Evidence map›Paper›PMID 42282283›Full record

ReviewGynecologic oncology reports2026

Trastuzumab deruxtecan (T-DXd) in HER2-expressing gynecological malignancies: Clinical evidence, safety profile, and future directions.

Heena Arshad, Inamullah Arshad, Hamza Massab Rehman, Safia Bibi, Muhammad Hassaan Javaid, Ruben Simon Roy

Abstract readReview
In one paragraph

Review in Gynecologic oncology reports, 2026. 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

6 authors.

Heena ArshadDepartment of Medicine, Sargodha Medical College, Sargodha, Pakistan.
Inamullah ArshadDepartment of Medicine, Shalamar Medical and Dental College, Lahore, Punjab, Pakistan.
Hamza Massab RehmanDepartment of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Safia BibiDepartment of Medicine, People's University of Medical and Health Sciences for Women, Nawabshah, Sindh, Pakistan.
Muhammad Hassaan JavaidDepartment of Medicine, Shifa College of Medicine, Islamabad, Pakistan.
Ruben Simon RoyDepartment of Medicine, Jawaharlal Nehru Medical College, Belagavi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometrial, ovarian, and cervical cancers in advanced or recurrent stages are associated with unfavorable outcomes, emphasizing the need for effective targeted approaches. While HER2 has been identified as a key biomarker in selected high-grade tumors, prior HER2-targeted therapies have yielded inconsistent results. This review discusses the underlying biology, clinical outcomes, safety considerations, and evolving application of trastuzumab deruxtecan (T-DXd) in HER2-positive gynecological cancers. T-DXd is a HER2-directed antibody-drug conjugate of a monoclonal antibody linked to a potent topoisomerase I inhibitor, allowing targeted delivery and a bystander killing effect. Evidence from trials such as DESTINY-PanTumor02 and STATICE demonstrates meaningful and sustained responses across HER2-positive gynecological malignancies, with the greatest benefit observed in IHC 3 + tumors. While the overall safety profile of T-DXd is manageable, interstitial lung disease or pneumonitis represents a key adverse event and requires timely recognition and intervention. T-DXd represents an emerging therapeutic option for HER2-positive gynecological malignancies after prior treatment, especially in advanced lines of therapy. Further studies focusing on biomarker refinement, sequencing approaches, and toxicity mitigation will be key to establishing its place in clinical practice.

Indexed as

Antibody-drug conjugatesCervical cancerEndometrial cancerGynecological malignanciesHER2Ovarian cancerTrastuzumab deruxtecanUterine carcinosarcoma

Identifiers

PMID42282283
PMCPMC13251781

What OpenQuestion holds

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LicenceCC BY-NC
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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.