Evidence map›Paper›PMID 36517940›Full record

Trial reportCancer2023

Phase 2 prospective open label study of neoadjuvant nab-paclitaxel, trastuzumab, and pertuzumab in patients with HER2-positive primary breast cancer.

Sayeh M Lavasani, George Somlo, Susan E Yost, Paul H Frankel, Christopher Ruel, Yujie Cui, Mireya Murga, Aileen Tang, Norma Martinez, Laura Kruper and 6 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. 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

16 authors at 1 institution in 1 country.

Sayeh M LavasaniDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
George SomloDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
Susan E YostDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.ORCID 0000-0002-9422-0316
Paul H FrankelDepartment of Biostatistics, City of Hope National Medical Center, Duarte, California, USA.
Christopher RuelDepartment of Biostatistics, City of Hope National Medical Center, Duarte, California, USA.
Yujie CuiDepartment of Biostatistics, City of Hope National Medical Center, Duarte, California, USA.
Mireya MurgaDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
Aileen TangDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
Norma MartinezDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
Laura KruperDepartment of Surgery, City of Hope National Medical Center, Duarte, California, USA.
Lusine TumyanDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, California, USA.
Daniel SchmolzeDepartment of Pathology, City of Hope National Medical Center, Duarte, California, USA.
Christina YeonDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
Yuan YuanDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
James R WaismanDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.
Joanne MortimerDepartment of Medical Oncology & Therapeutic Research, City of Hope National Medical Center, Duarte, California, USA.ORCID 0000-0002-2935-1934
City Of Hope National Medical Center · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
NCI NIH HHS P30 CA033572NCI NIH HHS P30CA033572
6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the safety and efficacy of nab-paclitaxel, trastuzumab, and pertuzumab as neoadjuvant therapy (NAT) in patients with human epidermal growth factor receptor 2 HER2+ breast cancer (HER2+ BC) to determine pathologic complete response (pCR), invasive disease-free survival (iDFS), and overall survival.

methodsForty-five patients with HER2+ BC Stages II-III were to be enrolled from 2013 to 2017. Patients were treated with weekly nab-paclitaxel (100 mg/m

resultsMedian follow-up was 60 months (95% CI, 32.3-55.6) and pCR was 29/45 (64%). The 5-year iDFS for patients who achieved pCR (N = 29) was 96.3% (95% CI, 76.5-99.5) and non-pCR patients (N = 16) was 74.3% (95% CI, 39.1-91.0). The 5-year overall survival (N = 45) was 94.1% (95% CI, 77.6-98.5). Based on hormonal status, the 5-year iDFS for HR+ pCR patients (N = 14) was 92.3% (95% CI, 56.6-98.9) and for HR- (N = 15) was 100% (p = .3).

conclusionsThis anthracycline/carboplatin-free regimen with nab-paclitaxel achieved a pCR rate of 64% in patients with HER2+ BC. The 5-year iDFS in patients with and without pCR was 96.3% and 74.3%, respectively. The pCR rate is comparable with docetaxel, carboplatin, trastuzumab, and pertuzumab therapy in the NAT setting, but with fewer treatment-associated toxicities. This finding suggests the possibility of safe avoidance of anthracyclines and carboplatin as components of NAT in patients with HER2+ BC.

Indexed as

Breast NeoplasmsAlbuminsAnthracyclinesAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoadjuvant TherapyPaclitaxelProspective StudiesTrastuzumab130-nm albumin-bound paclitaxelAlbuminsAnthracyclinesAntibodies, Monoclonal, HumanizedCarboplatinErb-b2 Receptor Tyrosine KinasesPaclitaxelpertuzumabTrastuzumabHER2-positivenab-paclitaxelneoadjuvantpertuzumabprimary and locally-advanced breast cancertrastuzumab

Identifiers

PMID36517940
PMCPMC10107275
OpenAlexW4311582296

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.