Evidence map›Paper›PMID 40369309›Full record

ArticleBJC reports2025

Association of HER2 amplification or overexpression with overall survival in advanced upper gastrointestinal adenocarcinomas.

Minggui Pan, Arun Dang, Tina Huang, Jack Stover, Meng M Tong, Chen Jiang, Ninah S Achacoso, Jeffrey Bien, Aleyda V Solorzano, Pamela Tse and 6 more

Abstract read
In one paragraph

Article in BJC reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Minggui PanDivision of Oncology, Stanford University School of Medicine, Stanford, CA, USA. minggui@stanford.edu.
Arun Dang *Internal Medicine Residency Program, Kaiser Permanente, Santa Clara, CA, USA.
Tina Huang *Internal Medicine Residency Program, Kaiser Permanente, Santa Clara, CA, USA.
Jack Stover *Internal Medicine Residency Program, Kaiser Permanente, Santa Clara, CA, USA.
Meng M Tong *Internal Medicine Residency Program, Kaiser Permanente, Santa Clara, CA, USA.
Chen Jiang *Division of Research, Kaiser Permanente, Oakland, CA, USA.
Ninah S AchacosoDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Jeffrey BienInternal Medicine Residency Program, Kaiser Permanente, Santa Clara, CA, USA.
Aleyda V SolorzanoDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Pamela TseDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Elaine ChungDivision of Research, Kaiser Permanente, Oakland, CA, USA.
Vishnu P KanakavetiDivision of Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Dean FelsherDivision of Oncology, Stanford University School of Medicine, Stanford, CA, USA.
George A FisherDivision of Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Sachdev ThomasDepartment of Oncology and Hematology, Kaiser Permanente, Vallejo, CA, USA.
Laurel HabelDivision of Research, Kaiser Permanente, Oakland, CA, USA.

Funding

Targeting the MYC Pathway for the Treatment of CancerR35CA253180 · NCI · STANFORD UNIVERSITY · PI DEAN W FELSHER · 2020 to 2026
$6.9M
NCI NIH HHS R35 CA253180
6 · The paper itself

Abstract

backgroundAdvanced esophageal (EAC), gastroesophageal junction (GEJAC) and gastric (GAC) adenocarcinomas with HER2 amplification or overexpression (HER2+) are routinely treated with trastuzumab. However, it remains unclear if HER2+ is associated with superior overall survival (OS).

methodsThe cohort included recurrent or de novo metastatic GAC, GEJAC and EAC from Kaiser Permanente Northern California. We used Cox regression modelling to examine association between HER2+ and OS, adjusting for demographics, performance status, CCI, receipt of chemotherapy and p53 (mutp53), KRAS (mutKRAS), CDKN2A, PIK3CA co-mutations and MYC amplification.

resultsOf 875 total eligible patients, 173 had EAC, 276 had GEJAC and 426 had GAC. HER2+ was associated with better OS among the full cohort (HR = 0.74, 95% CI [0.60-0.93]), among EAC (HR = 0.62; [95% CI, 0.40-0.96]) and GEJAC (HR = 0.59; [95% CI, 0.38-0.87]), but not among GAC (HR = 0.89; [95% CI, 0.59-1.35]) patients. GEJAC had better OS than EAC (HR = 0.68, [95% CI, 0.54-0.86]). Trastuzumab treatment was associated with better OS (HR = 0.40, 95% CI [0.21-0.77]). In addition, HER2+ was associated with better OS across the molecular subgroups except that of KRAS mutation (mutKRAS). Our data also show that GEJAC, EAC and GAC were differentially associated with mutp53, mutKRAS and MYC amplification.

conclusionHER2+ and treatment with trastuzumab in HER2+ patients were associated with superior OS in upper gastrointestinal adenocarcinomas across molecular subgroups except that of mutKRAS. These results reaffirm the importance of anti-HER2 treatment in HER2+ patients and provide insight on the prognostic and biological divergence among these anatomically linked upper gastrointestinal adenocarcinomas.

Identifiers

PMID40369309
PMCPMC12078702

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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.