Evidence map›Paper›PMID 31690831›Full record

Trial reportBritish journal of cancer2019

Randomised Phase 2 study of lapatinib and vinorelbine vs vinorelbine in patients with HER2 + metastatic breast cancer after lapatinib and trastuzumab treatment (KCSG BR11-16).

Sung Hoon Sim, In Hae Park, Kyung Hae Jung, Sung-Bae Kim, Jin-Hee Ahn, Kyung-Hun Lee, Seock-Ah Im, Young-Hyuck Im, Yeon Hee Park, Joohyuk Sohn and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01730677 (Randomized Phase II Study of Lapatinib Plus Vinorelbine Versus Vinorelbine in Patients With HER2 Positive Metastatic Breast Cancer Progressed After Lapatinib and Trastuzumab Treatment), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 28% 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.

NCT01730677 phase2unknown statusnot on this map

Randomized Phase II Study of Lapatinib Plus Vinorelbine Versus Vinorelbine in Patients With HER2 Positive Metastatic Breast Cancer Progressed After Lapatinib and Trastuzumab Treatment

TypeinterventionalSponsorNational Cancer Center, KoreaRan2012 to 2017Enrolled150ConditionsMetastatic Breast CancerArmsLapatinib, Vinorelbine
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

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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

18 authors at 11 institutions in 2 countries.

Sung Hoon SimCenter for Breast Cancer, Research Institute, National Cancer Center, Goyang, Korea.
In Hae ParkCenter for Breast Cancer, Research Institute, National Cancer Center, Goyang, Korea. parkih@ncc.re.kr.
Kyung Hae JungAsan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
Sung-Bae KimAsan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
Jin-Hee AhnAsan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
Kyung-Hun LeeSeoul National University Hospital, Cancer Research Institute, Seoul National University, College of Medicine, Seoul, Korea.
Seock-Ah ImSeoul National University Hospital, Cancer Research Institute, Seoul National University, College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0002-5396-6533
Young-Hyuck ImSamsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
Yeon Hee ParkSamsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
Joohyuk SohnYonsei University, College of Medicine, Yonsei Cancer Center, Seoul, Korea.
Yu Jung KimDivision of Hematology and Medical Oncology, Department of Internal medicine, Seoul National University Bundang Hospital, Bundang, Korea.
Suee LeeDepartment of Internal medicine, Dong-A University, College of Medicine, Busan, Korea.
Hee-Jun KimChung-Ang University, College of Medicine, Seoul, Korea.
Yee Soo ChaeKyungpook National University, College of Medicine, Daegu, Korea.
Kyong Hwa ParkDepartment of Internal Medicine, Division of Oncology/Hematology, Korea University, Seoul, Korea.
Byung-Ho NamBiometric Research Branch, Division of Cancer Epidemiology and Prevention, Research Institute & Hospital, National Cancer Center, Goyang, Korea.
Keun Seok LeeCenter for Breast Cancer, Research Institute, National Cancer Center, Goyang, Korea.
Jungsil RoCenter for Breast Cancer, Research Institute, National Cancer Center, Goyang, Korea. jungsro@ncc.re.kr.
Seoul National University Hospital · KRUlsan College · KRBreast Cancer Research Foundation · USNational Cancer Center · KRSamsung Medical Center · KRChung-Ang University · KRDong-A University · KRKorea University · KRKyungpook National University · KRSeoul National University Bundang Hospital · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe continuum of anti-HER2 agents is a standard treatment of HER2 + metastatic breast cancer (MBC). This study evaluated the efficacy of lapatinib plus vinorelbine in patients progressed on both trastuzumab and lapatinib treatments.

methodsA total of 149 patients were randomly assigned to lapatinib with vinorelbine (LV) (n = 75; lapatinib, 1000 mg daily; vinorelbine 20 mg/m

resultsThe median number of previous anti-HER2 therapies was 2 (range 2-5). There was no significant difference in PFS rate at 18 weeks between LV and V arms (45.9% vs 38.9%, p = 0.40). ORR was 19.7% in LV arm, and 16.9% in V arm (p = 0.88). PFS and OS did not differ between two arms (LV vs V; median PFS, 16 vs 12 weeks, HR = 0.86, 95% CI 0.61-1.22; median OS, 15.0 vs 18.9 months, HR = 1.07, 95% CI 0.72-1.58). Toxicity profiles were similar in both arms and all were manageable.

conclusionsLapatinib plus vinorelbine treatment was tolerable; however, it failed to demonstrate the clinical benefits over vinorelbine alone in patients with HER2 + MBC after progression on both trastuzumab and lapatinib. CLINICAL

trial registrationClinicalTrials.gov number NCT01730677.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsDisease-Free SurvivalDisease ProgressionErb-b2 Receptor Tyrosine KinasesFemaleHumansLapatinibMiddle AgedNeoplasm MetastasisTrastuzumabVinorelbineERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesLapatinibTrastuzumabVinorelbine

Identifiers

PMID31690831
PMCPMC6964682
OpenAlexW2984731942

What OpenQuestion holds

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LicenceCC BY
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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.