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Trastuzumab beyond progression : overall survival analysis of the GBG 26/BIG 3-05 phase III study in HER2-positive breast cancervon Minckwitz, Gunter ...Background: Continuation of trastuzumab plus capecitabine (XH) showed a significantly improved overall response rate and time to progression compared with capecitabine (X) alone in women with ... HER2-positive breast cancer progressing during trastuzumab treatment. Here, we report the final analysis on overall survival. Patients and methods: Patients with HER2-positive, advanced breast cancer who progressed during treatment with trastuzumab with or without 1st-line metastatic chemotherapy were prospectively randomised to X(2500mg/m(2) on days 1-14, q3w) or XH (6 (8)mg/kg, q3w). Overall survival wasa pre-specified secondary end-point. Results: Median follow-up at June 2010was 20.7months. Fifty nine of 74 and 60 of 77 patients died in the X and XH arm, respectively. Median overall survival was 20.6 and 24.9months with X and XH, respectively (HR=0.94 š0.65-1.35đ; p=0.73). Performance status and metastatic site were independent prognosticators for overall survival. No difference between treatment arms was observed for patients who achieved clinical response or clinical benefit, respectively. Patients who continued/restarted anti-HER2 treatment (trastuzumab or lapatinib) after 2nd progression (N=52) had a post-progression survival of 18.8 compared with 13.3months for those who did not receive 3rd line treatment with anti-HER2 agents (N=88) (HR 0.63; p=0.02). Conclusions:Final overall survival analysis of the GBG-26 study did not demonstrate a significant survival benefit for treatment beyond progression with trastuzumab. However, in a post-hoc analysis, patients receiving anti-HER2 treatment as 3rd line therapy showed a better post-progression survival than those not receiving this targeted treatment.Vir: European Journal of Cancer. - ISSN 0959-8049 (Vol. 47, issue 15, 2011, str. 2273-2281)Vrsta gradiva - članek, sestavni delLeto - 2011Jezik - angleškiCOBISS.SI-ID - 29393369
Avtor
von Minckwitz, Gunter |
Schwedler, Kathrin |
Schmidt, Marcus |
Barinoff, Jana |
Mundhenke, Christoph |
Čufer, Tanja, 1955- |
Maartense, Eduard |
Jongh, Felix E., de |
Baumann, Klaus H. |
Bischoff, Joachim
Drugi avtorji
GBG 26/BIG 03-05 study group and participating investigators
Teme
Breast Neoplasms |
Drug Therapy |
Neoplasm Metastasis |
Proto-Oncogene Proteins C-Erbb-2 |
Antibodies, Monoclonal |
Survival Analysis |
Clinical Trials, Phase Iii |
Preživetje, analiza |
Protitelesa monoklonska |
Dojka, novotvorbe |
Novotvorba, metastaza |
Klinična raziskava, faza III
Vnos na polico
Trajna povezava
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| Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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| JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP | |
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| Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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| von Minckwitz, Gunter | ![]() |
| Schwedler, Kathrin | ![]() |
| Schmidt, Marcus | ![]() |
| Barinoff, Jana | ![]() |
| Mundhenke, Christoph | ![]() |
| Čufer, Tanja, 1955- | 12179 |
| Maartense, Eduard | ![]() |
| Jongh, Felix E., de | ![]() |
| Baumann, Klaus H. | ![]() |
| Bischoff, Joachim | ![]() |
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