Evidence map›Paper›PMID 36417083›Full record

SynthesisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2023

Dual neoadjuvant blockade plus chemotherapy versus monotherapy for the treatment of women with non-metastatic HER2-positive breast cancer: a systematic review and meta-analysis.

Juan Carlos Vazquez, Silvia Antolin, Manuel Ruiz-Borrego, Sonia Servitja, Emilio Alba, Agusti Barnadas, Ana Lluch, Miguel Martin, Alvaro Rodriguez-Lescure, Ivan Sola and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Axillary lymph node management strategies in cN + breast cancer patients after neoadjuvant chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. 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

13 authors at 9 institutions in 1 country.

Juan Carlos VazquezIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. jvazquezn@santpau.cat.ORCID http://orcid.org/0000-0002-7780-4387
Silvia AntolinMedical Oncology Unit, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain.
Manuel Ruiz-BorregoGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Sonia ServitjaGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Emilio AlbaGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Agusti BarnadasGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Ana LluchGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Miguel MartinGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Alvaro Rodriguez-LescureGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Ivan SolaIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Xavier BonfillIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Gerard UrrutiaIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Pedro Sanchez-RoviraGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Instituto de Salud Carlos III · ESUniversitat Autònoma de Barcelona · ESComplejo Hospitalario de Jaén · ESComplexo Hospitalario Universitario A Coruña · ESHospital Del Mar · ESHospital de Sant Pau · ESHospital General Universitario de Elche · ESHospital Universitario Virgen del Rocío · ESIberoamerican Cochrane Centre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to determine the effect of dual anti-HER2 blockade compared to monotherapy on clinically important outcomes.

methodsWe carried out a systematic review updated until July 2022. The outcomes included pathological complete response (pCR), clinical response, event-free survival, and overall survival.

resultsWe identified eleven randomized clinical trials (2836 patients). When comparing paclitaxel plus dual treatment versus paclitaxel plus trastuzumab or lapatinib, dual treatment was associated with a higher probability of achieving a pathological complete response (OR 2.88, 95% CI 2.02-4.10). Addition of a taxane to an anthracycline plus cyclophosphamide and fluorouracil, plus lapatinib or trastuzumab, showed that the dual treatment was better than lapatinib alone (OR 2.47, 95% CI 1.41-4.34), or trastuzumab alone (OR 1.89, 95% CI 1.13-3.16). Dual treatment may result in an increase in survival outcomes and tumour clinical response, although such benefits are not consistent for all the combinations studied.

conclusionsThe use of dual blockade with combinations of trastuzumab and pertuzumab can be recommended for the neoadjuvant treatment of women with HER2-positive breast cancer. PROSPERO Registration number: CRD42018110273.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansLapatinibNeoadjuvant TherapyPaclitaxelQuinazolinesTrastuzumabTreatment OutcomeErb-b2 Receptor Tyrosine KinasesLapatinibPaclitaxelQuinazolinesTrastuzumabBreast cancerHuman epidermal growth factor receptorLapatinibNeoadjuvantPathological complete responseTrastuzumab

Identifiers

PMID36417083
OpenAlexW4309728484

What OpenQuestion holds

Textmetadata
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.