Evidence map›Paper›PMID 36331291›Full record

ArticleAnnals of medicine2022

Pyrotinib-based treatments in HER2-positive breast cancer patients with brain metastases.

Xiaoping Ma, Yan Li, Li Li, Chunyan Gao, Dan Liu, Hongyu Li, Zhenhui Zhao, Bing Zhao

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 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

8 authors at 2 institutions in 1 country.

Xiaoping MaBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Yan LiBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Li LiBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Chunyan GaoBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Dan LiuBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Hongyu LiBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Zhenhui ZhaoBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Bing ZhaoBreast Cancer, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China.
Tumor Hospital of Xinjiang Medical University · CNXinjiang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExtensive application of anti-HER2 targeted therapy improves significantly the HER2-positive advanced breast cancer (BC) prognosis, however, it is still difficult to treat brain metastasis. In current study, we explored effective approaches MATERIALS AND

methodsCurrent study included 61 HER2-positive BC patients with brain metastases (BM) who were treated by pyrotinib-based regimens. The systemic regimens included pyrotinib combined with capecitabine, pyrotinib combined with nab-paclitaxel, and pyrotinib combined with vinorelbine. Patients' progression-free survival (PFS), overall survival (OS), clinical benefit rate (CBR) and objective response rate (ORR), as well as drug-related adverse events (AEs) in regard of each combination regimen were analyzed.

resultsPyrotinib-based systemic therapy resulted in 8.6 months median PFS (mPFS) and 18.0 months median OS (mOS) among the BM patients. Regarding different regimens, the combination of pyrotinib with nab-paclitaxel was superior to the combination with capecitabine and vinorelbine with respect to PFS and OS. The central nervous system (CNS) ORR did not showcase significant difference among 3 regimens, however, nab-paclitaxel combined regimen obtained the best peripheral ORR (84.6%) (

conclusionsPyrotinib-based combination therapy is safe for HER2-positive brain metastasis treatment. Compared with vinorelbine or capecitabine, pyrotinib combined with nab-paclitaxel is more effective with less toxicity, which is the preferable regimen for HER2-positive brain metastasis.KEY MESSAGESPresent investigation investigated effective methods through combining pyrotinib to treat brain metastasis with HER2-positive advanced brain cancer. The outcomes verified that pyrotinib-based combination therapy was safe and efficient to treat HER2-positive brain metastasis. Therefore, it is effective to treat brain metastasis applying anti-HER2 targeted therapies although pyrotinib showcases efficiency regarding its treatments for the metastasis.

Indexed as

Brain NeoplasmsBreast NeoplasmsAcrylamidesAminoquinolinesAntineoplastic Combined Chemotherapy ProtocolsCapecitabineErb-b2 Receptor Tyrosine KinasesFemaleHumansTrastuzumabVinorelbineAcrylamidesAminoquinolinesCapecitabineErb-b2 Receptor Tyrosine KinasespyrotinibTrastuzumabVinorelbinebrain metastasisBreast cancercombination therapyhuman epidermal growth factor receptor 2 (HER2)pyrotinibtrastuzumab

Identifiers

PMID36331291
PMCPMC9639475
OpenAlexW4308207134

What OpenQuestion holds

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LicenceCC BY
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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.