Evidence map›Paper›PMID 41557021›Full record

Observational studyBreast cancer research and treatment2026

Translational and real-world evidence of trastuzumab biosimilar CT-P6 plus pertuzumab in neoadjuvant HER2-positive early breast cancer.

José Luis Alonso-Romero, Jerónimo Martínez-García, Raúl Carrillo-Vicente, Antonio Fernández Aramburo, Angélica Ferrando Díez, Pilar Sánchez Henarejos, Pilar de la Morena Barrio, Ana Puertes Boix, Mª Dolores Jiménez, Joaquín Peña Siles and 3 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Breast cancer research and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06907082 (Prospective Multicenter Observational Study to Evaluate the Efficacy and Safety of Neoadjuvant Treatment Based on Dual Blockade With Pertuzumab and the Trastuzumab Biosimilar CT-P6), which is not on this 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.

NCT06907082 nacompletednot on this map

Prospective Multicenter Observational Study to Evaluate the Efficacy and Safety of Neoadjuvant Treatment Based on Dual Blockade With Pertuzumab and the Trastuzumab Biosimilar CT-P6 (Herzuma®) in Early HER2-positive Breast Cancer in Routine Clinical Practice

TypeinterventionalSponsorFundacion para la Formacion e Investigacion Sanitarias de la Region de MurciaRan2020 to 2024Enrolled106ConditionsBreast CancerArmsCombination of pertuzumab and the trastuzumab biosimilar CT-P6 (Herzuma®) in Her2-positive breast cancer susceptible to neoadjuvant chemotherapy.
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

13 authors.

José Luis Alonso-RomeroDepartment of Oncology, Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n. 30120. (HCUVA), Murcia, Spain. josel.alonso2@carm.es.
Jerónimo Martínez-GarcíaDepartment of Oncology, Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n. 30120. (HCUVA), Murcia, Spain.
Raúl Carrillo-VicenteDepartment of Oncology, HU Santa Lucía, Cartagena, Spain.
Antonio Fernández AramburoDepartment of Oncology, CHU Albacete, Albacete, Spain.
Angélica Ferrando DíezDepartment of Oncology, Institut Català d' Oncologia (ICO), Badalona (Barcelona), Spain.
Pilar Sánchez HenarejosDepartment of Oncology, Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n. 30120. (HCUVA), Murcia, Spain.
Pilar de la Morena BarrioDepartment of Oncology, Hospital General Universitario Morales Meseguer, Murcia, Spain.
Ana Puertes BoixDepartment of Oncology, Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n. 30120. (HCUVA), Murcia, Spain.
Mª Dolores JiménezDepartment of Oncology, Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n. 30120. (HCUVA), Murcia, Spain.
Joaquín Peña SilesSCORE Lab, I3US Institute, University of Sevilla, Seville, Spain.
José Antonio Parejo MaestreSCORE Lab, I3US Institute, University of Sevilla, Seville, Spain.
Antonio de Las Heras-RubioMedical Science Department, Scientific and Technical Area, Kern Pharma S.L, Barcelona, Spain.
Paula Ruiz CarreñoDepartment of Oncology, Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n. 30120. (HCUVA), Murcia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on neoadjuvant treatment with trastuzumab biosimilars, particularly CT-P6, in combination with pertuzumab, are limited. This study evaluates the efficacy, tolerability, and immunogenicity of CT-P6 plus pertuzumab and chemotherapy, in routine clinical practice for HER2-positive early breast cancer, including translational biomarker analyses related to pathologic complete response (pCR).

methodsProspective, multicenter, observational study in 102 patients with HER2-positive early breast cancer. Patients received hospital-preferred neoadjuvant regimens protocols, with (scheme 1 and 3) or without anthracyclines (scheme 2). The primary endpoint was pCR, defined as the absence of invasive tumor in both the breast and axillary lymph nodes (ypT0/ypTis and ypN0). Translational endpoints included soluble HER2, anti-trastuzumab CT-P6 antibodies, and exploratory response-related modeling approaches supported by machine learning techniques.

resultsAmong patients who underwent surgery, pCR (ypT0/ypTis and ypN0) was achieved in 57.43% of cases, with no significant differences between anthracycline-based and non-anthracycline-based regimens. Soluble HER2 and anti-trastuzumab CT-P6 antibodies were not significantly associated with pCR. Treatment was well-tolerated; the most relevant Grade 3-4 treatment-related adverse events were diarrhea (2.25%) and asthenia (0.50%). No immunogenicity or clinically relevant cardiotoxicity was observed.

conclusionsTrastuzumab CT-P6 combined with pertuzumab and chemotherapy can be used in neoadjuvant treatment for HER2-positive early breast cancer, showing pCR rates comparable to the reference trastuzumab and without evidence of immunogenicity. Exploratory analyses of soluble HER2 and anti-trastuzumab CT-P6 antibodies did not demonstrate a significant association with pCR, although this possibility cannot be excluded. Their assessment contributes to the translational understanding of biosimilar integration into curative regimens.

trial registrationThe study has been registered in Clinicaltrials.gov ( https://clinicaltrials.gov/study/NCT06907082 ).

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBiosimilar PharmaceuticalsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesTrastuzumabAdultAgedBiomarkers, TumorFemaleHumansMiddle AgedNeoadjuvant TherapyProspective StudiesTranslational Research, BiomedicalTreatment OutcomeAntibodies, Monoclonal, HumanizedBiomarkers, TumorBiosimilar PharmaceuticalsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasespertuzumabTrastuzumabHER2-positive early breast cancerNeoadjuvant treatmentRoutine clinical practiceTrastuzumab biosimilarTrastuzumab CT-P6

Identifiers

PMID41557021
PMCPMC12819485

What OpenQuestion holds

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Registered trials

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.