Evidence map›Paper›PMID 34898302›Full record

ArticleThe Journal of international medical research2021

Cardiotoxicity of trastuzumab emtansine (T-DM1): a single-center experience.

Aynur Acibuca, Ahmet Sezer, Mustafa Yilmaz, Ahmet Taner Sumbul, Senol Demircan, Ibrahim Haldun Muderrisoglu, Ozgur Ozyilkan

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Aynur AcibucaDepartment of Cardiology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.ORCID https://orcid.org/0000-0002-3444-8845
Ahmet SezerDepartment of Oncology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.
Mustafa YilmazDepartment of Cardiology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.
Ahmet Taner SumbulDepartment of Oncology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.
Senol DemircanDepartment of Cardiology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.
Ibrahim Haldun MuderrisogluDepartment of Cardiology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.
Ozgur OzyilkanDepartment of Oncology, Baskent University School of Medicine, Dr Turgut Noyan Practice and Research Center, Adana, Turkey.
Başkent University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNew anti-cancer drugs promise to increased survival benefits and reduce adverse events. Trastuzumab emtansine (T-DM1) is a novel anti-human epidermal growth factor receptor 2 agent that has shown minimal cardiotoxicity in clinical trials. However, data on real-life outcomes are required.

methodsA retrospective review of our center's medical records was performed, including female patients aged ≥18 years with a diagnosis of metastatic breast cancer who were treated with T-DM1. Descriptive statistics were used to investigate clinical features that could increase the risk of cardiotoxicity. Cardiotoxicity was determined by comparing pre and post-T-DM1 echocardiogram results and was defined as a decrease in the left ventricular ejection fraction (LVEF) >10% to below 55%.

resultsData from 41 female patients with a mean age of 52 ± 11.5 years were evaluated. A significant LVEF decrease (from 59% to 33%) was observed in one patient during T-DM1 treatment. Further investigation showed that this decrease was due to underlying coronary artery disease, and LVEF recovered to the baseline value after coronary revascularization.

conclusionT-DM1 seems to be safe in terms of cardiotoxicity. Real-life data with a larger sample size are still needed to confirm the cardiac safety of T-DM1.

Indexed as

Breast NeoplasmsCardiotoxicityAdolescentAdo-Trastuzumab EmtansineAdultErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedRetrospective StudiesStroke VolumeVentricular Function, LeftAdo-Trastuzumab EmtansineErb-b2 Receptor Tyrosine KinasesBreast cancercardiotoxicityechocardiogramleft ventricular ejection fractionmetastatic breast cancertrastuzumab emtansine

Identifiers

PMID34898302
PMCPMC8671676
OpenAlexW4200601825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.