Literature DB >> 34920709

Correction to: Trastuzumab administration during pregnancy: an update.

Angeliki Andrikopoulou1,2, Kleoniki Apostolidou1,2, Spyridoula Chatzinikolaou2, Garyfalia Bletsa3, Eleni Zografos1,2, Meletios-Athanasios Dimopoulos1,2, Flora Zagouri4,5.   

Abstract

Entities:  

Year:  2021        PMID: 34920709      PMCID: PMC8679961          DOI: 10.1186/s12885-021-09087-7

Source DB:  PubMed          Journal:  BMC Cancer        ISSN: 1471-2407            Impact factor:   4.430


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Correction to: BMC Cancer 21, 463 (2021) https://doi.org/10.1186/s12885-021-08162-3 Following publication of the original article [1], the authors identified reference citation errors in Table 1. The corrected Table 1 is supplied below.
Table 1

All eligible studies and case reports of trastuzumab administration during pregnancy in breast cancer patients

AuthorTreatment during pregnancyPathological type, GradeStage at PregnancyAge at BC diagnosisAge at pregnancyGA at trastuzumabGA at deliveryDeliveryFetal outcomeAEs during pregnnacyInitial StagingPFSOS
Yildirim et al. 2018 (24)Trastuzumab, PertuzumabIDC, ER: -, PR: -, HER2: +IV (liver, lung bone)2223Prior to pregnancy - 20th GA weekNot deliveredElective abortion at 27th GA weekOligohydramnios/Anhydramnios, Right renal agenesis, IUGR, Right adrenal gland hyperplasiaIVNRNR
Rasenack et al. 2016 (25)TrastuzumabIDC, ER: +, PR: +, HER2: +IV (retroperitoneal, supraclavicular, mediastinal, left hilar, upper abdominal LNs)2529Prior to pregnancy – 24th GA week, 29th GA week35th + 5 weekCesarean sectionHealthy at 3 years old, 2735 g birth weight, Apgar 7/9/9Oligohydramnios at 24th week, Recovered after trastuzumab interruption, Reappeared at 29th week after 8th trastuzumab dosepT2N0M0 (08/2004)> 72 months> 72 months
Safadi et al. 2012 (26)Trastuzumab, VinorelbineIDC scirrhous, ER: -, PR: -, HER2: +, Gr3IV (bone)323230th GA week33th + 5 weekCesarean sectionHealthy at 13 months, 1990 g birth weight, Apgar 8/9/9Anhydramnios at 33 weeksIV> 13> 13
Mandrawa et al. 2011 (27)TrastuzumabIDC, ER: -, PR: -, HER2: +,IV (brain)2528Prior to pregnancy - 27th GA week (9 doses in total, 3510 mg)37 weeksVaginal delivery

Healthy at 28 months, 3060 g.

Birth weight, Transient Tachypnoea of the newborn

Oligohydramnios at 25th week, recovered after 2 weeks, recurred in 3d trimesterTxN0M02,75>  52,25 months
Roberts et al. 2010 (28)TrastuzumabIDC, ER: -, PR: -, HER2: +, Gr3T2N1M036364th GA week to 21st GA week37 weeksVaginal deliveryHealthy, 3200 g birth weight, Mild Transient Tachypnoea of the Newborn and CPAP for 24 hCardiotoxicity (LVEF decline: 61 to 40%, CHF)T2N1M0> 9,25> 9,25
Beale et al. 2009 (29)Trastuzumab, TamoxifenIDC, ER: +, HER2: +, Gr3TxNxM02829Prior to pregnancy - 22nd week, already received 9 doses of trastuzumab31 + 6 weeksCesarean section

Twin A: 1590 g, Apgar 5/8/9, Intubated at 8 min for respiratory failure, Chronic renal failure and chronic lung disease, Death due to respiratory distress at 3 months

Twin B: Healthy at discharge, 1705 g, Apgar 8/10 Transient respiratory failure till day 3, Elevated creatinine

Severe oligohydramnios, recovered in Twin B but remained minimal in Twin A, Amnioinfusion in 30 + 2′ weeks,

