Evidence map›Paper›PMID 31836877›Full record

ReviewNature reviews. Clinical oncology2020

Towards personalized treatment for early stage HER2-positive breast cancer.

Kristina Goutsouliak, Jamunarani Veeraraghavan, Vidyalakshmi Sethunath, Carmine De Angelis, C Kent Osborne, Mothaffar F Rimawi, Rachel Schiff

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 3 pooled it
13.9field-weighted citation impact, top 1% 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

158 citing papers in PubMed, 3 syntheses or guidelines pooled it, 291 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Detection of HER2 expression usingBreast cancer research : BCR · 2024
    Trial
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  8. Review
  9. Article
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  11. Review
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  14. Review
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  18. Advances in Nanobody-Based Platforms for Precision Cancer Diagnosis and Therapy.Polymer science & technology (Washington, D.C.) · 2025
    Review
  19. Article
  20. Article

98 more citing papers are in PubMed but not listed here.

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 1 institution in 2 countries.

Kristina Goutsouliak *Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Jamunarani Veeraraghavan *Lester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0002-9524-9487
Vidyalakshmi SethunathLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0002-3308-3063
Carmine De AngelisLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0003-1158-4630
C Kent OsborneLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Mothaffar F RimawiLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA. rimawi@bcm.edu.ORCID http://orcid.org/0000-0002-4284-5656
Rachel SchiffLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA. rschiff@bcm.edu.ORCID http://orcid.org/0000-0003-1696-5213
Baylor College of Medicine · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Michael M Ittmann · 2007 to 2026
$73.9M
Translational Research in Breast Cancer (SPORE)P50CA186784 · NCI · BAYLOR COLLEGE OF MEDICINE · PI MATTHEW J ELLIS · 2014 to 2026
$24.5M
NCI NIH HHS P30 CA125123NCI NIH HHS P50 CA186784
6 · The paper itself

Abstract

Advances in HER2-targeted therapies have improved the survival of patients with HER2-positive breast cancer. The standard-of-care treatment for localized disease has been chemotherapy and 1 year of adjuvant HER2-targeted therapy, typically with the anti-HER2 antibody trastuzumab. Despite the effectiveness of this treatment, disease relapse occurs in a subset of patients; thus, focus has been placed on escalating treatment by either combining different HER2-targeted agents or extending the duration of HER2-targeted therapy. Indeed, dual HER2-targeted therapies and extended-duration anti-HER2 therapy, as well as adjuvant therapy with the anti-HER2 antibody-drug conjugate T-DM1, have all been approved for clinical use. Emerging evidence suggests, however, that some patients do not derive sufficient benefit from these additional therapies to offset the associated toxicities and/or costs. Similarly, the universal use of chemotherapy might not benefit all patients, and treatment de-escalation through omission of chemotherapy has shown promise in clinical trials and is currently being explored further. The future of precision medicine should therefore involve tailoring of therapy based on the genetics and biology of each tumour and the clinical characteristics of each patient. Predictive biomarkers that enable the identification of patients who will benefit from either escalated or de-escalated treatment will be crucial to this approach. In this Review, we summarize the available HER2-targeted agents and associated mechanisms of resistance, and describe the current therapeutic landscape of early stage HER2-positive breast cancer, focusing on strategies for treatment escalation or de-escalation.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsChemotherapy, AdjuvantErb-b2 Receptor Tyrosine KinasesFemaleHumansMolecular Targeted TherapyNeoplasm StagingPrecision MedicineTrastuzumabErb-b2 Receptor Tyrosine KinasesTrastuzumab

Identifiers

PMID31836877
PMCPMC8023395
OpenAlexW2996055214

What OpenQuestion holds

Textmetadata
LicenceTDM
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.