Evidence map›Paper›PMID 40131662›Full record

ArticleBreast cancer research and treatment2025

Treatment patterns and outcomes in HER2-low metastatic breast cancer patients previously treated with chemotherapy: a US real-world cohort study.

Shanu Modi, Suyuan Zhang, Danalyn Byng, Shannon Hunter, Alessandria Strübing, Yan Xiong, Kyle Dunton, Zacharie Mbanya, William Jacot

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 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. Observational
  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.

Shanu ModiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. modis@MSKCC.ORG.ORCID https://orcid.org/0000-0001-6427-7373
Suyuan ZhangDaiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Danalyn ByngDaiichi Sankyo Europe GmbH, Munich, Germany.ORCID http://orcid.org/0000-0002-8754-0530
Shannon HunterDaiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Alessandria StrübingDaiichi Sankyo Europe GmbH, Munich, Germany.
Yan XiongDaiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Kyle DuntonDaiichi Sankyo UK Ltd, Uxbridge, UK.
Zacharie MbanyaAstraZeneca, Cambridge, UK.
William JacotInstitut du Cancer de Montpellier, INSERM U1194, Montpellier University, Montpellier, France.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeReal-world outcomes are poorly understood for patients with human epidermal growth factor receptor 2 (HER2)-low (immunohistochemistry 1+ or 2+ with negative in situ hybridization) metastatic breast cancer (mBC).

methodsUsing for the first time a nationwide electronic health record-derived de-identified database, we assessed demographics, treatment patterns, and outcomes of patients with HER2-low mBC who previously received one line of chemotherapy in the metastatic setting. The post-chemotherapy line was termed the index line of therapy (LOT).

results3765 patients [hormone receptor (HR)-positive: 78.8%, HR-negative: 21.0%] met the inclusion criteria (1 January 2011-30 April 2023). 61.7% of HR-positive patients received endocrine therapy prior to the index LOT. The largest patient percentage received single-agent chemotherapy at the index and subsequent two LOTs. For the overall cohort, the median real-world time to treatment discontinuation/death was 4.1 months (95% CI: 3.9-4.2) and the median real-world time to next treatment/death was 5.1 months (95% CI: 4.8-5.3) from the index LOT. Median real-world overall survival (all patients) was 15.8 months (95% confidence interval: 15.2-16.5, median follow-up = 54.5 months) from the index LOT.

conclusionThese data highlight the unmet clinical needs of patients with HER2-low mBC by characterizing the treatment patterns and poor outcomes in this population on the current standard of care.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesAdultAgedAged, 80 and overBiomarkers, TumorCohort StudiesFemaleHumansMiddle AgedNeoplasm MetastasisTreatment OutcomeUnited StatesBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesCohort studyHER2-lowMetastatic breast cancerReal-world evidenceT-DXd

Identifiers

PMID40131662
PMCPMC12006274

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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.