Premature rupture of membranes (PROM)

TxNxM0> 14> 14
Smith et Warraich 2009 (30)Trastuzumab, Tamoxifen, GoserelinIDC, ER: +, HER2: +, Gr3TxNxM035357th GA week - 31st week37 weeksCesarean sectionSevere pulmonary hypoplasia and atelectasis, 2690 g birth weight, Death at 40 min after extubationPersistent anhydramnios from 28th GA week till deliveryTxNxM0> 14.25> 14.25
Pant et al. 2008 (31)TrastuzumabIDC, Gr2/3, ER: -, PR: -, HER2: +IV (lung)3032Prior to pregnancy -30th week, total dose 4200 mg32 + 1 weeksVaginal deliveryHealthy at 5 years old, Normal Apgar values, 1810 g birth weightOligohydramnios from 25 to 32d week, premature rupture of membranes (PROM)IIA (T1N1M0)- Radical mastectomy & Lymph node dissection (2 years before)NR> 129.5
Witzel et al. 2008 (32)TrastuzumabIDC, ER: +, PR: -, HER2: +, Gr2.IV (lung, brain)2931Prior to pregnancy -27th GA weeks (9 cycles in total, total dose 56 mg/kg)27 weeksCesarean sectionSevere respiratory distress and strong capillary leak syndrome, necrotizing enterocolitis, 1015 g birth weight, Apgar 8/7/6, Death due to multiple organ failure at 5 monthsOligohydramnios and severe vaginal bleeding at 27th GA week,

T2NxM0

After neoadjuvant: pT0N0M0

> 1> 37.25
Sekar and Stone 2007 (33)Trastuzumab, DocetaxelIDC, ER: -, PR: -, HER2: +, Gr2IV (lung, brachial plexus)252823d GA week - 27th GA week (docetaxel 380 mg total dose, 1385 mg trastuzumab total dose)36 + 2 weeksCesarean sectionHealthy at delivery, 2230 g birth weight, Apgar 7/9Anhydramnios and IUGR at 30th GA weekT2N2M0 (Radical mastectomy & Lymphadenectomy> 22> 100
Waterston and Graham (2006) (34)TrastuzumabIDC, Gr2, ER: -, PR: -, HER2: +II (TxN1M0)3030Prior to pregnancy – 3d GA week, total dose 523 mg during pregnancyTermVaginal deliveryHealthy at deliveryNo complicationsII (TxN1M0)> 9.25> 9.25
Fanale et al. 2005 (35)Trastuzumab, VinorelbineIDC, Gr3, ER: -, PR: -, HER2: +IV (liver)262627th GA week - 34th GA week34 + 5 weeksVaginal deliveryHealthy at 6 months old, 2270 g birth weight, Apgar score 9/9/10OligohydramniosIIB (T2N1M0)> 3> 18.75
Watson et al. 2005 (36)TrastuzumabIDC, ER: -, PR: -, HER2: +T2N3M02828Prior to pregnancy - 20th GA week37,5 weeksVaginal deliveryHealthy at 6 months old, 2960 g birth weight, Apgar score 8/9AnhydramniosT2N3M0> 16.5> 16.5
Berwart et al. (2020) (37)Trastuzumab, Tamoxifen

Left: IDC, ER: +, PR: +, HER2: +

Right: IDC, ER: +, PR: +, HER2: -

T2N0M03132

Prior to pregnancy - 16th GA week

Docetaxel: 20th GA week – 32d GA week

38 weeksCesarean sectionHealthy at 3 years old, 3820 g birth weightNo complicationsT2N1M0 (Left mastectomy + Lymphadenectomy)12> 48
Safi et al. (2019) (40)Trastuzumab, Docetaxel, CyclophosphamideNRNRNRNR3d trimester36 weeksVaginal DeliveryMild Respiratory distress, 2380 g birth weight, Apgar score 10, Admitted to Special Care Nursery (SCN) and discharged on day 4No complicationsNRNRNR
Aktoz et al. 2020 (41)Trastuzumab, DocetaxelIDC, ER: -, PR: -, HER2: +IV (liver)373722nd - 34th GA week (5 cycles)35 + 3 weeksCesarean sectionHealthy at delivery, 2850 g birth weight, Apgar 8/8/9No complicationsIV (liver)> 3.5> 3.5
Lambertini et al. 2019 (42)

