Journal article

Anthracycline-free neoadjuvant therapy induces pathological complete responses by exploiting immune proficiency in HER2 breast cancer patients

G Miolo, E Muraro, D Martorelli, D Lombardi, S Scalone, S Spazzapan, S Massarut, T Perin, E Viel, E Comaro, R Talamini, E Bidoli, E Turchet, D Crivellari, R Dolcetti

BMC Cancer | BMC | Published : 2014

Abstract

Background: Neoadjuvant Chemotherapy (NC) including trastuzumab induces a high rate of pathological Complete Responses (pCR) in patients with locally advanced HER2-overexpressing Breast Cancer (BC), but is penalized by a severe cardiotoxicity when combined with anthracyclines. A phase II study was designed to assess whether an anthracycline-free NC regimen based on the early addition of trastuzumab to paclitaxel may increase the pCR rate without inducing severe cardiotoxicity in patients with locally advanced HER2-overexpressing BC. Immunomonitoring was performed to assess the contribution of patients' immunological background to the induction of clinical responses. Methods: Stage II-III HER..

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University of Melbourne Researchers