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- Title
HERStory: The Next Chapter in HER-2-Directed Therapy for Advanced Breast Cancer.
- Authors
Verma, Sunil; Joy, Anil A.; Rayson, Daniel; McLeod, Deanna; Brezden‐Masley, Christine; Boileau, Jean‐François; Gelmon, Karen A.
- Abstract
Untreated human epidermal growth factor receptor-2 (HER-2)-positive advanced breast cancer (ABC) is an aggressive disease, associated with a poor prognosis and short overall survival. HER-2-directed therapy prolongs both time to disease progression and overall survival when combined with chemotherapy and has become the standard of care for those with HER-2-positive breast cancer in the early and advanced settings. Despite the remarkable therapeutic impact HER-2- directed therapy has had on disease outcomes, some patients with HER-2-positive disease will have primary resistant disease and others will respond initially but will eventually have progression, underscoring the need for other novel therapeutic options. This article reviews recent phase III trial data and discusses a practical approach to sequencing of HER-2-directed therapy in patients with HER-2-positive ABC.Thesignificant cumulative survival gains seen in these trials are slowly reshaping the landscape of HER-2-positiveABCoutcomes.
- Subjects
ANTINEOPLASTIC agents; BREAST tumors; CLINICAL trials; COMBINED modality therapy; CONFIDENCE intervals; MEDLINE; METASTASIS; ONCOGENES; ONLINE information services; PACLITAXEL; RESEARCH funding; SURVIVAL; SYSTEMATIC reviews; TRASTUZUMAB; DESCRIPTIVE statistics; KAPLAN-Meier estimator
- Publication
Oncologist, 2013, Vol 18, Issue 11, p1153
- ISSN
1083-7159
- Publication type
Article
- DOI
10.1634/theoncologist.2013-0217