Evidence map›Paper›PMID 38941050›Full record

ArticleOncology and therapy2024

Exploring a Novel Approach to Spare Classic Chemotherapy in HER2-Low, ER-Positive Breast Cancer Based on Trastuzumab Deruxtecan Combined with Endocrine Therapy.

Luca Scafuri, Carlo Buonerba, Vincenzo Di Lauro, Vincenzo Tortora, Marco Cascella, Luigi Liguori, Antonella Sciarra, Francesco Sabbatino, Anna Diana, Antonio Marra and 6 more

Abstract readEditorial
In one paragraph

Article in Oncology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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
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

16 authors.

Luca ScafuriOncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Pagani, Italy. lucaluca@hotmail.it.ORCID http://orcid.org/0000-0002-7410-8300
Carlo BuonerbaOncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Pagani, Italy.
Vincenzo Di LauroDepartment of Breast & Thoracic Oncology, Division of Breast Medical Oncology, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Naples, Italy.
Vincenzo TortoraS.C. Oncologia, ASL Vercelli, Vercelli, Italy.
Marco CascellaAnesthesia and Pain Medicine, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Via S. Allende, 84081, Baronissi, Italy.
Luigi LiguoriDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Antonella SciarraDepartment of Experimental Medicine, University of Campania 'Luigi Vanvitelli', Naples, NA, Italy.
Francesco SabbatinoOncology Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, 84081, Baronissi, Salerno, Italy.
Anna DianaMedical Oncology Unit, Ospedale del Mare, Naples, Italy.
Antonio MarraEuropean Institute of Oncology-IRCCS, Milan, Italy.
Paolo TarantinoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Dario TrapaniDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Mario GiulianoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Grazia ArpinoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Giuseppe CuriglianoDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Giuseppe Di LorenzoOncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Pagani, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer presents diverse molecular subtypes affecting treatment strategies. Human epidermal growth factor receptor 2 (HER2)-low, hormone receptor-positive (HR+) breast cancer poses a challenge due to limited targeted therapies. Current neoadjuvant treatment primarily utilizes chemotherapy, with conflicting results regarding efficacy in patients with HER2-low breast cancer. Trastuzumab deruxtecan (T-DXd) shows promise in HER2-low metastatic disease, and preliminary evidence suggests synergy with endocrine therapy.

objectiveThis editorial explores the hypothesis that neoadjuvant T-DXd with or without endocrine therapy offers efficacy in the clinical management of HR+/HER2-low breast cancer.

methodsWe propose a phase II study with two treatment arms: T-DXd + letrozole and T-DXd alone. The primary endpoint is the radiological complete response rate. Secondary endpoints include pathological complete response rate, safety, event-free survival, and overall survival. Exploratory analyses will compare the arms to identify potential for optimizing treatment efficacy and minimizing side effects.

conclusionsThis study design allows for initial assessment of T-DXd with or without endocrine therapy in the treatment of HER2-low breast cancer. The findings may pave the way for personalized treatment strategies and inform future research, potentially leading to a chemotherapy-sparing approach.

Indexed as

Breast cancerEstrogen receptor-positiveHER2-lowNeoadjuvant therapyTrastuzumab deruxtecan

Identifiers

PMID38941050
PMCPMC11333662

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