Evidence map›Paper›PMID 40989560›Full record

ArticleThe Lancet regional health. Europe2025

Real-world efficacy and safety of trastuzumab deruxtecan versus trastuzumab emtansine and tucatinib as second-line and third-line treatments for HER2-positive metastatic breast cancer: two target trial emulation studies.

Hugo Jourdain, Antonio Di Meglio, Imène Mansouri, David Desplas, Mahmoud Zureik, Nadia Haddy

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

6 authors.

Hugo JourdainEPI-PHARE, French National Agency for Medicine and Health Product Safety (ANSM) and the French National Health Insurance Center (CNAM), 143-147 Boulevard Anatole France, Saint-Denis, 93285, France.
Antonio Di MeglioCancer Survivorship Program - INSERM Unit 981 Molecular Predictors and New Targets in Oncology - Gustave Roussy, Villejuif, France.
Imène MansouriEPI-PHARE, French National Agency for Medicine and Health Product Safety (ANSM) and the French National Health Insurance Center (CNAM), 143-147 Boulevard Anatole France, Saint-Denis, 93285, France.
David DesplasEPI-PHARE, French National Agency for Medicine and Health Product Safety (ANSM) and the French National Health Insurance Center (CNAM), 143-147 Boulevard Anatole France, Saint-Denis, 93285, France.
Mahmoud ZureikEPI-PHARE, French National Agency for Medicine and Health Product Safety (ANSM) and the French National Health Insurance Center (CNAM), 143-147 Boulevard Anatole France, Saint-Denis, 93285, France.
Nadia HaddyEPI-PHARE, French National Agency for Medicine and Health Product Safety (ANSM) and the French National Health Insurance Center (CNAM), 143-147 Boulevard Anatole France, Saint-Denis, 93285, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The management of HER2-positive metastatic breast cancer (HER2 Methods: We emulated two target trials using the French National Health Data System: T-DXd versus T-DM1 and T-DXd versus tucatinib, for second- and third-line HER2 Findings: In the second-line treatment emulation ( Interpretation: In this real-world study, T-DXd was more effective than T-DM1 as a second-line treatment and tucatinib as a third-line treatment, in line with clinical trial results. Funding: None.

Indexed as

French National Health Data System (SNDS)HER2-positive metastatic breast cancerTarget trial emulationTrastuzumab deruxtecanTrastuzumab emtansineTucatinib

Identifiers

PMID40989560
PMCPMC12451362

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.