Multicentric, Randomized Phase III Trial of Two Different Adjuvant Chemotherapy Regimens plus Three Versus Twelve Months of Trastuzumab in Patients with HER2-Positive Breast Cancer (Short-HER Trial; NCT00629278)

被引:37
作者
Guarneri, Valentina [1 ]
Frassoldati, Antonio [1 ]
Bruzzi, Paolo
D'Amico, Roberto [1 ]
Belfiglio, Maurizio
Molino, Annamaria [3 ]
Bertetto, Oscar [4 ]
Cascinu, Stefano [5 ]
Cognetti, Francesco [6 ]
Di Leo, Angelo
Pronzato, Paolo [2 ]
Crino, Lucio [7 ]
Agostara, Biagio
Conte, PierFranco [1 ]
机构
[1] Univ Hosp, Dept Hematol & Oncol, Div Med Oncol, I-41100 Modena, Italy
[2] Natl Inst Canc Res, Div Med Oncol, Genoa, Italy
[3] Univ Verona, Dept Med Oncol, I-37100 Verona, Italy
[4] Azienda Osped San Giovanni Battista, COES, Div Med Oncol, Turin, Italy
[5] Univ Politecn Marche, Univ Hosp, Dept Med Oncol, Ancona, Italy
[6] Regina Elena Inst Canc Res, Div Med Oncol A, Rome, Italy
[7] Osped S Maria Misericordia, Dept Med Oncol, Perugia, Italy
关键词
Adjuvant therapy; Cardiac toxicity; HER2; Trastuzumab duration;
D O I
10.3816/CBC.2008.n.056
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Trastuzumab, a monoclonal antibody against the HER2 receptor, is currently approved as a part of adjuvant therapy for patients with HER2-overexpressing breast tumors. The Short-HER study is a phase III randomized, multicentric Italian trial aimed at testing the optimal duration of adjuvant trastuzumab. In this trial, 2005 patients with HER2-positive breast cancer will be randomized to receive the following: (arm A, long) 4 courses of anthra-cycline-based chemotherapy (doxorubicin/cyclophosphamide or epidoxorubicin/cyclophosphamide) followed by 4 courses of docetaxel or paclitaxel in combination with trastuzumab, followed by 14 additional courses of trastuzumab administered every 3 weeks (for a total of 18 3-weekly doses of trastuzumab); or (arm B, short) 3 courses of 3-weekly docetaxel in combination with weekly trastuzumab (for a total of 9 weekly doses of trastuzumab) followed by 3 courses of 5-fluorouracil/epirubicin/cyclophosphamide. The primary objective is disease- free survival.
引用
收藏
页码:453 / 456
页数:4
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