Evidence map›Paper›PMID 39742383›Full record

SynthesisThe breast journal2024

Targeted Treatment of Metastatic Triple-Negative Breast Cancer: A Systematic Review.

Anna Martha Hammershøi Madsen, Rikke Helene Løvendahl Eefsen, Dorte Nielsen, Iben Kümler

Abstract readSystematic Review
In one paragraph

Synthesis in The breast journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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

4 authors.

Anna Martha Hammershøi MadsenDepartment of Oncology 54 B1 Herlev Hospital University of Copenhagen, Herlev Ringvej 75, DK-2730, Copenhagen, Denmark.ORCID 0009-0005-6585-0502
Rikke Helene Løvendahl EefsenDepartment of Oncology 54 B1 Herlev Hospital University of Copenhagen, Herlev Ringvej 75, DK-2730, Copenhagen, Denmark.ORCID 0000-0003-1421-1792
Dorte NielsenDepartment of Oncology 54 B1 Herlev Hospital University of Copenhagen, Herlev Ringvej 75, DK-2730, Copenhagen, Denmark.
Iben KümlerDepartment of Oncology 54 B1 Herlev Hospital University of Copenhagen, Herlev Ringvej 75, DK-2730, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Triple-negative breast cancer (TNBC) is a subgroup of breast cancer characterized by the absence of estrogen and the human epidermal 2 receptor and also a lack of targeted therapy options. Chemotherapy has so far been the only approved treatment option, and patients with metastatic cancer have a dismal prognosis with a median overall survival (OS) of approximately 14 months. Identification of druggable targets for metastatic TNBC is therefore of special interest. Methods: A systematic search was performed, to review the existing evidence on targeted therapies in metastatic TNBC. Results: A total of 37 phase 2/3 studies were identified, evaluating 29 different targeted agents. In this review, results on progression free survival (PFS) and OS are presented. Conclusion: In most of the studies included, no improvement was observed for neither PFS nor OS; however, a few studies did show improvement with targeted agents and have led to new treatment options in subgroups of patients. The antibody drug conjugate, sacituzumab govitecan, demonstrated superior PFS and OS in comparison to chemotherapy. Immunotherapy with checkpoint inhibitors such as atezolizumab and pembrolizumab is now recommended as a first-line treatment option for patients with expression a PD-L1 positive tumor. Finally, the poly adenosine diphosphate-ribose polymerase (PARP) inhibitors talazoparib and olaparib are recommended, as first-line treatment options in patients with metastatic breast cancer and a germline BRCA mutation, but an immune checkpoint inhibitor should be considered for the subset of these patients who are PD-L1 positive.

Indexed as

Triple Negative Breast NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCamptothecinClinical Trials, Phase III as TopicFemaleHumansImmunoconjugatesMolecular Targeted TherapyNeoplasm MetastasisPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsProgression-Free SurvivalAntibodies, Monoclonal, HumanizedAntineoplastic AgentsatezolizumabCamptothecinImmunoconjugatesolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase Inhibitorssacituzumab govitecantalazoparib

Identifiers

PMID39742383
PMCPMC11257761

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Registered trials

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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.