Evidence map›Paper›PMID 39843642›Full record

ArticleNPJ precision oncology2025

Real life outcome analysis of breast cancer brain metastases treated with Trastuzumab Deruxtecan.

Alessandra Fabi, Alessandro Rossi, Roberta Caputo, Simona Pisegna, Simone Scagnoli, Francesco Pantano, Giuliana D'Auria, Palma Fedele, Agnese Fabbri, Claudio Vernieri and 14 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Efficacy and safety of T-DXd in patients with HER2-positive and HER2-low metastatic breast cancer: a real-world study.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. 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

24 authors.

Alessandra Fabi *Precision Medicine In Senology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Alessandro Rossi *Precision Medicine In Senology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. alessandro.rossi@guest.policlinicogemelli.it.ORCID http://orcid.org/0000-0002-0479-9732
Roberta CaputoDepartment Of Breast And Thoracic Oncology, Division Of Breast Medical Oncology, Istituto Di Ricovero E Cura A Carattere Scientifico (IRCCS) Pascale, Naples, Italy.
Simona PisegnaDepartment Of Experimental Medicine, Sapienza University Of Rome, Rome, Italy.
Simone ScagnoliDepartment Of Experimental Medicine, Sapienza University Of Rome, Rome, Italy.
Francesco PantanoMedical Oncology, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Giuliana D'AuriaDepartment Of Medical Oncology, Sandro Pertini Hospital, Rome, Italy.
Palma FedeleOncology Unit, Dario Camberlingo Hospital, Francavilla Fontana, Brindisi, Italy.
Agnese FabbriDepartment Of Oncology And Hematology, Medical Oncology And Breast Unit, Central Hospital Of Belcolle, Viterbo, Italy.
Claudio VernieriDepartment Of Medical Oncology, Fondazione Irccs Istituto Nazionale Dei Tumori, Milan, Italy.ORCID http://orcid.org/0000-0003-1577-8176
Michela PalleschiIRCCS Istituto Romagnolo Per Lo Studio Dei Tumori "Dino Amadori" Irst, Meldola, Italy.
Luisa CarbogninPrecision Medicine In Senology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Gianluigi FerrettiMedical Oncology, Regina Elena National Cancer Institute Rome, Rome, Italy.
Elena Di MonteDepartment Of Medical Oncology, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Ida ParisDepartment Of Woman And Child Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Francesco PaveseDepartment Of Woman And Child Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Ornella GarroneOncology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID http://orcid.org/0000-0001-7359-5410
Antonio FrancoBreast Unit, Department Of Woman And Child's Health And Public Health, Fondazione Policlinico Universitario A. Gemelli Irccs, Rome, Italy.
Michelino De LaurentiisDepartment Of Breast And Thoracic Oncology, Division Of Breast Medical Oncology, Istituto Di Ricovero E Cura A Carattere Scientifico (IRCCS) Pascale, Naples, Italy.
Gianluca FranceschiniBreast Unit, Department Of Woman And Child's Health And Public Health, Fondazione Policlinico Universitario A. Gemelli Irccs, Rome, Italy.ORCID http://orcid.org/0000-0002-2950-3395
Giovanni ScambiaDepartment Of Woman And Child Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Diana GiannarelliFacility Of Epidemiology And Biostatistics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Riccardo MasettiBreast Unit, Department Of Woman And Child's Health And Public Health, Fondazione Policlinico Universitario A. Gemelli Irccs, Rome, Italy.
Andrea BotticelliDepartment Of Experimental Medicine, Sapienza University Of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor dissemination to the central nervous system (CNS) is almost a rule in the treatment journey of advanced HER2+ breast cancer (BC). Recent results demonstrated high intracranial efficacy with Trastuzumab Deruxtecan (T-DXd). However, a real-world evidence is lacking in literature. We conducted a multicenter, observational, retrospective real-world analysis on 39 cases collected at 12 Italian Oncological Units. Patients with brain metastases (BMs) from HER2 + BC treated with T-DXd in various treatment lines were enrolled. Primary endpoint was the intracranial overall response rate (iORR). Secondary endpoints were intra- and global progression free survival (iPFS - gPFS); other secondary objectives were the intracranial disease control rate (iDCR), duration of response (iDoR), clinical benefit rate at 6 and 12 months (iCBr), overall survival, and safety. iORR was 59%, iPFS was 15.6 months, gPFS was 11.8 months. iDCR was 94.9%, iDoR was 11.9 months, and iCBr at 6 and 12 months were 69.2% and 59%, respectively. OS was not reached, with an overall rate of 77.9% of patients alive at 12 months. This study confirmed the high intracranial efficacy and manageable safety profile of T-DXd in this first-ever real world analysis.

Identifiers

PMID39843642
PMCPMC11754752

What OpenQuestion holds

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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.