Evidence map›Paper›PMID 34453206›Full record

ArticleBreast cancer research and treatment2021

Fulvestrant and trastuzumab in patients with luminal HER2-positive advanced breast cancer (ABC): an Italian real-world experience (HERMIONE 9).

Rosalba Torrisi, Raffaella Palumbo, Rita De Sanctis, Patrizia Vici, Giulia Valeria Bianchi, Laura Cortesi, Vita Leonardi, Rossana Gueli, Alessandra Fabi, Maria Rosaria Valerio and 5 more

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In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

15 authors at 10 institutions in 1 country.

Rosalba TorrisiDepartment of Medical Oncology and Hematology Unit, IRCCS Humanitas Research Hospital, via A. Manzoni 56 20089, Rozzano, Milano, Italy. rosalba.torrisi@humanitas.it.ORCID http://orcid.org/0000-0001-8344-6849
Raffaella PalumboOncologia Medica, IRCCS ICS Maugeri, Pavia, Italy.ORCID http://orcid.org/0000-0002-3997-983X
Rita De SanctisDepartment of Medical Oncology and Hematology Unit, IRCCS Humanitas Research Hospital, via A. Manzoni 56 20089, Rozzano, Milano, Italy.ORCID http://orcid.org/0000-0003-3202-1933
Patrizia ViciUOC OM2 IRCCS Regina Elena National Cancer Institute, Roma, Italy.ORCID http://orcid.org/0000-0001-7528-9783
Giulia Valeria BianchiSC Oncologia Medica 1 Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy.
Laura CortesiDepartment of Oncology and Haematology, Modena Hospital University, Modena, Italy.
Vita LeonardiDepartment of Medical Oncology, ARNAS Civico, Palermo, Italy.ORCID http://orcid.org/0000-0003-0404-7343
Rossana GueliMedical Oncology, ASST Settelaghi, Varese, Italy.ORCID http://orcid.org/0000-0002-2674-6594
Alessandra FabiPrecision Medicine in Breast Cancer Unit, Scientific Directorate, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-0758-8033
Maria Rosaria ValerioMedical Oncology Unit, Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy.ORCID http://orcid.org/0000-0003-3589-4684
Anna Rita GambaroMedical Oncology, ASST Fatebenefratelli Sacco PO Sacco, Milano, Italy.
Barbara TagliaferriOncologia Medica, IRCCS ICS Maugeri, Pavia, Italy.ORCID http://orcid.org/0000-0002-4889-5574
Laura PizzutiUOC OM2 IRCCS Regina Elena National Cancer Institute, Roma, Italy.
Marina Elena CazzanigaCentro Ricerca Fase 1 ASST Monza and Università Degli Studi Milano Bicocca, Milano, Italy.ORCID http://orcid.org/0000-0003-1756-6935
Armando SantoroDepartment of Medical Oncology and Hematology Unit, IRCCS Humanitas Research Hospital, via A. Manzoni 56 20089, Rozzano, Milano, Italy.ORCID http://orcid.org/0000-0003-1709-9492
Humanitas University · ITIstituti Clinici Scientifici Maugeri · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITAgostino Gemelli University Polyclinic · ITASST Fatebenefratelli Sacco · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIRCCS Humanitas Research Hospital · ITUniversity of Milano-Bicocca · ITUniversity of Modena and Reggio Emilia · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe most appropriate therapy for HR + /HER2-positive (HER2 +) advanced breast cancer (ABC) is a matter of debate. Co-targeting of both receptors represents an attractive strategy to overcome the cross-talk between them.

methodsThe HERMIONE 9 is an observational retrospective multicentric study which aimed to describe the clinical outcome of patients with HR + /HER2 + ABC who received the combination of Fulvestrant (F) and Trastuzumab (T) as part of their routine treatment at 10 Italian Institutions.

resultsEighty-seven patients were included. Median age was 63 (range, 35-87) years. The median number of previous treatments was 3 (range, 0-10) and F and T were administered as ≥ 3rd line in 67 patients. Among the 86 evaluable patients, 6 (6.9%) achieved CR, 18 (20.7%) PR, and 44 (50.6%) had SD ≥ 24 weeks with an overall CBR of 78.2%. At a median follow-up of 33.6 months, mPFS of the entire cohort was 12.9 months (range, 2.47-128.67). No difference was observed in mPFS between patients treated after progression or as maintenance therapy (mPFS 12.9 and 13.9 months in 64 and 23 patients, respectively), neither considering the number of previous treatment lines (≤ 3 or < 3).

conclusionThe combination of F and T was active in this cohort at poor prognosis and deserves further investigations possibly in combination with pertuzumab in patients with high ER expression.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleFulvestrantHumansItalyMiddle AgedRetrospective StudiesTrastuzumabErb-b2 Receptor Tyrosine KinasesFulvestrantTrastuzumabAdvanced breast cancerFulvestrantHER2 positiveHormone receptor positiveTrastuzumab

Identifiers

PMID34453206
OpenAlexW3196143879

What OpenQuestion holds

Textmetadata
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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.