Evidence map›Paper›PMID 35053467›Full record

ArticleCancers2022

Stereotactic Radiation and Dual Human Epidermal Growth Factor Receptor 2 Blockade with Trastuzumab and Pertuzumab in the Treatment of Breast Cancer Brain Metastases: A Single Institution Series.

Edy Ippolito, Sonia Silipigni, Paolo Matteucci, Carlo Greco, Francesco Pantano, Giuliana D'Auria, Carlo Cosimo Quattrocchi, Barnaba Floreno, Michele Fiore, Teresa Gamucci and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 26% 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, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Chinese Society of Clinical Oncology breast cancer expert consensus on the diagnosis and treatment of breast cancer brain metastasis (2025).Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  5. Review
  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

12 authors at 2 institutions in 1 country.

Edy IppolitoDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Sonia SilipigniDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Paolo MatteucciDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Carlo GrecoDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Francesco PantanoDepartment of Medical Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Giuliana D'AuriaDepartment of Medical Oncology, Sandro Pertini Hospital, 00157 Rome, Italy.
Carlo Cosimo QuattrocchiDepartment of Diagnostic Imaging and Interventional Radiology, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0001-6823-7707
Barnaba FlorenoDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Michele FioreDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0003-1889-4578
Teresa GamucciDepartment of Medical Oncology, Sandro Pertini Hospital, 00157 Rome, Italy.
Giuseppe ToniniDepartment of Medical Oncology, Campus Bio-Medico University, 00128 Rome, Italy.
Sara RamellaDepartment of Radiation Oncology, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0002-5782-7717
Università Campus Bio-Medico · ITOspedale Sandro Pertini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: This study aims to assess the safety and efficacy of fractionated SRT (fSRT) and pertuzumab-trastuzumab (PT) in patients with breast cancer brain metastases (BCBM). (2) Methods: Patients with HER2+ BCBM who received FSRT from 2015 to 2019 were identified. Patients were included if they were treated with fSRT within 21 days of receiving PT. All lesions were treated with LINAC-based fSRT to a total dose of 27 Gy delivered in three consecutive fractions. All patients received concurrent PT. Patients were evaluated 4-6 weeks after SRS and subsequently every 2-3 months with MRI re-imaging (3) Results: A total of 49 patients with HER2+ brain metastases were identified. Of these patients, a total of 10 patients with 32 HER2+ BCBM were treated with concurrent SRT and PT and included in the analysis. No local progression was observed. Overall response rate was 68.7%. Only one patient developed asymptomatic radionecrosis. Median time to BM occurrence was 15.6 (range: 1-40.5 months). Distant intracranial failure occurred in 4/10 patients (40.0%). Overall BCBM median survival was 33.9 months (95%CI 24.1-43.6). Mean duration of PT treatment was 27.9 months (range: 10.1-53.7 months). (4) Conclusions: In our single institution experience, fSRT and PT showed to be a safe treatment for patients with BCBM with an adequate overall response rate.

Indexed as

breast cancerdual blockadepertuzumabSRTtrastuzumab

Identifiers

PMID35053467
PMCPMC8774076
OpenAlexW4205920806

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.