Evidence map›Paper›PMID 41458271›Full record

ArticleOxford medical case reports2025

Durable clinical and metabolic response to Trastuzumab Deruxtecan in heavily Pretreated male HER2-low metastatic breast cancer: a case report.

Oumaima Lamsyah, Intissar Belrhali, Yousra Al Harrak, Majdouline Bel Lakhdar, Sihame Lkhoyaali, Saber Boutayeb, Ibrahim El Ghissassi, Hind M'rabti, Hassan Errihani

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Oumaima LamsyahDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.ORCID https://orcid.org/0009-0007-6996-2709
Intissar BelrhaliDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.
Yousra Al HarrakDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.ORCID https://orcid.org/0009-0003-6899-1031
Majdouline Bel LakhdarDepartment of Nuclear Medicine, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Street Mfadel Cherkaoui, Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.
Sihame LkhoyaaliDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.
Saber BoutayebDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.
Ibrahim El GhissassiDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.
Hind M'rabtiDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.
Hassan ErrihaniDepartment of Medical Oncology, National Institute of Oncology (INO), Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Avenue Allal El Fassi,Souissi, 10100 Rabat, Rabat-Salé-Kénitra Region, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Male breast cancer (MBC), accounting for < 1% of all breast malignancies, remains underrepresented in clinical trials evaluating human epidermal growth factor receptor 2 (HER2)-targeted therapies. Most MBCs are hormone receptor-positive (HR+), with a high rate of HER2-low expression. However, men were excluded from clinical trials evaluating HER2-directed agents, which is an absolute evidence gap. Case Report: We present the case of a 76-year-old man with heavily pretreated, HR+/HER2-low (immunohistochemistry [IHC] 1+) metastatic breast cancer (mBC) who achieved a complete metabolic response (CMR) following four cycles of trastuzumab deruxtecan (T-DXd) without any grade ≥ 2 (G ≥ 2) toxicity. Conclusion: This case highlights the potential efficacy and tolerability of T-DXd in men and challenges the systematic exclusion of male patients from clinical trials involving HER2-low mBC. We advocate routine HER2-low testing and gender-inclusive trial design.

Indexed as

antibody-drug conjugategender disparityHER2-lowmale breast cancertrastuzumab deruxtecan

Identifiers

PMID41458271
PMCPMC12741432

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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.