Evidence map›Paper›PMID 38992028›Full record

ArticleNature communications2024

Patritumab deruxtecan in HER2-negative breast cancer: part B results of the window-of-opportunity SOLTI-1805 TOT-HER3 trial and biological determinants of early response.

Fara Brasó-Maristany, Juan Manuel Ferrero-Cafiero, Claudette Falato, Olga Martínez-Sáez, Juan Miguel Cejalvo, Mireia Margelí, Pablo Tolosa, Francisco Javier Salvador-Bofill, Josefina Cruz, Blanca González-Farré and 25 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Pembrolizumab and Paclitaxel in Patients with HR+/HER2- Breast Cancer with HER2-Enriched or Basal-like Subtypes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  2. Patritumab deruxtecan in HRNature medicine · 2025
    Trial
  3. Article
  4. Dynamic monitoring of antibody drug conjugates targeting TROP2 or HER2 in breast cancer using circulating tumor cells.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Review
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  8. Article
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  11. Review
  12. Review
  13. Article
  14. Article
  15. Efficient Design of AffilinInternational journal of molecular sciences · 2025
    Article
  16. Review
  17. Review
  18. 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
  19. Review
  20. 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

35 authors.

Fara Brasó-MaristanyTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-5440-9643
Juan Manuel Ferrero-CafieroSOLTI Cancer Research Group, Barcelona, Spain.ORCID 0000-0001-8796-8812
Claudette FalatoTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Olga Martínez-SáezTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-8686-0236
Juan Miguel CejalvoSOLTI Cancer Research Group, Barcelona, Spain.
Mireia MargelíSOLTI Cancer Research Group, Barcelona, Spain.
Pablo TolosaSOLTI Cancer Research Group, Barcelona, Spain.
Francisco Javier Salvador-BofillSOLTI Cancer Research Group, Barcelona, Spain.
Josefina CruzSOLTI Cancer Research Group, Barcelona, Spain.
Blanca González-FarréTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Esther SanfeliuTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Andreu ÒdenaUniversity of Barcelona, Barcelona, Spain.ORCID 0000-0003-1529-880X
Violeta SerraExperimental Therapeutics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0001-6620-1065
Francisco PardoTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0002-3067-0166
Ana María Luna BarreraCentro Integral Oncológico Clara Campal HM (CIOCC), Madrid, Spain.
Miriam ArumiSOLTI Cancer Research Group, Barcelona, Spain.
Juan Antonio GuerraMedical Oncology Department, Hospital de Fuenlabrada, Madrid, Spain.
Guillermo VillacampaSOLTI Cancer Research Group, Barcelona, Spain.
Rodrigo Sánchez-BayonaSOLTI Cancer Research Group, Barcelona, Spain.
Eva CiruelosSOLTI Cancer Research Group, Barcelona, Spain.
Martín Espinosa-BravoSOLTI Cancer Research Group, Barcelona, Spain.ORCID 0000-0002-4293-3875
Yann IzarzugazaSOLTI Cancer Research Group, Barcelona, Spain.
Patricia GalvánTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Judith MatitoCancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Sonia PernasSOLTI Cancer Research Group, Barcelona, Spain.ORCID 0000-0002-1485-5080
Maria VidalTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0003-1992-5727
Anu SanthanagopalResearch and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Dalila SellamiResearch and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Stephen EskerResearch and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Pang-Dian FanResearch and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Fumitaka SutoResearch and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.ORCID 0009-0009-5649-2650
Ana VivancosCancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0003-2888-6512
Tomás PascualTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.ORCID 0000-0001-8431-3183
Aleix PratTranslational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain. alprat@clinic.cat.ORCID 0000-0003-2377-540X
Mafalda OliveiraSOLTI Cancer Research Group, Barcelona, Spain.

Funding

Breast Cancer Research Foundation (BCRF) BCRF-23-198
6 · The paper itself

Abstract

Patritumab deruxtecan (HER3-DXd) exhibits promising efficacy in breast cancer, with its activity not directly correlated to baseline ERBB3/HER3 levels. This research investigates the genetic factors affecting HER3-DXd's response in women with early-stage hormone receptor-positive and HER2-negative (HR+/HER2-) breast cancer. In the SOLTI-1805 TOT-HER3 trial, a single HER3-DXd dose was administered to 98 patients across two parts: 78 patients received 6.4 mg/kg (Part A), and 44 received a lower 5.6 mg/kg dose (Part B). The CelTIL score, measuring tumor cellularity and infiltrating lymphocytes from baseline to day 21, was used to assess drug activity. Part A demonstrated increased CelTIL score after one dose of HER3-DXd. Here we report CelTIL score and safety for Part B. In addition, the exploratory analyses of part A involve a comprehensive study of gene expression, somatic mutations, copy-number segments, and DNA-based subtypes, while Part B focuses on validating gene expression. RNA analyses show significant correlations between CelTIL responses, high proliferation genes (e.g., CCNE1, MKI67), and low expression of luminal genes (e.g., NAT1, SLC39A6). DNA findings indicate that CelTIL response is significantly associated with TP53 mutations, proliferation, non-luminal signatures, and a distinct DNA-based subtype (DNADX cluster-3). Critically, low HER2DX ERBB2 mRNA, correlates with increased HER3-DXd activity, which is validated through in vivo patient-derived xenograft  models. This study proposes chemosensitivity determinants, DNA-based subtype classification, and low ERBB2 expression as potential markers for HER3-DXd activity in HER2-negative breast cancer.

Indexed as

Antibodies, Monoclonal, HumanizedBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesReceptor, ErbB-3AdultAgedAnimalsAntibodies, MonoclonalAntineoplastic AgentsBroadly Neutralizing AntibodiesCamptothecinFemaleHumansImmunoconjugatesMiceMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic AgentsBroadly Neutralizing AntibodiesCamptothecinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesERBB3 protein, humanImmunoconjugatespatritumabReceptor, ErbB-3TP53 protein, humanTrastuzumabtrastuzumab deruxtecanTumor Suppressor Protein p53

Identifiers

PMID38992028
PMCPMC11239918

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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.