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
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