Evidence map›Paper›PMID 37760491›Full record

ReviewCancers2023

Clinical Impact of New Treatment Strategies for HER2-Positive Metastatic Breast Cancer Patients with Resistance to Classical Anti-HER Therapies.

Marta Tapia, Cristina Hernando, María Teresa Martínez, Octavio Burgués, Cristina Tebar-Sánchez, Ana Lameirinhas, Anna Ágreda-Roca, Sandra Torres-Ruiz, Iris Garrido-Cano, Ana Lluch and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
8.7field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Advances in Targeting HER2 across Cancer Subtypes: A Pan-Tumor Approach.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  10. In silico approach andContemporary oncology (Poznan, Poland) · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. HER2-Selective Tyrosine Kinase Inhibitor, Zongertinib (BI 1810631), in Patients With Advanced/Metastatic Solid Tumors WithJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. 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

12 authors at 3 institutions in 1 country.

Marta TapiaDepartment of Clinical Oncology, University Clinical Hospital of Valencia, 46010 Valencia, Spain.
Cristina HernandoDepartment of Clinical Oncology, University Clinical Hospital of Valencia, 46010 Valencia, Spain.ORCID 0000-0002-6865-4196
María Teresa MartínezDepartment of Clinical Oncology, University Clinical Hospital of Valencia, 46010 Valencia, Spain.ORCID 0000-0003-1312-3555
Octavio BurguésDepartment of Pathology, Hospital Clinic of Valencia, 46010 Valencia, Spain.
Cristina Tebar-SánchezDepartment of Clinical Oncology, University Clinical Hospital of Valencia, 46010 Valencia, Spain.
Ana LameirinhasBiomedical Research Institute INCLIVA, 46010 Valencia, Spain.
Anna Ágreda-RocaBiomedical Research Institute INCLIVA, 46010 Valencia, Spain.
Sandra Torres-RuizBiomedical Research Institute INCLIVA, 46010 Valencia, Spain.ORCID 0000-0002-7801-3560
Iris Garrido-CanoBiomedical Research Institute INCLIVA, 46010 Valencia, Spain.ORCID 0000-0002-1211-473X
Ana LluchDepartment of Clinical Oncology, University Clinical Hospital of Valencia, 46010 Valencia, Spain.
Begoña BermejoDepartment of Clinical Oncology, University Clinical Hospital of Valencia, 46010 Valencia, Spain.
Pilar ErolesBiomedical Research Institute INCLIVA, 46010 Valencia, Spain.ORCID 0000-0003-2708-6206
Hospital Clínico Universitario de Valencia · ESINCLIVA Health Research Institute · ESUniversitat de València · ES

Funding

Asociación Española Contra el Cáncer Predoctoral grantEuropean Union-next generation EU postdoctoralGeneralitat Valenciana ACIF/2019/119Instituto de Salud Carlos III CB16/12/00481Instituto de Salud Carlos III PI21/ 01351
6 · The paper itself

Abstract

HER2-positive breast cancer accounts for 15-20% of all breast cancer cases. This subtype is characterized by an aggressive behavior and poor prognosis. Anti-HER2 therapies have considerably improved the natural course of the disease. Despite this, relapse still occurs in around 20% of patients due to primary or acquired treatment resistance, and metastasis remains an incurable disease. This article reviews the main mechanisms underlying resistance to anti-HER2 treatments, focusing on newer HER2-targeted therapies. The progress in anti-HER2 drugs includes the development of novel antibody-drug conjugates with improvements in the conjugation process and novel linkers and payloads. Moreover, trastuzumab deruxtecan has enhanced the efficacy of trastuzumab emtansine, and the new drug trastuzumab duocarmazine is currently undergoing clinical trials to assess its effect. The combination of anti-HER2 agents with other drugs is also being evaluated. The addition of immunotherapy checkpoint inhibitors shows some benefit in a subset of patients, indicating the need for useful biomarkers to properly stratify patients. Besides, CDK4/6 and tyrosine kinase inhibitors are also included in the design of new treatment strategies. Lapitinib, neratinib and tucatinib have been approved for HER2-positive metastasis patients, however clinical trials are currently ongoing to optimize combined strategies, to reduce toxicity, and to better define the useful setting. Clinical research should be strengthened along with the discovery and validation of new biomarkers, as well as a deeper understanding of drug resistance and action mechanisms.

Indexed as

clinical resistanceHER2-positivemetastatic

Identifiers

PMID37760491
PMCPMC10527351
OpenAlexW4386644944

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.