Evidence map›Paper›PMID 42382890›Full record

ReviewCureus2026

Cardiovascular Safety of Next-Generation Antibody-Drug Conjugates in HER2-Low and Triple-Negative Breast Cancer: A Narrative Review (2020-2025).

Rutvik Raval, Sankalp Acharya, Shamitha Hejmadi, Nidhay Prakashkar, Aditya L Kansara, Ahmed Elmoursy, Yash Patel

Abstract readReview
In one paragraph

Review in Cureus, 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

7 authors.

Rutvik RavalInternal Medicine, Sinai-Grace Hospital/Detroit Medical Center, Detroit, USA.
Sankalp AcharyaInternal Medicine, Monmouth Medical Center, Long Branch, USA.
Shamitha HejmadiInternal Medicine, Sinai-Grace Hospital/Detroit Medical Center, Detroit, USA.
Nidhay PrakashkarInternal Medicine, B. J. Medical College, Ahmedabad, IND.
Aditya L KansaraEmergency Department, Premswarup Swami Multispeciality (PSM) Hospital, Kalol, IND.
Ahmed ElmoursyInternal Medicine, Faculty of Medicine, Alexandria University, Alexandria, EGY.
Yash PatelMedicine, Smt. NHL Municipal Medical College, Ahmedabad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical validation of the HER2-low phenotype has expanded eligibility for HER2-targeted antibody-drug conjugates (ADCs). Trastuzumab deruxtecan (T-DXd) introduces a novel cardiotoxicity profile driven by both HER2 inhibition and payload-mediated off-target injury. A narrative review of recent literature and pharmacovigilance reports identifies a notable incidence of left ventricular ejection fraction (LVEF) decline with T-DXd, which is disproportionately higher than that of earlier-generation ADCs. In contrast, TROP2-directed ADCs demonstrate negligible cardiac signals. Given the elevated fatality rate of serious cardiac events associated with T-DXd observed in real-world data, we propose a risk-stratified cardiac monitoring algorithm incorporating high-sensitivity troponin and global longitudinal strain for patients receiving next-generation ADCs.

Indexed as

antibody-drug conjugatesbystander effectcardiac monitoringcardio-oncologycardiotoxicityher2-low breast cancersacituzumab govitecantrastuzumab deruxtecan therapy

Identifiers

PMID42382890
PMCPMC13317505

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.