Evidence map›Paper›PMID 39330047›Full record

Observational studyCurrent oncology (Toronto, Ont.)2024

The Clinical Utilisation and Duration of Treatment with HER2-Directed Therapies in HER2-Positive Recurrent or Metastatic Salivary Gland Cancers.

Joseph Edward Haigh, Karan Patel, Sam Rack, Pablo Jiménez-Labaig, Guy Betts, Kevin Joseph Harrington, Robert Metcalf

Abstract readObservational Study
In one paragraph

Observational study in Current oncology (Toronto, Ont.), 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. 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

7 authors.

Joseph Edward HaighThe Christie NHS Foundation Trust, Wilmslow Road Manchester, Manchester M20 4BX, UK.ORCID 0009-0001-6389-6276
Karan PatelThe Christie NHS Foundation Trust, Wilmslow Road Manchester, Manchester M20 4BX, UK.
Sam RackThe Christie NHS Foundation Trust, Wilmslow Road Manchester, Manchester M20 4BX, UK.
Pablo Jiménez-LabaigThe Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK.
Guy BettsManchester University NHS Foundation Trust, Oxford Road, Manchester M13 9WL, UK.ORCID 0000-0002-9027-2792
Kevin Joseph HarringtonThe Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK.
Robert MetcalfThe Christie NHS Foundation Trust, Wilmslow Road Manchester, Manchester M20 4BX, UK.

Funding

Syncona FoundationThe Christie CharityThe Infrastructure Industry Foundation
6 · The paper itself

Abstract

Salivary gland cancers (SGC) are rare tumours with limited availability of systemic therapies. Some SGC subtypes overexpress HER2, and this represents a potential therapeutic target, but the evidence base is limited. This study sought to analyse real-world data on the efficacy of HER2-directed therapies in SGC. This is a retrospective observational study using anonymised data from commercial compassionate-use access registrations and a privately funded pharmacy prescribing register. Treatment duration was defined as the time from drug initiation to treatment discontinuation. Kaplan-Meier analysis of treatment duration was performed using R for Windows (v4.3.2). A case report is also provided of an exceptional responder. Eighteen patients were identified who received HER2-directed therapies for HER2-positive recurrent/metastatic SGC, and complete data on treatment duration was available for 15/18. Histology was salivary duct carcinoma in 13/18 patients, adenocarcinoma NOS in 4/18, and carcinoma ex pleomorphic adenoma in 1/18. The median treatment duration was 8.3 months (95% CI: 6.41-not reached), and the range was 1.0-47.0 months. Choice of HER2-directed therapy varied, with ado-trastuzumab emtasine being the most common (9/18). At the time of analysis, HER2-directed therapy was ongoing for 9/15, discontinued due to disease progression for 4/15, discontinued due to toxicity for 1/15, and 1/15 was discontinued for an unspecified reason. An exceptional responder experienced a complete response with a treatment duration of 47.0 months. These real-world data are comparable to the median PFS observed with HER2-directed therapies in phase II trials and support the use of HER2-directed therapies in this group.

Indexed as

Erb-b2 Receptor Tyrosine KinasesSalivary Gland NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalRetrospective StudiesERBB2 protein, humanErb-b2 Receptor Tyrosine Kinasesado-trastuzumab emtansineHER2salivary gland cancerTDM1trastuzumabtrastuzumab deruxtecan

Identifiers

PMID39330047
PMCPMC11431065

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.