Evidence map›Paper›PMID 40697533›Full record

ArticleThe Lancet regional health. Western Pacific2025

Pembrolizumab monotherapy for previously treated metastatic HER2-negative breast cancer with germline

Gwo Fuang Ho, Soo Chin Lee, Anita Zarina Bustam, Adlinda Alip, Nur Fadhlina Abdul Satar, Marniza Saad, Rozita Abdul Malik, Siew Eng Lim, Samuel G W Ow, Andrea Wong and 12 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 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. Review
  2. Article
  3. 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

22 authors.

Gwo Fuang HoClinical Oncology Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Soo Chin LeeDepartment of Haematology-Oncology, National University Cancer Institute, Singapore.
Anita Zarina BustamClinical Oncology Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Adlinda AlipClinical Oncology Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Nur Fadhlina Abdul SatarClinical Oncology Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Marniza SaadClinical Oncology Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Rozita Abdul MalikClinical Oncology Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Siew Eng LimDepartment of Haematology-Oncology, National University Cancer Institute, Singapore.
Samuel G W OwDepartment of Haematology-Oncology, National University Cancer Institute, Singapore.
Andrea WongDepartment of Haematology-Oncology, National University Cancer Institute, Singapore.
Wan-Qin ChongDepartment of Haematology-Oncology, National University Cancer Institute, Singapore.
Yvonne L E AngDepartment of Haematology-Oncology, National University Cancer Institute, Singapore.
Audrey Weng Yan LeeCancer Research Malaysia, Subang Jaya, Malaysia.
Siti Norhidayu HasanCancer Research Malaysia, Subang Jaya, Malaysia.
Nabilah Tuan ZaidCancer Research Malaysia, Subang Jaya, Malaysia.
Kian Boon LawInstitute for Clinical Research, Ministry of Health Malaysia, Setia Alam, Malaysia.
Yok Yong TohUniversiti Malaya Medical Centre, Kuala Lumpur, Malaysia.
Hooi Chiao TanUniversiti Malaya Medical Centre, Kuala Lumpur, Malaysia.
Bawani SelvamCancer Research Malaysia, Subang Jaya, Malaysia.
Joanna LimCancer Research Malaysia, Subang Jaya, Malaysia.
Jia-Wern PanCancer Research Malaysia, Subang Jaya, Malaysia.
Soo Hwang TeoCancer Research Malaysia, Subang Jaya, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A common germline deletion polymorphism in the Methods: Eligible patients had a confirmed diagnosis of metastatic HER2-negative breast cancer, 1-3 prior lines of therapy, and documented homozygous or heterozygous germline deletion of Findings: All enrolled patients (N = 44) were women, 30% (12/40) had PD-L1-positive tumours, and 64% (28/44) had received ≥2 previous lines of therapy for metastatic disease. Objective response rate (ORR) was 20% (9/44) (95% CI, 9.8-35.3) in the total and 25% (3/12) (95% CI, 5.5-57.2) in the PD-L1-positive population. Disease control rate (DCR) for the study was 52% (23/44) (95% CI, 36.7-67.5). Median progression-free survival (PFS) was 3.1 months (95% CI, 2.1-4.3), and 6-month PFS rate was 27% (12/44) (95% CI, 16.8-44.2). Median overall survival (OS) was 15.5 months (95% CI, 13.0-26.5), and 12-month OS rate was 66% (29/44) (95% CI, 53.3-82.5). Treatment-related adverse events (AEs) occurred in 30 (68%) patients, including 1 (2%) with a grade 3 AE. There were no deaths due to AEs. Interpretation: Pembrolizumab monotherapy demonstrated anti-tumour activity in a subset of previously treated metastatic HER2-breast cancer patients with germline Funding: This study was sponsored by Cancer Research Malaysia, a non-profit cancer research organization. Merck Sharp & Dohme (MSD) provided free access to the trial drug through the Merck Investigator Studies Program.

Indexed as

Anti-PD-1Germline APOBEC3B deletionHER2-negative breast cancerImmunotherapyPembrolizumab

Identifiers

PMID40697533
PMCPMC12281068

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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.