Table 3 Overview of previous studies that investigated the differential response of HER2-positive classes to therapy

From: HER2 expression in breast cancer: evidence gaps and challenges

Neoadjuvant Setting

Study Title

Rate of pathologic complete response

P value

Overall

HER2 IHC 3 + 

HER2 IHC 2 + /ISH positive

Yan et al.13

Association Between the HER2 Protein Expression Level and the Efficacy of Neoadjuvant Chemotherapy in HER2-Positive Breast Cancer

37.2% (110/296)

41.4% (99/139)

19.3% (11/75)

0.003

Krystel-Whittemore et al.14

Pathologic complete response rate according to HER2 detection methods in HER2-positive breast cancer treated with neoadjuvant systemic therapy

59% (330/560)

67% (303/455)

17% (12/76)

<0.001

Rakha et al.15

Retrospective observational study of HER2 immunohistochemistry in borderline breast cancer patients undergoing neoadjuvant therapy, with an emphasis on Group 2 (HER2/CEP17 ratio≥ 2.0, HER2 copy number< 4.0 signals/cell) cases

25% (184/749)

54% (79/146)

19% (35/180)

<0.001

Xu et al.16

HER2 protein expression level is positively associated with the efficacy of neoadjuvant systemic therapy in HER2-positive breast cancer

43.7% (73/167)

47.9% (67/140)

22.2% (6/27)

0.014

Zhao et al.17

HER2 immunohistochemistry staining positivity is strongly predictive of tumour response to neoadjuvant chemotherapy in HER2-positive breast cancer

64.5% (49/76)

80% (40/49)

34% (9/40)

<0.001

Chen et al.18

Pathologic complete response to neoadjuvant anti-HER2 therapy is associated with HER2 immunohistochemistry score in HER2-positive early breast cancer

74/181 (40.9%)

46%

25%

0.016

Atallah et al.19

Differential response of HER2-positive breast cancer to anti-HER2 therapy based on HER2 protein expression level

26% (194/751)

57% (88/155)

22% (35/162)

0.001

Chen et al.20

Differences between the efficacy of HER2(2 + ) /FISH-positive and HER2 (3 + ) in breast cancer during dual-target neoadjuvant therapy

59.8%

63.3%

41.7%

<0.05

Jiao et al.21

Comparison of the Response to Neoadjuvant Therapy Between Immunohistochemistry HER2 (3 + ) and HER2 (2 + )/ISH+ Early-Stage Breast Cancer: A Retrospective Multicentre Cohort Study

35.5%

40%

18%

<0.001

Winer, Ruth et al.22

Immunohistochemical Status Predicts Pathologic Complete Response to Neoadjuvant Therapy in HER2-Overexpressing Breast Cancers

49%

54%

22%

<0.001

  1. CEP chromosome enumeration probe, HER2 Human epidermal growth factor receptor 2, IHC Immunohistochemistry, ISH in situ hybridisation.