Evidence map›Paper›PMID 42050453›Full record

Observational studyBMC cancer2026

Observational study of trastuzumab biosimilar in patients with HER2-positive breast cancer under routine clinical practice conditions in Morocco.

Hassan Errihani, Narjiss Berrada, Meryem El Bachiri, Hassan Jouhadi, Omar Kabbaj, Mouna Bourhafour, Abdellatif Benider, Mouna Khouchani, Ghizlane Belbaraka, Abdelkader Acharki and 2 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

12 authors.

Hassan ErrihaniInstitut National d'Oncologie, Avenue Allal El Fassi, Rabat, Morocco.
Narjiss BerradaChellah Oncology, 38 Avenue Chellah, Residence Riad Hassan B, Hassan, Rabat, Morocco.
Meryem El Bachiri, Angle Rue Des Hopitaux Et Rue Dubreuil, Immeuble des Roseaux, 2ème étage, Numéro 8, Quartier des hôpitaux, Casablanca, Morocco.
Hassan JouhadiOncology Clinic le Littoral Casablanca, Boulevard Sidi Abderrahman - Grande Ceinture, Casablanca, 20100, Morocco.
Omar KabbajClinique Annakhil, Talha Square, Ibn Sina Avenue, Rabat, Morocco.
Mouna BourhafourLe Centre Hospitalo Universitaire Casablanca, Ibn Rochd University Hospital, Mohamed VI Oncology Center, 8 Rue Lahcen El Arjoun, Casablanca, 20100, Morocco.
Abdellatif BeniderLe Centre Hospitalo Universitaire Casablanca, Ibn Rochd University Hospital, Mohamed VI Oncology Center, 8 Rue Lahcen El Arjoun, Casablanca, 20100, Morocco.
Mouna KhouchaniLe Centre Hospitalo-Universitaire Mohammed VI de Marrakech, Medical Oncology Department, Rue Ibn Sina, Marrakech, Morocco.
Ghizlane BelbarakaLe Centre Hospitalo-Universitaire Mohammed VI de Marrakech, Medical Oncology Department, Rue Ibn Sina, Marrakech, Morocco.
Abdelkader AcharkiClinique Ryad Oncology - Casablanca, 15 Allée du Persée, Bd Anoual, Quartier des hôpitaux Extension, Casablanca, Morocco.
Redouane SamlaliOncology Clinic le Littoral Casablanca, Boulevard Sidi Abderrahman - Grande Ceinture, Casablanca, 20100, Morocco.
Kunvar Harsh UpvejaBiocon Biologics Limited, Biocon House, Semicon Park, Plot No 29-P1 & 31-P, KIADB Industrial Area, Electronic City Phase - 2, Bangalore, 560100, India. kunvarharsh.upveja@biocon.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrastuzumab, a recombinant humanized monoclonal antibody has demonstrated clinical benefits in women with human epidermal growth factor receptor type 2 (HER2)-positive breast cancer in early and metastatic disease settings. However, real-world data on trastuzumab biosimilars are limited. The primary aim of the HERLife study was to confirm the tolerance of trastuzumab biosimilar from Mylan (Hertraz) in terms of cardiac safety in HER2-positive patients diagnosed with early or metastatic breast cancers under routine clinical practice in Morocco.

methodsThis was a prospective, non-interventional, multi-center, 12-month follow-up study in adult patients with HER2-positive breast cancer treated with trastuzumab biosimilar. Patients aged ≥ 18 years and with left ventricular ejection fraction (LVEF) ≥ 50% were included. Data on cardiac events, serious or unexpected adverse events (AEs), drug interactions cases, chemotherapy protocols, and response to treatment were collected.

resultsIn total, 99 patients were included (early breast cancer, n = 70; metastatic breast cancer, n = 29). The median (range) age was 53 (29–76) years. Switching from trastuzumab reference to trastuzumab biosimilar was observed in 32 (32.3%) patients in the overall population, including 45.0% of metastatic breast cancer and 27.0% of early breast cancer patients. Pertuzumab was used in combination with trastuzumab biosimilar in 41.4% and 19.0% of patients in the metastatic and neoadjuvant settings, respectively. Two patients (2.0%) developed an expected AE of a non-significant fall in LVEF, requiring temporary discontinuation of trastuzumab biosimilar for three weeks. No other trastuzumab-related AEs or drug interactions were reported. Four patients (26.7%) had a pathological complete response in the neoadjuvant group (n = 15) over the 12-month follow-up period.

conclusionsTrastuzumab biosimilar was found to have acceptable cardiac safety and a comparable profile of efficacy in HER2-positive breast cancer patients in Morocco.

Indexed as

Antineoplastic Agents, ImmunologicalBiosimilar PharmaceuticalsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesTrastuzumabAdultAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleFollow-Up StudiesHumansMiddle AgedMoroccoProspective StudiesTreatment OutcomeAntineoplastic Agents, ImmunologicalBiosimilar PharmaceuticalsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabBiosimilarBreast cancerHER2-positiveMoroccoTrastuzumab

Identifiers

PMID42050453
PMCPMC13267580

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Registered trials

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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.