This research included 111 patients with metastatic HER2 positive breast cancer who received lapatinib with capecitabine...Patients with negative prognostic factors such as hormone receptor negativity...had no distinctly worse OS, regardless of receiving lapatinib after prior exposure to trastuzumab, pertuzumab and/or T-DM1 or without prior exposure. Lapatinib with capecitabine is an effective therapeutic option, especially in patients with negative prognostic factors...