Evidence map›Paper›PMID 38433181›Full record

GuidelineBreast cancer (Tokyo, Japan)2024

Trastuzumab deruxtecan for human epidermal growth factor receptor 2-low advanced or metastatic breast cancer: recommendations from the Japanese Breast Cancer Society Clinical Practice Guidelines.

Masaya Hattori, Naoko Honma, Shigenori Nagai, Kazutaka Narui, Tomoko Shigechi, Yukinori Ozaki, Masayuki Yoshida, Takashi Sakatani, Eiichi Sasaki, Yuko Tanabe and 11 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Breast cancer (Tokyo, Japan), 2024. 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
2.5field-weighted citation impact, top 9% 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, 10 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Article
  6. Escalation and optimisation of primary breast cancer treatment with antibody-drug conjugates.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  7. 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

21 authors at 17 institutions in 1 country.

Masaya Hattori *Department of Breast Oncology, Aichi Cancer Center, Nagoya, Japan.
Naoko Honma *Department of Pathology, Toho University Faculty of Medicine, Tokyo, Japan.
Shigenori NagaiDivision of Breast Oncology, Saitama Cancer Center, Saitama, Japan.
Kazutaka NaruiDepartment of Breast and Thyroid Surgery, Yokohama City University Medical Center, Yokohama, Japan.
Tomoko ShigechiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyusyu University, Fukuoka, Japan.
Yukinori OzakiDepartment of Breast Medical Oncology, Advanced Medical Development, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Masayuki YoshidaDepartment of Diagnostic Pathology, National Cancer Center Hospital, Tokyo, Japan.
Takashi SakataniDepartment of Diagnostic Pathology, Nippon Medical School Hospital, Tokyo, Japan.
Eiichi SasakiDepartment of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, Japan.
Yuko TanabeDepartment of Medical Oncology, Toranomonn Hospital, Tokyo, Japan.
Junji TsurutaniAdvanced Cancer Translational Research Institute, Showa University, Tokyo, Japan.
Toshimi TakanoBreast Medical Oncology Department, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Shigehira SajiDepartment of Medical Oncology, School of Medicine, Fukushima Medical University, Fukushima, Japan.
Shinobu MasudaDivision of Oncologic Pathology, Department of Pathology and Microbiology, Nihon University School of Medicine, Tokyo, Japan.
Rie HoriiDepartment of Diagnostic Pathology, Yokohama City University Medical Center, Yokohama, Japan.
Hitoshi TsudaDepartment of Basic Pathology, National Defense Medical College, Saitama, Japan.
Rin YamaguchiDepartment of Diagnostic Pathology, Nagasaki University Hospital, Nagasaki, Japan.
Tatsuya ToyamaDepartment of Breast Surgery, Nagoya City University, Nagoya, Japan.
Chikako YamauchiDepartment of Radiation Oncology, Shiga General Hospital, Moriyama, Japan.
Masakazu ToiTokyo Metropolitan Komagome Hospital, Tokyo, Japan.
Yutaka YamamotoDepartment of Breast and Endocrine Surgery, Kumamoto University Hospital, Kumamoto, Japan. yyamamoto@kumamoto-u.ac.jp.ORCID http://orcid.org/0000-0001-6147-6828
Aichi Cancer Center · JPThe Cancer Institute Hospital · JPYokohama City University Medical Center · JPFukushima Medical University · JPKumamoto University Hospital · JPNagasaki University Hospital · JPNagoya City University · JPNational Defense Medical College · JPNihon University · JPNippon Medical School Hospital · JPSaitama Cancer Center · JPShiga Medical Center · JPShowa University · JPToho University · JPTokyo Metropolitan Komagome Hospital · JPTokyo National Hospital · JPToranomon Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Japanese Breast Cancer Society Clinical Practice Guidelines are published as timely guidance on clinical issues in breast cancer treatment in Japan. In the recent edition of these guidelines, we addressed a new clinical question 34 (CQ 34, systemic treatment part) "Is trastuzumab deruxtecan recommended for patients with unresectable or metastatic HER2-low breast cancer?" and a new future research question 7 (FRQ 7, pathological diagnosis part) "How is HER2-low breast cancer diagnosed for the indication of trastuzumab deruxtecan?". These questions address use of trastuzumab deruxtecan in patients with unresectable or metastatic HER2-low breast cancer who have previously received chemotherapy for metastatic disease. The strengths of evidence and recommendation were determined through a quantitative and qualitative systematic review using multiple outcomes, including efficacy and safety. We conclude that trastuzumab deruxtecan is recommended for this patient population (strength of recommendation: 1; strength of evidence: moderate; CQ34) and that HER2-low expression for the indication of trastuzumab deruxtecan should be diagnosed using companion diagnostics based on appropriate criteria (FRQ7).

Indexed as

Breast NeoplasmsCamptothecinErb-b2 Receptor Tyrosine KinasesTrastuzumabAntineoplastic Agents, ImmunologicalEast Asian PeopleFemaleHumansImmunoconjugatesJapanAntineoplastic Agents, ImmunologicalCamptothecinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabtrastuzumab deruxtecanBreast cancerGuidelineHER2-lowPathological diagnosisSystemic treatment

Identifiers

PMID38433181
PMCPMC11045609
OpenAlexW4392372066

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.