Evidence map›Paper›PMID 35119530›Full record

Trial reportBreast cancer research and treatment2022

Clinical outcomes in patients with triple negative or HER2 positive lobular breast cancer: a single institution experience.

Alicia Okines, Tazia Irfan, Bernice Asare, Kabir Mohammed, Peter Osin, Ashutosh Nerurkar, Ian E Smith, Marina Parton, Alistair Ring, Stephen Johnston and 1 more

2 registry-linked trialsAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Breast cancer research and treatment, 2022. 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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.

NCT03620643 phase2completednot on this map

Phase II Study of ROS1 Targeting With Crizotinib in Advanced E-cadherin Negative, ER Positive Lobular Breast Cancer, Diffuse Gastric Cancer, Triple Negative Lobular Breast Cancer or CDH1-mutated Solid Tumours

TypeinterventionalSponsorRoyal Marsden NHS Foundation TrustRan2019 to 2024Enrolled33ConditionsLobular Breast Carcinoma, Gastric Cancer, Triple Negative Breast Cancer, CDH1 Gene MutationArmsCrizotinib Oral Capsule [Xalkori], Fulvestrant 50 MG/ML Prefilled Syringe [Faslodex or generic]
NCT04551495 phase2unknown statusnot on this map

Neoadjuvant Study of Targeting ROS1 in Combination With Endocrine Therapy in Invasive Lobular Carcinoma of the Breast

TypeinterventionalSponsorJules Bordet InstituteRan2021 to 2025Enrolled65ConditionsInvasive Lobular Breast Carcinoma, ER+ Breast Cancer, HER2-negative Breast CancerArmsEntrectinib, Letrozole, Goserelin
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. E-Cadherin-Mediated Cell-Cell Adhesion and Invasive Lobular Breast Cancer.Advances in experimental medicine and biology · 2025
    Review
  5. Article
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 1 institution in 1 country.

Alicia OkinesThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK. Alicia.Okines@rmh.nhs.uk.ORCID http://orcid.org/0000-0002-2068-2593
Tazia IrfanThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Bernice AsareThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Kabir MohammedThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Peter OsinThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Ashutosh NerurkarThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Ian E SmithThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Marina PartonThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Alistair RingThe Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT, UK.
Stephen JohnstonThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Nicholas C TurnerThe Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, UK.
Royal Marsden NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInvasive lobular carcinomas (ILC) are characterised by loss of the cell adhesion molecule E-cadherin. Approximately 15% of ILC are ER negative at the time of breast cancer diagnosis, or at relapse due to loss of ER expression. Less than 5% of classical ILC but up to 35% of pleomorphic ILC are HER2 positive (HER2+).

methodsRetrospective analysis of clinic-pathological data from patients with Triple negative (TN) or HER2+ ILC diagnosed 2004-2014 at the Royal Marsden Hospital. The primary endpoint was median overall survival (OS) in patients with metastatic disease. Secondary endpoints included response rate to neo-adjuvant chemotherapy (NAC), median disease-free interval (DFI) and OS for patients with early disease.

resultsThree of 16 patients with early TN ILC and 7/33 with early HER2+ ILC received NAC with pCR rates of 0/3 and 3/5 patients who underwent surgery, respectively. Median DFI was 28.5 months [95% Confidence interval (95%CI) 15-78.8] for TN ILC and not reached (NR) (111.2-NR) for HER2+ early ILC. Five-year OS was 52% (95%CI 23-74%) and 77% (95%CI 58-88%), respectively. Twenty-three patients with advanced TN ILC and 14 patients with advanced HER2+ ILC were identified. Median OS was 18.3 months (95%CI 13.0-32.8 months) and 30.4 months (95%CI 8.8-NR), respectively.

conclusionsIn our institution we report a high relapse rate after treatment for early TN ILC, but median OS from metastatic disease is similar to that expected from TN IDC. Outcomes for patients with advanced HER2+ ILC were less favourable than those expected for IDC, possibly reflecting incomplete exposure to anti-HER2 therapies. CLINICAL

trial registrationROLo (ClinicalTrials.gov Identifier: NCT03620643), ROSALINE (ClinicalTrials.gov Identifier: NCT04551495).

Indexed as

Breast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoplasm Recurrence, LocalReceptors, EstrogenRetrospective StudiesErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenHER2LobularTriple negative

Identifiers

PMID35119530
OpenAlexW4210334183

What OpenQuestion holds

Textmetadata
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.