Patient 3: Trastuzumab, Brain RT

Patient 4:

Trastuzumab, Lapatinib, Tamoxifen

(12 patients)

NRNRNRMedian:33 (30.0–36.5)

Patient 1,2: Prior to pregnancy – 3 months prior to pregnancy

Patient 3,4: 1st trimester

Patient 3: 34 weeeks

Median: 39 (36.5–39.5)

Patient 3: Cesarean section

3 Cesarean sections/ 1 vaginal delivery/ 1 missing

7/12 (58.3%) Elective abortion

No spontaneous abortions

Median birth weight 3145 g (2880–3776)

Apgar 8–9/9–10

Patient1,2: No complications

Patient 3: IUGR

Patient 4: No complications

No oligohydramnios

No congenital malformations

NR

Patient 3: 1

Patient 4: -

Patient 3: 2

Patient 4: -

Shlensky et al. 2017 (38)Trastuzumab, Doxorubicin, Cyclophosphamide, PaclitaxelIDC, ER: -, PR: -, HER2: +IVNRNR15th GA week33Vaginal deliveryHealthy, Normal birth weight, 5 min Apgar score > 7Oligohydramnios at 33d GA weekIVNRNR
Andrade et al. 2016 (39)TrastuzumabIDC, ER: -, PR: -, HER2: +, Gr2III (T3N2M0)3132Prior to pregnancy – 27th GA week and then 28th -31st GA week (11 cycles in total, 4400 mg total dose)32 + 2 weeksCesarean section

Respiratory distress syndrome/Pulmonary infection, 1655 g birth weight, Apgar 4/10, Pulmonary hypertension/Persistence of the arterial canal

Low creatinine clearance (6.1 ml/min), Healthy at 7 years old

Oligohydramnios at 27th GA week, Anhydramnios at 31st GA weekIII (T3N2M0)32> 96
Pianca et al. 2015 (43)Trastuzumab

IDC, ER: -, PR: -, HER2: +,

Gr2

T2N0M030312d trimester – 28th GA week (2 cycles in total)37th weekCesarean section2735 g birth weight, Apgar 4/8, O2 therapy at delivery, Healthy at 7 years oldSmall abdominal circumference, Oligohydramnios at 29th GA weekT2N0M0> 11.75> 11.75
Gottschalk et al. 2011 (44)Trastuzumab, Docetaxel, Carboplatin

IDC, ER: +, PR: +, HER2: +, Gr2

+

DCIS

TxNxM0383814th GA week – 20th GA week weekly (7 cycles, 4 mg/kg)33 + 2 weeksCesarean sectionDystrophic premature neonate at delivery, birth weight < 3rd percentile, Postpartum normal development and renal functionAnhydramnios, Fetal renal failure at 21st GA week, IUGR at 28th weekTxNxM0> 5.9> 5.9

Azim et al. 2012

(20)

Trastuzumab (16 patients)TxNxM0/ Non metastaticNRNR32.5 (26–40)3 months prior to pregnancy – during pregnancy40 (39–40) (n = 5)NR

Healthy,

Mean birth weight: 3485 (2940–4180), Mean Apgar score (10 min): 10 (9–10)

7 (44%) induced abortions

25% (4/16) spontaneous abortions

No oligohydramnios

No congenital abnormalities

TxNxM0NRNR
Goodyer et al. 2009 (45)

Trastuzumab

(2 patients)

Patient 1: ER: -, PR: -, HER2: +

Patient 2: ER: -, PR: -, HER2: +

Patient 1: IV (pleural effusion)

Patient 2: III

Patient 1: 30

Patient 2: 36

NR

Patient 1: Second trimester – 29th GA week

Patient 2: Prior to pregnancy – 6th GA week

Patient 1: 29 weeks

Patient 2:

