Evidence map›Paper›PMID 39858041›Full record

ArticleCancers2025

A Retrospective, Single-Center Study Comparing Neoadjuvant ACTHP vs. DCbHP in HER2-Positive Early Breast Cancer Patients.

Amit Itay, Opher Globus, Keren Levanon, Tal Sella, Rinat Bernstein-Molho, Tal Shapira, Cecilie Oedegaard, Dana Fourey, Einav Nili Gal Yam

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Amit ItayDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.ORCID 0000-0002-9779-1704
Opher GlobusDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Keren LevanonDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Tal SellaDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Rinat Bernstein-MolhoDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Tal ShapiraDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Cecilie OedegaardDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Dana FoureyDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.
Einav Nili Gal YamDepartment of Oncology, Sheba Medical Center, Ramat Gan 52621, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant systemic therapy is the preferred treatment approach for stage II-III HER2-positive breast cancer (BC). Real-life data comparing regimens with or without anthracyclines combined with two HER2 drugs is lacking. We compared the efficacy and toxicity of two commonly used regimens.

methodsRetrospective data were collected on patients newly diagnosed with clinical stage II-III HER2-positive BC and treated at Sheba Medical Center, Israel, between September 2017 and June 2022 with either neoadjuvant DCbHP (docetaxel, carboplatin, trastuzumab, pertuzumab) or ACTHP (doxorubicin, cyclophosphamide, paclitaxel trastuzumab pertuzumab). PCR (pathological complete response) (ypT0/isN0) was evaluated in both cohorts and according to HER2 immunohistochemistry (IHC) staining (3+ or 2+ and fluorescence in situ hybridization [FISH] positive), estrogen receptor (ER), tumor size and nodal status. The toxicity indices evaluated were reductions in left ventricle ejection fraction (LVEF), dose reductions, hospitalizations and febrile neutropenia.

resultsHere, 106 received ACTHP and 73 received DCbHP. Median age at diagnosis, ER status, HER2 IHC (2+/FISH pos or 3+) and nodal status were balanced. PCR occurred in 63.1% of patients, 67.0% and 57.5% in the ACTHP and DCbHP groups, respectively (

conclusionsPCR rates were similar overall between ACTHP and DCbHP; however, in the HER2 3+ subgroup, ACTHP demonstrated increased efficacy. DCbHP was significantly less cardiotoxic.

Indexed as

anthracyclinesbreast cancercardiotoxicitycongestive heart failureearly breast cancerHer-2 positiveneoadjuvant therapypathologic complete response

Identifiers

PMID39858041
PMCPMC11764069

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