Evidence map›Paper›PMID 33826080›Full record

Trial reportBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2021

Efficacy, Safety, and Immunogenicity of HLX02 Compared with Reference Trastuzumab in Patients with Recurrent or Metastatic HER2-Positive Breast Cancer: A Randomized Phase III Equivalence Trial.

Binghe Xu, Qingyuan Zhang, Tao Sun, Wei Li, Yue'e Teng, Xichun Hu, Igor Bondarenko, Hryhoriy Adamchuk, Liangming Zhang, Dmytro Trukhin and 6 more

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

Trial report in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03084237 (Double-blind, Randomized, Multicenter, Phase III Clinical Study to Compare the Efficacy and to Evaluate the Safety and Immunogenicity of Trastuzumab Biosimilar HLX02 and EU-sourced Herceptin® in Previously Untreated HER2 Overexpressing Metastatic Breast Cancer), which is not on this map. Cited by 21 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 7 pooled it
2.7field-weighted citation impact, top 7% 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.

NCT03084237 phase3completednot on this map

Double-blind, Randomized, Multicenter, Phase III Clinical Study to Compare the Efficacy and to Evaluate the Safety and Immunogenicity of Trastuzumab Biosimilar HLX02 and EU-sourced Herceptin® in Previously Untreated HER2 Overexpressing Metastatic Breast Cancer

TypeinterventionalSponsorShanghai Henlius BiotechRan2016 to 2021Enrolled652ConditionsBreast CancerArmsHLX02, Herceptin®, docetaxel
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 7 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Safety profile of trastuzumab originator vs biosimilars: a systematic review and meta-analysis of randomized clinical trials.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
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  3. Biosimilar monoclonal antibodies for cancer treatment in adults.The Cochrane database of systematic reviews · 2024
    Pooled it
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  6. Comparative Safety Profiles of Oncology Biosimilars: A Systematic Review and Network Meta-analysis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Pooled it
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  10. Chinese expert consensus on clinical diagnosis and treatment of breast cancer targeting HER2.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
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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

16 authors at 12 institutions in 2 countries.

Binghe Xu *Department of Medical Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17, Panjiayuan Nanli, Beijing, 100021, China. xubinghe@medmail.com.cn.
Qingyuan Zhang *Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, China.
Tao SunInternal Medicine Oncology, Liaoning Cancer Hospital, Liaoning, China.
Wei LiInternal Medicine Oncology, The First Hospital of Jilin University, Jilin, China.
Yue'e TengInternal Medicine Oncology, The First Hospital of China Medical University, Shenyang, China.
Xichun HuInternal Medicine Oncology, Shanghai Cancer Hospital, Fudan University, Shanghai, China.
Igor BondarenkoChemotherapy Department, Communal Institution Dnipropetrovsk City Multifield Clinical Hospital, Dnipro, Ukraine.
Hryhoriy AdamchukChemotherapy Department, Communal Institution Kryvyi Rih Oncology Dispensary of Dnipropetrovsk Regional Council, Kryvyi Rih, Ukraine.
Liangming ZhangInternal Medicine Oncology, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
Dmytro TrukhinDaystay Care of Dispensary and Policlinic Department, Communal Institution Odesa Regional Oncological Dispensary, Odesa, Ukraine.
Shusen WangInternal Medicine Oncology, Cancer Center, Sun Yat-Sen University, Guangzhou, China.
Hong ZhengInternal Medicine Oncology, West China Hospital, Sichuan University, Sichuan, China.
Zhongsheng TongInternal Medicine Oncology, Tianjin Cancer Hospital, Tianjin, China.
Yaroslav ShparykCI of LRC Lviv Oncological Regional Treatment and Diagnostic Center, Lviv, Ukraine.
Qingyu WangShanghai Henlius Biotech, Inc., Shanghai, China.
HLX02-BC01 Investigators
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFirst Hospital of China Medical University · CNFudan University Shanghai Cancer Center · CNJilin University · CNLiaoning Cancer Hospital & Institute · CNLviv National Musical Academy named after Mykola Lysenko · UARegional Clinical Hospital named after II Mechnikov · UASun Yat-sen University · CNThird Affiliated Hospital of Harbin Medical University · CNTianjin Medical University Cancer Institute and Hospital · CNWest China Hospital of Sichuan University · CNYuhuangding Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHLX02 is an approved biosimilar of trastuzumab.

objectiveThis study aimed to evaluated the efficacy, safety, and immunogenicity of HLX02 compared with reference trastuzumab in patients with human epidermal growth factor receptor 2 (HER2)-positive recurrent or metastatic breast cancer. PATIENTS AND

methodsThis randomized, double-blind, phase III study was conducted at 89 centers in China, the Philippines, Poland, and Ukraine. Eligible patients were randomized (1:1) to receive HLX02 or European Union (EU)-sourced trastuzumab (initial dose of 8 mg/kg, followed by 6 mg/kg every 3 weeks for up to 12 months) in combination with docetaxel intravenously. The primary endpoint was overall response rate up to week 24 (ORR

resultsBetween 11 November 2016 and 10 July 2019, a total of 649 patients were enrolled. The ORR

conclusionsAmong patients with HER2-positive recurrent or metastatic breast cancer, HLX02 demonstrated equivalent efficacy and similar safety and immunogenicity to reference trastuzumab. CLINICAL

trial registrationChinadrugtrials.org CTR20160526 (12 September 2016), ClinicalTrials.gov NCT03084237 (20 March 2017), EudraCT 2016-000206-10 (27 April 2017).

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsDocetaxelErb-b2 Receptor Tyrosine KinasesHumansPolandTrastuzumabDocetaxelErb-b2 Receptor Tyrosine KinasesTrastuzumab

Identifiers

PMID33826080
PMCPMC8084805
OpenAlexW3149458367

What OpenQuestion holds

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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.