Evidence map›Paper›PMID 36576009›Full record

ArticleJournal of the National Cancer Institute2023

HER2DX ERBB2 mRNA expression in advanced HER2-positive breast cancer treated with T-DM1.

Fara Brasó-Maristany, Gaia Griguolo, Nuria Chic, Tomás Pascual, Laia Paré, Julia Maues, Patricia Galván, Maria Vittoria Dieci, Federica Miglietta, Tommaso Giarratano and 17 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 25 citations in OpenAlex.

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  5. Associations of the HER2DX Genomic Test with Biological and Pathologic Features in HER2-Positive Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 7 institutions in 3 countries.

Fara Brasó-MaristanyTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-5440-9643
Gaia GriguoloDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-8782-4509
Nuria ChicTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Tomás PascualDepartment of Medical Oncology, Hospital Clinic of Barcelona, Spain.
Laia ParéReveal Genomics, Barcelona, Spain.
Julia MauesGRASP, Baltimore, MD, USA.
Patricia GalvánTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Maria Vittoria DieciDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-3967-9861
Federica MigliettaDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Tommaso GiarratanoDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Olga Martínez-SáezTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Mercedes Marín-AguileraReveal Genomics, Barcelona, Spain.
Francesco SchettiniTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-6561-1919
Benedetta ConteTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Laura AngelatsTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Maria VidalTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Barbara AdamoTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Montserrat MuñozTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Esther SanfeliuDepartment of Pathology, Hospital Clinic de Barcelona, Barcelona, Spain.
Blanca GonzálezDepartment of Pathology, Hospital Clinic de Barcelona, Barcelona, Spain.
Ana VivancosVall d'Hebron Institute of Oncology (VHIO), Cancer Genomics Group, Barcelona, Spain.
Patricia VillagrasaReveal Genomics, Barcelona, Spain.
Joel S ParkerDepartment of Genetics, University of North Carolina, Chapel Hill, NC, USA.
Charles M PerouLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
PierFranco ConteDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-5210-5344
Aleix PratTranslational Genomics and Targeted Therapies in Solid Tumors group, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0003-2377-540X
Valentina GuarneriDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Hospital Clínic de Barcelona · ESUniversity of Padua · ITOryzon Genomics (Spain) · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Quirónsalud Barcelona · ESUniversity of North Carolina at Chapel Hill · USVall d'Hebron Institute of Oncology · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In advanced HER2-positive (HER2+) breast cancer, the new antibody-drug conjugate trastuzumab deruxtecan is more effective compared with trastuzumab emtansine (T-DM1). However, trastuzumab deruxtecan can have considerable toxicities, and the right treatment sequence is unknown. Biomarkers to guide the use of anti-HER2 therapies beyond HER2 status are needed. Here, we evaluated if preestablished levels of ERBB2 mRNA expression according to the HER2DX standardized assay are associated with response and survival following T-DM1. In ERBB2 low, medium, and high groups, the overall response rate was 0%, 29%, and 56%, respectively (P < .001). ERBB2 mRNA was statistically significantly associated with better progression-free survival (P = .002) and overall survival (OS; P = .02). These findings were independent of HER2 immunohistochemistry (IHC) levels, hormone receptor, age, brain metastasis, and line of therapy. The HER2DX risk score (P = .04) and immunoglobulin signature (P = .04) were statistically significantly associated with overall survival since diagnosis. HER2DX provides prognostic and predictive information following T-DM1 in advanced HER2+ breast cancer.

Indexed as

Breast NeoplasmsMaytansineAdo-Trastuzumab EmtansineAntibodies, Monoclonal, HumanizedErb-b2 Receptor Tyrosine KinasesFemaleHumansRNA, MessengerTrastuzumabAdo-Trastuzumab EmtansineAntibodies, Monoclonal, HumanizedERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesMaytansineRNA, MessengerTrastuzumab

Identifiers

PMID36576009
PMCPMC9996199
OpenAlexW4313236758

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.