Journal article

Impact of prior (neo)adjuvant trastuzumab (NAT) exposure on the efficacy of HER2-targeted therapy for metastatic breast cancer

Y Kanjanapan, SW Lok, P Gibbs, R De Boer, B Yeo, S Greenberg, F Barnett, L Knott, G Richardson, R Wong, M Nottage, IM Collins, J Torres, J Lombard, J Johns, M Harold, L Malik

Breast Cancer Research and Treatment | SPRINGER | Published : 2020

Abstract

Purpose: Trastuzumab, pertuzumab, and docetaxel are the standard first-line therapy for HER2-positive (HER2+) metastatic breast cancer (MBC). However, only 10% of patients received neoadjuvant and/or adjuvant trastuzumab (NAT) in the registration trial (NCT00567190). In contemporary practice, the majority of recurrent HER2+ MBC patients had prior NAT. We explore any impact of prior therapy on the efficacy of dual HER2-targeted antibody with taxane therapy for metastatic disease. Methods: Utilising a prospective national registry, clinico-pathological, treatment, and outcome data for HER2+ MBC patients diagnosed between October 2006 and January 2019 were collected. Survival was estimated by t..

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