39 weeks

Patient 1: Cesarean section

Patient 2:

Vaginal Delivery

Patient 1: Respiratory distress syndrome and conductive hearing loss at delivery, Mild hypertonia and hyperreflexia, 1220 g birth weight, Healthy at 3 years old with ongoing minimal tightness of Achilles tendon

Patient 2: Healthy at 2 years old, 2940 g birth weight, Events of gastroenteritis at 3, 8, 11 months

Patient 1: -

Patient 2: 1 of 2 viable fetal sacs

Patient 1: TxN + M0

Patient 2: III

Patient 1:

> 2

Patient2:

> 24

Patient 1:

> 36

Patient2:

> 24

Azim et al. 2009 (46)TrastuzumabIDC, ER: -, PR: -, HER2: +, Gr3II (T2N1M0)2930Prior to pregnanacy - 1st GA week (1 cycle, 6 mg/kg)39 weeksCesarean sectionHealthy at 14 moths old, 3550 g birth weight,No complicationsII (T2N1M0)> 46> 46
Schoendorfer et Schaefer 2008 (47)TrastuzumabNRIV (lung)NR32Prior to pregnancy – 23d GA week27 + 4 weeksCesarean sectionMultiple prematurity-related problems, Dysplastic/hypoplastic left kidney and renal congestion, Death at 4 monthsOligohydramnios at 23d GA week, Premature detachment of the placenta at 28th GA weekIV (lung)> 8.25> 8.25
Shrim et al. 2007 (48)TrastuzumabIDC, ER: -, PR: -, HER2: +, Gr3IV (lung, brain)2832Prior to pregnancy – 24th GA week (3200 mg total dose)37 weeksCesarean sectionHealthy at 2 months old, 2600 g birth weight, Apgar 9/10, Transient tachypnea of the newborn, No maternal HFDecreased maternal LVEF at 18th and 24th GA weeksTxNxM0> 22> 100
Berveiller et al. 2008 (19)TrastuzumabER: -, PR: -, HER2: +III (T2N2bM0)4345Prior to pregnancy (14 months, 2 mg/kg)Voluntary abortionCervico-isthmic pregnancyIII (T2N2bM0)> 23> 23
Bader et al. 2007 (49)Trastuzumab, PaclitaxelER: -, PR: +, HER2: +IV (bone mets, spinal cord compression)313825th – 28th GA week (2 cycles, 14 mg/kg total dose)32 + 1 weeksCesarean section

Bacterial sepsis, transient renal failure, RDS at delivery,

1460 g birth weight, Healthy at 3 months

Anhydramnios and IUGR at 32d GA weekI> 7.75> 16.75
Diakite et al. 2019 (22)TrastuzumabIDC, Gr2, ER: -, PR: +, HER2: +T4N2aMx3233Prior to pregnancy –first trimester33d GA weekCesarean section

Twin A: Respiratory distress, 1450 g birth weight, Death at 10 days

Twin B: 1550 g birth weight, Death at 40 days due to cardiorespiratory arrest

Fetal distress and oligohydramniosT1NxMx> 19.25> 19.25
Gupta et al. 2014 (21)

Trastuzumab, Paclitaxel

(Dexamethazone, RT)

IDC, Gr3, ER: -, PR: -, HER2: +IV (brain)2424Prior to pregnancy – 12th GA week & 3d trimester – 6 weeks postpartum38 weeksCesarean section

Apgar 9/9, Healthy at 6 months old

Maternal LVEF mildly decreased, Disease progression in brain mets/Leptomeningeal spread

