Evidence map›Paper›PMID 40366333›Full record

ArticleThe oncologist2025

Delphi consensus on the management of adverse events in patients with metastatic triple-negative breast cancer treated with sacituzumab govitecan.

Anna Amela Valsecchi, Simona Pisegna, Andrea Antonuzzo, Grazia Arpino, Giampaolo Bianchini, Laura Biganzoli, Giuseppe Ferdinando Colloca, Carmen Criscitiello, Romano Danesi, Alessandra Fabi and 4 more

Abstract readConsensus Statement
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Impact ofJournal of clinical medicine · 2026
    Article
  2. Article
  3. Strategies for premedication and G-CSF application in sacituzumab govitecan treatment of patients with triple-negative breast cancer: multicenter insights.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

14 authors.

Anna Amela ValsecchiDepartment of Oncology, University of Turin, A.O.U. Città della Salute e della Scienza di Torino, Ospedale Molinette, Turin, Italy.
Simona PisegnaDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Andrea AntonuzzoInternistic and Geriatric Supportive Care, Fondazione IRCCS - National Cancer Institute, Milan, Italy.
Grazia ArpinoOncology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Giampaolo BianchiniDepartment of Medical Oncology, IRCCS Ospedale San Raffaele, Milano, Italy.ORCID 0000-0002-6790-6267
Laura BiganzoliDepartment of Oncology, Hospital of Prato, Azienda USL Toscana Centro, Italy.
Giuseppe Ferdinando CollocaDepartment of Imaging Diagnostic, Oncologic Radiotherapy and Haematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Carmen CriscitielloDivision of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, IRCCS, Milan, Italy.ORCID 0000-0001-9064-0113
Romano DanesiDepartment of Oncology and Hemato-Oncology, University of Milano "La Statale," Milan, Italy.ORCID 0000-0002-4414-8934
Alessandra FabiPrecision Medicine Unit in Senology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Raffaele GiustiMedical Oncology Unit, Sant'Andrea Hospital, Rome, Italy.ORCID 0000-0003-4592-8868
Loredana PauEuropa Donna Italia, Milan, Italy.
Massimo Di MaioDepartment of Oncology, University of Turin, A.O.U. Città della Salute e della Scienza di Torino, Ospedale Molinette, Turin, Italy.ORCID 0000-0001-8906-3785
Daniele SantiniMedical-Surgical Sciences and Biotechnology, La Sapienza University of Rome, Rome, Italy.

Funding

Gilead Sciences
6 · The paper itself

Abstract

backgroundMetastatic triple-negative breast cancer (BC; mTNBC) is one of the most aggressive cancers, difficult to treat due to the absence of hormone target receptors. Sacituzumab govitecan (SG) is a new therapeutic approach that exploits the combination of an antibody directed against the Trop-2 antigen expressed in solid epithelial tumors and the active metabolite SN-38, to precisely target cancer cells. The development of consensus recommendations requires synthesizing expert opinions, especially when direct evidence is limited.

methodsThis study aimed to create a Delphi process to gather the perspectives of a panel of BC and supportive specialists on the use of SG in clinical practice. A scientific board discussed and defined a series of statements that were submitted to the panel through 2 rounds of voting. The process was designed to collect expert opinions to achieve consensus on key points regarding the safety, dosing regimens, and patient management for SG. Each round of the survey included targeted questions informed by current literature. Predefined criteria for consensus were set at ≥75% agreement.

resultsIn October 2024, 29 experts' opinions were collected by voting on 40 statements and reaching a 67% agreement. The reduction of the initial SG dose and the management of prophylaxis for patients with the UGT1A1 *28/*28 genotype were the most discussed topics.

conclusionsThe results provide a foundational framework for clinical decision-making, and highlight the importance of collaborative expert synthesis in forming practice guidelines. Future studies should focus on prospective SG trials to address the identified areas of uncertainty.

Indexed as

Antibodies, Monoclonal, HumanizedCamptothecinImmunoconjugatesTriple Negative Breast NeoplasmsDelphi TechniqueFemaleHumansAntibodies, Monoclonal, HumanizedCamptothecinImmunoconjugatessacituzumab govitecanadverse eventsbreast cancerconsensusDelphiguidelinesmanagementmTNBCsacituzumab govitecan

Identifiers

PMID40366333
PMCPMC12076644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.