Evidence map›Paper›PMID 40385566›Full record

ArticleDrugs in context2025

Patterns of treatment and outcomes of patients with metastatic HER2-low breast cancer treated with CDK4/6 inhibitors and hormone therapy.

Federico Sottotetti, Barbara Tagliaferri, Gianpiero Rizzo, Raffaella Palumbo, Giulia Chessa, Chiara Raso, Lorenzo Perrone, Alberto Malovini, Valentina Tibollo, Laura Deborah Locati and 2 more

Abstract read
In one paragraph

Article in Drugs in context, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Federico SottotettiMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Barbara TagliaferriMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Gianpiero RizzoMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Raffaella PalumboMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Giulia ChessaMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Chiara RasoMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Lorenzo PerroneMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Alberto MaloviniLaboratory of Informatics and Systems Engineering for Clinical Research, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Valentina TibolloLaboratory of Informatics and Systems Engineering for Clinical Research, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Laura Deborah LocatiMedical Oncology Unit, ICS Maugeri-IRCCS SpA SB, Pavia, Italy.
Paolo PedrazzoliMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Angioletta LasagnaMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The 2018 American Society of Clinical Oncology/College of American Pathologists guidelines classified immunohistochemistry (IHC) 1+ or 2+, FISH-negative breast cancer as HER2-low. To date, only a few studies have investigated the role of HER2-low status in patients with hormone receptor positive/HER2 Methods: This is a multicentre, retrospective cohort study analysing data from patients with HR Results: Of the 241 patients included, 240 (99.6%) were women. The median age at diagnosis was 57 years (IQR 48-65 years). Most patients had pM M0 (70.5%). At presentation, 112 (46.5%) had HER2-low and 129 (53.5%) had HER2-0 status. CDK4/6i were administered as first-line therapy in 89.2% of patients and as second-line therapy in 10.8% of patients, with palbociclib (61.4%) being the most common. The median progression-free survival during CDK4/6i therapy was 36.3 months (95% CI 23.6 months to not reached), while the median overall survival was 60.5 months (95% CI 54.4 months to not reached). Progression-free survival differed significantly between palbociclib and abemaciclib/ribociclib (24.4 Conclusion: CDK4/6i are effective in both HER2-low and HER2-0 MBC, with HER2-low potentially benefiting more from first-line therapy.

Indexed as

abemaciclibantibody-drug conjugatesHER2-lowmetastatic breast cancerpalbociclibribociclibtherapeutic strategies

Identifiers

PMID40385566
PMCPMC12083858

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.