Efficacy and Safety of Gemcitabine With Trastuzumab and Pertuzumab After Prior Pertuzumab-Based Therapy Among Patients With Human Epidermal Growth Factor Receptor 2–Positive Metastatic Breast Cancer
Author(s) -
Neil M. Iyengar,
Lillian M. Smyth,
Diana Lake,
Ayca Gucalp,
Jasmeet Singh,
Tiffany A. Traina,
Patricia DeFusco,
Monica Fornier,
Shari Goldfarb,
Komal Jhaveri,
Shanu Modi,
Tiffany A. Troso-Sandoval,
Sujata Patil,
Gary A. Ulaner,
Maxine S. Jochelson,
Larry Norton,
Clifford A. Hudis,
Chau T. Dang
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.16211
Subject(s) - pertuzumab , trastuzumab , medicine , metastatic breast cancer , oncology , clinical endpoint , breast cancer , gemcitabine , lapatinib , clinical trial , cancer
Key Points Question Is dual anti–human epidermal growth factor receptor 2 ( ERBB2, formerly HER2 ) therapy with trastuzumab and pertuzumab effective after prior pertuzumab-based therapy for ERBB2 -positive metastatic breast cancer? Findings In this phase 2 clinical trial, treatment with gemcitabine, trastuzumab, and pertuzumab after prior pertuzumab-based therapy for ERBB2 -positive metastatic breast cancer was associated with a 3-month progression free survival rate of 73.3%. Treatment was well tolerated with no occurrences of symptomatic left ventricular systolic dysfunction. Meaning In this study, dual anti- ERBB2 therapy with trastuzumab and pertuzumab after prior pertuzumab exposure was active and well tolerated.
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