Death at 6 months postpartum

Brain metastases at 22nd GA week

No fetal complications

T4N3cMx2.523
All eligible studies and case reports of trastuzumab administration during pregnancy in breast cancer patients Healthy at 28 months, 3060 g. Birth weight, Transient Tachypnoea of the newborn Twin A: 1590 g, Apgar 5/8/9, Intubated at 8 min for respiratory failure, Chronic renal failure and chronic lung disease, Death due to respiratory distress at 3 months Twin B: Healthy at discharge, 1705 g, Apgar 8/10 Transient respiratory failure till day 3, Elevated creatinine Severe oligohydramnios, recovered in Twin B but remained minimal in Twin A, Amnioinfusion in 30 + 2′ weeks, Premature rupture of membranes (PROM) T2NxM0 After neoadjuvant: pT0N0M0 Left: IDC, ER: +, PR: +, HER2: + Right: IDC, ER: +, PR: +, HER2: - Prior to pregnancy - 16th GA week Docetaxel: 20th GA week – 32d GA week Patient 3: Trastuzumab, Brain RT Patient 4: Trastuzumab, Lapatinib, Tamoxifen (12 patients) Patient 1,2: Prior to pregnancy – 3 months prior to pregnancy Patient 3,4: 1st trimester Patient 3: 34 weeeks Median: 39 (36.5–39.5) Patient 3: Cesarean section 3 Cesarean sections/ 1 vaginal delivery/ 1 missing 7/12 (58.3%) Elective abortion No spontaneous abortions Median birth weight 3145 g (2880–3776) Apgar 8–9/9–10 Patient1,2: No complications Patient 3: IUGR Patient 4: No complications No oligohydramnios No congenital malformations Patient 3: 1 Patient 4: - Patient 3: 2 Patient 4: - Respiratory distress syndrome/Pulmonary infection, 1655 g birth weight, Apgar 4/10, Pulmonary hypertension/Persistence of the arterial canal Low creatinine clearance (6.1 ml/min), Healthy at 7 years old IDC, ER: -, PR: -, HER2: +, Gr2 IDC, ER: +, PR: +, HER2: +, Gr2 + DCIS Azim et al. 2012 (20) Healthy, Mean birth weight: 3485 (2940–4180), Mean Apgar score (10 min): 10 (9–10) 7 (44%) induced abortions 25% (4/16) spontaneous abortions No oligohydramnios No congenital abnormalities Trastuzumab (2 patients) Patient 1: ER: -, PR: -, HER2: + Patient 2: ER: -, PR: -, HER2: + Patient 1: IV (pleural effusion) Patient 2: III Patient 1: 30 Patient 2: 36 Patient 1: Second trimester – 29th GA week Patient 2: Prior to pregnancy – 6th GA week Patient 1: 29 weeks Patient 2: 39 weeks Patient 1: Cesarean section Patient 2: Vaginal Delivery Patient 1: Respiratory distress syndrome and conductive hearing loss at delivery, Mild hypertonia and hyperreflexia, 1220 g birth weight, Healthy at 3 years old with ongoing minimal tightness of Achilles tendon Patient 2: Healthy at 2 years old, 2940 g birth weight, Events of gastroenteritis at 3, 8, 11 months Patient 1: - Patient 2: 1 of 2 viable fetal sacs Patient 1: TxN + M0 Patient 2: III Patient 1: > 2 Patient2: > 24 Patient 1: > 36 Patient2: > 24 Bacterial sepsis, transient renal failure, RDS at delivery, 1460 g birth weight, Healthy at 3 months Twin A: Respiratory distress, 1450 g birth weight, Death at 10 days Twin B: 1550 g birth weight, Death at 40 days due to cardiorespiratory arrest Trastuzumab, Paclitaxel (Dexamethazone, RT) Apgar 9/9, Healthy at 6 months old Maternal LVEF mildly decreased, Disease progression in brain mets/Leptomeningeal spread Death at 6 months postpartum Brain metastases at 22nd GA week No fetal complications
  1 in total

1.  Trastuzumab administration during pregnancy: an update.

Authors:  Angeliki Andrikopoulou; Kleoniki Apostolidou; Spyridoula Chatzinikolaou; Garyfalia Bletsa; Eleni Zografos; Meletios-Athanasios Dimopoulos; Flora Zagouri
Journal:  BMC Cancer       Date:  2021-04-26       Impact factor: 4.430

  1 in total

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