast Cancer Center and Department of Radiation Oncology, University of Paris-Est Créteil (UPEC), Créteil, France. Electronic address: yazid.belkacemi@hmn.aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHERmione study was conducted to assess, in human epidermal growth factor receptor 2 (HER2)-positive early breast cancer (eBC), the safety profile of subcutaneous (SC) formulation of trastuzumab in real-life in France. MATERIALS AND

methodsThis prospective, non-interventional study included 511 patients planned to be treated in both neoadjuvant and adjuvant settings with a follow-up of 12 months maximum in 101 sites. The safety analyses concerned 505 patients. Primary endpoint was the description of systemic safety and local tolerability of the SC trastuzumab.

resultsThe median age of patients was 58 years. Over the study, 2449 adverse events (AEs) occurred in 422 (83.6%) patients (asthenia, arthralgia, radiation skin injury, myalgia, hot flush and diarrhea in ≥10% of patients): 92 AEs (3.8%) were grade ≥3 (radiation skin injury in 1.8% of patients and febrile neutropenia in 1.4% of patients), 76 (3.1%) were serious (mainly febrile neutropenia in 1.4% of patients) and 336 (13.7%) were treatment-related (mainly injection site pain in 9.1% of patients). Congestive Heart Failure occurred in 58 (11.5%) patients and was related to treatment in 4.6% of patients. Only 34 AEs (1.4%) in 27 (5.4%) patients led to permanent treatment discontinuation. One death was assessed as not treatment-related. Quality of life (QoL) analyses showed no deterioration of global health status.

conclusionThe HERmione study showed that, in a real-life setting, the safety of SC trastuzumab administered in HER2-positive eBC patients is consistent with data reported from previous clinical trials, without new safety concerns or QoL deterioration.

Indexed as

Antineoplastic Agents, ImmunologicalBreast NeoplasmsDrug-Related Side Effects and Adverse ReactionsErb-b2 Receptor Tyrosine KinasesFemaleFranceHumansInjections, SubcutaneousMiddle AgedProspective StudiesQuality of LifeTrastuzumabTreatment OutcomeAntineoplastic Agents, ImmunologicalERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabEarly breast cancerHER2-PositiveProspective non-interventional studySafety profileSCSub-cutaneous injectionTrastuzumab

Identifiers

PMID31670262
PMCPMC7375678

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.