A Delphi consensus and open debate on the role of first-line bevacizumab for HER2-negative metastatic breast cancer

被引:7
作者
Puglisi, Fabio [1 ]
Bisagni, Giancarlo [2 ]
Ciccarese, Mariangela [3 ]
Fontanella, Caterina [1 ]
Gamucci, Teresa [4 ]
Leo, Luigi [5 ]
Molino, Annamaria [6 ]
Silva, Rosa Rita [7 ]
Marchetti, Paolo [8 ,9 ]
机构
[1] Univ Udine, Dept Med & Biol Sci, Udine, Italy
[2] Azienda Osped ASMN, Dept Oncol, Oncol Unit, Ist Ricovero & Cura Carattere Sci, Reggio Emilia, Italy
[3] Vito Fazzi Hosp, Dept Med Oncol, Lecce, Italy
[4] ASL Frosinone, Med Oncol Unit, Frosinone, Italy
[5] Azienda Osped Colli, Oncol Unit, Naples, Italy
[6] Univ Verona, Verona, Italy
[7] ASUR Marche AV2 Fabriano, Med Oncol Unit, Fabriano, Italy
[8] Sapienza Univ Rome, Med Oncol, St Andrea Hosp, Rome, Italy
[9] IDI IRCCS, Rome, Italy
关键词
angiogenesis; bevacizumab; breast cancer; PROGRESSION-FREE SURVIVAL; PHASE-III TRIAL; CONTAINING THERAPY; OPEN-LABEL; NEOADJUVANT CHEMOTHERAPY; PLUS BEVACIZUMAB; TARGETED THERAPIES; AND/OR BEVACIZUMAB; LOCALLY RECURRENT; CLINICAL-PRACTICE;
D O I
10.2217/fon-2016-0295
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
To gain consensus on the role of bevacizumab plus paclitaxel as first-line treatment for HER2-negative metastatic breast cancer, a panel of expert oncologists experienced in treating patients with metastatic breast cancer in Italy participated in a Delphi consensus study. The panel reached a full consensus on the efficacy of bevacizumab plus paclitaxel and the clinical meaningfulness of the progression-free survival benefit compared with paclitaxel alone, despite the lack of an overall survival effect in clinical trials. The participants agreed that real-world data support the effectiveness and well-defined safety profile of the regimen. Views on the use of bevacizumab plus paclitaxel in specific patient populations were not unanimous and clinical judgment remains important. Nevertheless, a high level of agreement was reached.
引用
收藏
页码:2589 / 2602
页数:14
相关论文
共 77 条
[1]   Analysis of PD-L1 and RAD50 in circulating cells recovered from lung cancer patients before and after induction of radiotherapy. [J].
Adams, Daniel L. ;
Edelman, Martin J. ;
Alpaugh, R. Katherine ;
He, Jianzhong ;
Xu, Ting ;
Gao, Hui ;
Reuben, James M. ;
Qiao, Yawei ;
Hahn, Stephen M. ;
Komaki, Ritsuko ;
Liao, Zhongxing X. ;
Tang, Cha-Mei ;
Lin, Steven H. .
JOURNAL OF CLINICAL ONCOLOGY, 2016, 34 (15)
[2]   Correlation between progression-free survival and overall survival in metastatic breast cancer patients receiving anthracyclines, taxanes, or targeted therapies: a trial-level meta-analysis [J].
Adunlin, George ;
Cyrus, John W. W. ;
Dranitsaris, George .
BREAST CANCER RESEARCH AND TREATMENT, 2015, 154 (03) :591-608
[3]   Bevacizumab: the phoenix of breast oncology? [J].
Andre, Fabrice ;
Deluche, Elise ;
Bonnefoi, Herve .
LANCET ONCOLOGY, 2015, 16 (06) :600-601
[4]   First-line bevacizumab in combination with weekly paclitaxel for metastatic breast cancer: efficacy and safety results from a large, open-label, single-arm Japanese study [J].
Aogi, Kenjiro ;
Masuda, Norikazu ;
Ohno, Shinji ;
Oda, Takashi ;
Iwata, Hiroji ;
Kashiwaba, Masahiro ;
Fujiwara, Yasuhiro ;
Kamigaki, Shunji ;
Ito, Yoshinori ;
Ueno, Takayuki ;
Takashima, Shigemitsu .
BREAST CANCER RESEARCH AND TREATMENT, 2011, 129 (03) :829-838
[5]   Features of aggressive breast cancer [J].
Arpino, Grazia ;
Milano, Monica ;
De Placido, Sabino .
BREAST, 2015, 24 (05) :594-600
[6]   Neoadjuvant plus adjuvant bevacizumab in early breast cancer (NSABP B-40 [NRG Oncology]): secondary outcomes of a phase 3, randomised controlled trial [J].
Bear, Harry D. ;
Tang, Gong ;
Rastogi, Priya ;
Geyer, Charles E., Jr. ;
Liu, Qing ;
Robidoux, Andre ;
Baez-Diaz, Luis ;
Brufsky, Adam M. ;
Mehta, Rita S. ;
Fehrenbacher, Louis ;
Young, James A. ;
Senecal, Francis M. ;
Gaur, Rakesh ;
Margolese, Richard G. ;
Adams, Paul T. ;
Gross, Howard M. ;
Costantino, Joseph P. ;
Paik, Soonmyung ;
Swain, Sandra M. ;
Mamounas, Eleftherios P. ;
Wolmark, Norman .
LANCET ONCOLOGY, 2015, 16 (09) :1037-1048
[7]   Bevacizumab Added to Neoadjuvant Chemotherapy for Breast Cancer [J].
Bear, Harry D. ;
Tang, Gong ;
Rastogi, Priya ;
Geyer, Charles E., Jr. ;
Robidoux, Andre ;
Atkins, James N. ;
Baez-Diaz, Luis ;
Brufsky, Adam M. ;
Mehta, Rita S. ;
Fehrenbacher, Louis ;
Young, James A. ;
Senecal, Francis M. ;
Gaur, Rakesh ;
Margolese, Richard G. ;
Adams, Paul T. ;
Gross, Howard M. ;
Costantino, Joseph P. ;
Swain, Sandra M. ;
Mamounas, Eleftherios P. ;
Wolmark, Norman .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (04) :310-320
[8]  
Bianchini G, 2016, NAT REV CLIN ONCOL, DOI [10.1038/nrclinonc.2016.66, DOI 10.1038/NRCHNONC.201.6.66]
[9]   First-line bevacizumab-containing therapy for breast cancer: results in patients aged ≥70 years treated in the ATHENA study [J].
Biganzoli, L. ;
Di Vincenzo, E. ;
Jiang, Z. ;
Lichinitser, M. ;
Shen, Z. ;
Delva, R. ;
Bogdanova, N. ;
Vivanco, G. L. ;
Chen, Z. ;
Cheng, Y. ;
Just, M. ;
Espie, M. ;
Vinholes, J. ;
Hamm, C. ;
Crivellari, D. ;
Chmielowska, E. ;
Semiglazov, V. ;
Dalenc, F. ;
Smith, I. .
ANNALS OF ONCOLOGY, 2012, 23 (01) :111-118
[10]   Treatment of Metastatic Breast Cancer in a Real-World Scenario: Is Progression-Free Survival With First Line Predictive of Benefit From Second and Later Lines? [J].
Bonotto, Marta ;
Gerratana, Lorenzo ;
Iacono, Donatella ;
Minisini, Alessandro Marco ;
Rihawi, Karim ;
Fasola, Gianpiero ;
Puglisi, Fabio .
ONCOLOGIST, 2015, 20 (07) :719-724