Evidence map›Paper›PMID 40093981›Full record

ArticleTherapeutic advances in medical oncology2025

Efficacy of sacituzumab govitecan versus treatment of physician's choice in previously treated HR+ and HER2- mBC: a meta-analysis of TROPiCS-02 and EVER-132-002 trials.

Oleg Gluz, Binghe Xu, Rita Nanda, Anandaroop Dasgupta, Ankita Kaushik, Wendy Verret, Akanksha Sharma, Barinder Singh, Hope S Rugo

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. 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

9 authors.

Oleg GluzBreast Center Niederrhein, Evangelical Hospital Johanniter Bethesda, Moenchengladbach, Germany.
Binghe XuDepartment of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, China.ORCID https://orcid.org/0000-0002-6863-5024
Rita NandaSection of Hematology/Oncology, Department of Medicine, The University of Chicago Comprehensive Cancer Center, Chicago, IL, USA.
Anandaroop DasguptaGilead Sciences, Inc., Foster City, CA, USA.
Ankita KaushikGilead Sciences, Inc., Foster City, CA, USA.
Wendy VerretGilead Sciences, Inc., Foster City, CA, USA.
Akanksha SharmaPharmacoevidence, SAS Nagar Mohali, Punjab, India.
Barinder SinghPharmacoevidence, London, UK.
Hope S RugoHelen Diller Family Comprehensive Cancer Center, University of California, 1825 4th Street, San Francisco, CA 94158, USA.ORCID https://orcid.org/0000-0001-6710-4814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: TROPiCS-02 and EVER-132-002 are phase III randomized controlled trials (RCTs) comparing sacituzumab govitecan (SG) to treatment of physician's choice (TPC) in patients with hormone receptor-positive and human epidermal growth factor receptor 2 negative (HR+/HER2-) locally recurrent inoperable or metastatic breast cancer (mBC) who have progressed after two to four prior chemotherapy regimens. TROPiCS-02 enrolled mainly non-Asian patients, whereas EVER-132-002 consisted of only Asian participants. In this study, we compared the efficacy outcomes for SG to TPC via a meta-analysis of the two trials. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses of Individual Participant Data (PRISMA-IPD) guidelines were followed. IPD from the trials were assessed for integrity, consistency, imbalances, or missing values and were combined to estimate pooled and relative treatment effects for comparison of overall survival (OS), progression-free survival (PFS), duration of response (DOR), objective response rate (ORR), and clinical benefit rate (CBR) in the overall, cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) pre-treated, and fast-progressors population (defined as the subgroup of patients with duration of prior CDK4/6i ⩽12 months). Results: In general, TROPiCS-02 and EVER-132-002 had a similar distribution of baseline population characteristics except for prior CDK4/6i treatment and geography. In the overall meta-analytic model, SG showed a significant improvement over TPC in PFS (hazard ratio (HR), 0.62 (95% confidence interval (CI): 0.50-0.77); Conclusion: In conclusion, this meta-analysis confirms that SG significantly improves clinical outcomes in patients with HR+/HER2- mBC, including those pre-treated with CDK4/6i and fast-progressors when compared to TPC. These findings extend previous research, supporting the integration of SG into clinical practice guidelines at a global level for treating the HR+/HER2- mBC population irrespective of status and duration of prior CDK4/6i exposure.

Indexed as

efficacyEVER-132-002HR+/HER2− mBCmetastatic breast cancersacituzumab govitecanTROPiCS-02

Identifiers

PMID40093981
PMCPMC11907608

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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.