Evidence map›Paper›PMID 34415791›Full record

ArticleJCO global oncology2021

Biosimilar Use in Breast Cancer Treatment: A National Survey of Brazilian Oncologists' Opinions, Practices, and Concerns.

Heloísa M Resende, Leandro Ladislau, Ana Carolina F Cardoso, Juliana Dinéia P Brandão, Biazi R Assis, Paola Cardoso, Pedro Henrique A Marassi, Vivienne Castilho

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Unveiling the Biosimilar Paradox of Oncologists' Perceptions and Hesitations in South Korea: A Web-Based Survey Study.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. 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

8 authors at 2 institutions in 1 country.

Heloísa M ResendeHospital Hinja, Volta Redonda, Rio de Janeiro, Brazil.ORCID 0000-0003-4692-3743
Leandro LadislauLibbs Farmacêutica, São Paulo, São Paulo, Brazil.
Ana Carolina F CardosoLibbs Farmacêutica, São Paulo, São Paulo, Brazil.
Juliana Dinéia P BrandãoLibbs Farmacêutica, São Paulo, São Paulo, Brazil.
Biazi R AssisDepartamento de Clínica Cirúrgica, Centro Universitário UNIFOA, Volta Redonda, Rio de Janeiro, Brazil.
Paola CardosoDepartamento de Clínica Médica, Centro Universitário UNIFOA, Volta Redonda, Rio de Janeiro, Brazil.
Pedro Henrique A MarassiDepartamento de Clínica Médica, Centro Universitário UNIFOA, Volta Redonda, Rio de Janeiro, Brazil.
Vivienne CastilhoLibbs Farmacêutica, São Paulo, São Paulo, Brazil.
Centro Universitário de Volta Redonda · BRLibbs (Brazil) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer is the most common malignancy in Brazilian women, with 66,280 new cases in 2020 (with 20% overexpressing human epidermal growth factor receptor 2 [HER2]). The trastuzumab biosimilar was the first oncology biosimilar approved in Brazil for HER2-positive breast cancer treatment. This study aimed to assess the current level of knowledge of biosimilars, comfort of use, extrapolation indications, and switching of practices among oncologists in Brazil.

methodsA 24-question survey was developed using an online platform that sought information regarding responders' characteristics and use of biosimilars. The survey analyzed the basic knowledge of biosimilars, trastuzumab biosimilars, level of comfort with extrapolation, switching treatment regimens, and opinions concerning the cost of HER2-positive breast cancer therapy. Data were collected between July and September 2019 and included 144 oncologists from five Brazilian regions.

resultsIn total, 95% of respondents could identify the most appropriate definition of biosimilars and 96% felt comfortable prescribing trastuzumab biosimilars. Although 63% of respondents would use the biosimilar in all settings wherein the reference biologic was approved, 35% would use the biosimilar for cases involving metastatic disease. Although 82% of oncologists were in favor of switching from a reference biologic to a biosimilar, 18% would avoid switching regimens. The lack of studies detailing switching to other regimens and the correct timing to switch was the major concern. The cost of HER2 therapy was a significant concern for most oncologists.

conclusionOncologists demonstrated a high level of knowledge of biosimilars and encouraging levels of prescriber use; however, extrapolation and switching treatment regimens are barriers to the effective use of biosimilars in cancer treatment. Efforts should be concentrated on strategies involving medical education programs on biosimilars.

Indexed as

Biosimilar PharmaceuticalsBreast NeoplasmsOncologistsBrazilFemaleHumansTrastuzumabBiosimilar PharmaceuticalsTrastuzumab

Identifiers

PMID34415791
PMCPMC8457873
OpenAlexW3194996474

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.