Evidence map›Paper›PMID 34741021›Full record

ArticleNature communications2021

RAB5A expression is a predictive biomarker for trastuzumab emtansine in breast cancer.

Olav Engebraaten, Christina Yau, Kristian Berg, Elin Borgen, Øystein Garred, Maria E B Berstad, Ane S V Fremstedal, Angela DeMichele, Laura van 't Veer, Laura Esserman and 1 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

NCT01042379 phase2recruitingnot on this map

I-SPY Trial (Investigation of Serial Studies to Predict Your Therapeutic Response With Imaging And moLecular Analysis 2)

TypeinterventionalSponsorQuantumLeap Healthcare CollaborativeRan2010 to 2031Enrolled5,000ConditionsBreast Neoplasms, Breast Cancer, Breast Tumors, AngiosarcomaArmsStandard Therapy, AMG 386 with or without Trastuzumab, AMG 479 (Ganitumab) plus Metformin, MK-2206 with or without Trastuzumab, AMG 386 and Trastuzumab
NCT01702571 phase3completednot on this map

A Two-Cohort, Open-Label, Multicenter Study of Trastuzumab Emtansine (T-DM1) in HER2-Positive Locally Advanced or Metastatic Breast Cancer Patients Who Have Received Prior Anti-HER2 and Chemotherapy-Based Treatment

TypeinterventionalSponsorHoffmann-La RocheRan2012 to 2020Enrolled2,185ConditionsBreast CancerArmsTrastuzumab Emtansine
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  3. International journal of molecular sciences · 2026
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  7. Article
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  9. Article
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  12. Resistance to antibody-drug conjugates: A review.Acta pharmaceutica Sinica. B · 2025
    Review
  13. Review
  14. Review
  15. The mechanisms of HER2 targeted ADCs are dependent on Rab GTPases.Therapeutic advances in medical oncology · 2025
    Article
  16. Article
  17. 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

11 authors at 3 institutions in 2 countries.

Olav EngebraatenDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Christina YauDepartments of Surgery and Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.
Kristian BergInstitute for Cancer Research, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-7816-7543
Elin BorgenDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Øystein GarredDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Maria E B BerstadInstitute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Ane S V FremstedalInstitute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Angela DeMicheleDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Laura van 't VeerDepartments of Surgery and Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-9838-8298
Laura EssermanDepartments of Surgery and Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0001-9202-4568
Anette WeyergangInstitute for Cancer Research, Oslo University Hospital, Oslo, Norway. anette.weyergang@rr-research.no.ORCID 0000-0003-0147-1763
Oslo University Hospital · NOUniversity of California, San Francisco · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HER2 is a predictive biomarker for HER2-targeted therapeutics. For antibody-drug conjugates (ADCs; e.g., trastuzumab emtansine (T-DM1)), HER2 is utilized as a transport gate for cytotoxic agents into the cell. ADC biomarkers may therefore be more complex, also reflecting the intracellular drug transport. Here we report on a positive correlation between the early endosome marker RAB5A and T-DM1 sensitivity in five HER2-positive cell lines. Correlation between RAB5A expression and T-DM1 sensitivity is confirmed in breast cancer patients treated with trastuzumab emtansine/pertuzumab in the I-SPY2 trial (NCT01042379), but not in the trastuzumab/paclitaxel control arm. The clinical correlation is further verified in patients from the KAMILLA trial (NCT01702571). In conclusion, our results suggest RAB5A as a predictive biomarker for T-DM1 response and outline proteins involved in endocytic trafficking as predictive biomarkers for ADCs.

Indexed as

Ado-Trastuzumab EmtansineAntibodies, Monoclonal, HumanizedBiomarkers, TumorBreast NeoplasmsFemaleHumansrab5 GTP-Binding ProteinsTrastuzumabAdo-Trastuzumab EmtansineAntibodies, Monoclonal, HumanizedBiomarkers, Tumorpertuzumabrab5 GTP-Binding ProteinsTrastuzumab

Identifiers

PMID34741021
PMCPMC8571323
OpenAlexW3208925290

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.