Evidence map›Paper›PMID 37938529›Full record

ReviewCurrent oncology reports2023

Opportunities and Challenges for a Histology-Agnostic Utilization of Trastuzumab Deruxtecan.

Niraj Neupane, Sangharsha Thapa, Abhinav Bhattarai, Kriti Ahuja, Ilana Schlam, Abhenil Mittal, Sara M Tolaney, Paolo Tarantino

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current oncology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. 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

8 authors at 7 institutions in 4 countries.

Niraj NeupaneRochester General Hospital, Rochester, NY, USA.ORCID 0009-0007-1415-2418
Sangharsha ThapaWestchester Medical Center, New York Medical College, New York, NY, USA.ORCID 0000-0002-3391-762X
Abhinav BhattaraiInstitute of Medicine, Tribhuvan University, Kathmandu, Nepal.ORCID 0000-0002-2232-4124
Kriti AhujaInternal Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA.
Ilana SchlamDivision of Hematology and Oncology, Tufts Medical Center, Boston, MA, USA.
Abhenil MittalHealth Sciences North, Northern Ontario School of Medicine, Sudbury, ON, Canada.
Sara M TolaneyBreast Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Paolo TarantinoBreast Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA. Paolo_Tarantino@dfci.harvard.edu.ORCID 0000-0001-8686-0228
Harvard University · USHealth Sciences North · CAJohn H. Stroger, Jr. Hospital of Cook County · USRochester General Hospital · USTribhuvan University · NPTufts University · USWestchester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review delves into the prospects and challenges offered by a potential pan-histological utilization of trastuzumab deruxtecan (T-DXd) in patients with advanced solid tumors. RECENT

findingsThe HER2-targeted antibody-drug conjugate (ADC) T-DXd has shown broad activity across cancer types, with current indications for patients with biomarker-selected breast, gastric, and non-small-cell lung cancer and relevant activity observed in multiple histology-specific trials. Moreover, two recently reported phase 2 trials (DESTINY-Pantumor02 and HERALD) have supported the potential for a pan-cancer utilization of this ADC in patients with advanced cancers expressing HER2 or with HER2 amplifications. By improving the delivery of cytotoxic chemotherapy, ADCs have allowed for meaningful clinical advantages in broad populations of cancer patients, often leading to survival advantages over conventional chemotherapy. Notably, the broad spectrum of activity of certain ADCs has led to the hypothesis of a histology-agnostic utilization based on detecting specific biomarkers, similar to what is already established for certain targeted treatments and immunotherapy. To date, T-DXd has shown the broadest activity across cancer types, with current approvals in breast, gastric, and lung cancer, and relevant antitumor activity observed in a multiplicity of additional cancer types. The optimization of the drug dose, identification of predictive biomarkers, and clarification of mechanisms of resistance will be critical steps in view of a pan-histological expansion in the use of T-DXd.

Indexed as

Breast NeoplasmsCancer VaccinesCarcinoma, Non-Small-Cell LungImmunoconjugatesLung NeoplasmsBiomarkersCamptothecinErb-b2 Receptor Tyrosine KinasesFemaleHumansTrastuzumabBiomarkersCamptothecinCancer VaccinesErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabtrastuzumab deruxtecanAntibody-drug conjugateBiomarkersHER2Histology-agnosticT-DXdTrastuzumab deruxtecan

Identifiers

PMID37938529
OpenAlexW4388498898

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.