Evidence map›Paper›PMID 38456970›Full record

ArticleBreast cancer research and treatment2024

Correlation between trophoblast cell-surface antigen-2 (Trop-2) expression and pathological complete response in patients with HER2-positive early breast cancer treated with neoadjuvant docetaxel, carboplatin, trastuzumab, and pertuzumab.

María Gion, Juan José García-Mosquera, José Manuel Pérez-García, Vicente Peg, Manuel Ruiz-Borrego, Agostina Stradella, Begoña Bermejo, José Antonio Guerrero, Laura López-Montero, Mario Mancino and 5 more

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Article in Breast cancer research and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. TROP2-targeted NIR-II fluorescence imaging for visualizing surgical margins and metastatic sentinel lymph nodes in breast cancers.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Review
  7. TROP2-targeted molecular imaging: a promising tool for precision oncology.American journal of nuclear medicine and molecular imaging · 2025
    Review
  8. 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

15 authors.

María Gion *Hospital Universitario Ramón y Cajal, Madrid, Spain.
Juan José García-Mosquera *Dr. Rosell Oncology Institute (IOR), Dexeus University Hospital, Quironsalud Group, Barcelona, Spain.
José Manuel Pérez-GarcíaInternational Breast Cancer Center (IBCC), Pangaea Oncology, Quiron Group, Barcelona, Spain.
Vicente PegDepartment of Pathology, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
Manuel Ruiz-BorregoHospital Universitario Virgen del Rocío, Sevilla, Spain.
Agostina StradellaInstitut Català d'Oncologia L'Hospitalet, Hospitalet de Llobregat, Barcelona, Spain.
Begoña BermejoHospital Clínico Universitario de Valencia, Biomedical Research Institute INCLIVA, Valencia, Spain.
José Antonio GuerreroMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Laura López-MonteroMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Mario MancinoMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
José Rodríguez-MoratóMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Gabriele AntonarelliDivision of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, IRCCS, Milan, Italy.
Miguel Sampayo-CorderoMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain.
Antonio Llombart-CussacMedica Scientia Innovation Research (MEDSIR), Barcelona, Spain. antonio.llombart@maj3.health.
Javier CortésInternational Breast Cancer Center (IBCC), Pangaea Oncology, Quiron Group, Barcelona, Spain. javier.cortes@maj3.health.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prognostic and predictive role of trophoblast cell-surface antigen-2 (Trop-2) overexpression in human epidermal growth factor receptor 2-positive (HER2-positive) breast cancer is currently unknown. We retrospectively analyzed Trop-2 expression and its correlation with clinicopathologic features and pathological complete response (pCR) in HER2-positive early breast cancer (EBC) patients treated with neoadjuvant docetaxel, carboplatin, trastuzumab, and pertuzumab in the PHERGain study.

methodsTrop-2 expression at baseline was determined in formalin-fixed, paraffin-embedded primary tumor biopsies by immunohistochemistry and was first classified into expressing (Trop-2-positive) or not-expressing (Trop-2-negative) tumors. Then, it was classified by histochemical score (H-score) according to its intensity into low (0-9), intermediate (10-49), and high (≥ 50). The association between clinicopathologic features, pCR, and Trop-2 expression was performed with Fisher's exact test.

resultsForty-one patients with tissue evaluable for Trop-2 expression were included, with 28 (68.3%) Trop-2-positive tumors. Overall, 17 (41.46%), 14 (34.15%), and 10 (24.40%) tumors were classified as low, intermediate, and high, respectively. Trop-2 expression was significantly associated with decreased pCR rates (50.0% vs. 92.3%; odds ratio [OR] 0.05; 95% CI, 0.002-0.360]; p adjusted = 0.01) but was not correlated with any clinicopathologic features (p ≥ 0.05). Tumors with the highest Trop-2 H-score were less likely to obtain a pCR (OR 0.03; 95% CI, 0.001-0.290, p adjusted < 0.01). This association was confirmed in univariate and multivariate regression analyses.

conclusionThese findings suggest a potential role of Trop-2 expression as a biomarker of resistance to neoadjuvant chemotherapy plus dual HER2 blockade and may become a strategic target for future combinations in HER2-positive EBC patients.

Indexed as

Antibodies, Monoclonal, HumanizedAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCarboplatinCell Adhesion MoleculesDocetaxelErb-b2 Receptor Tyrosine KinasesNeoadjuvant TherapyTrastuzumabAdultAgedBiomarkers, TumorFemaleHumansImmunohistochemistryAntibodies, Monoclonal, HumanizedAntigens, NeoplasmBiomarkers, TumorCarboplatinCell Adhesion MoleculesDocetaxelERBB2 protein, humanErb-b2 Receptor Tyrosine KinasespertuzumabTACSTD2 protein, humanTaxoidsTrastuzumabBiomarkerHER2-positiveNeoadjuvant therapyPathological complete responseTrop-2

Identifiers

PMID38456970

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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.