Adjuvant trastuzumab emtansine in HER2-positive breast cancer patients with HER2-negative residual invasive disease in KATHERINE

被引:20
|
作者
Loibl, Sibylle [1 ,2 ]
Huang, Chiun-Sheng [3 ,4 ]
Mano, Max S. [5 ]
Mamounas, Eleftherios P. [6 ,7 ]
Geyer, Charles E. [8 ,9 ]
Untch, Michael [10 ,11 ]
Thery, Jean-Christophe [12 ]
Schwaner, Ingo
Limentani, Steven [13 ]
Loman, Niklas [14 ]
Lubbe, Kristina [15 ]
Chang, Jenny C. [16 ]
Hatschek, Thomas [17 ]
Tesarowski, David [18 ]
Song, Chunyan [18 ]
de Haas, Sanne Lysbet [19 ]
Boulet, Thomas [19 ]
Lambertini, Chiara [19 ]
Wolmark, Norman [8 ,20 ]
机构
[1] GBG, Neu Isenburg, Germany
[2] Ctr Haematol & Oncol Bethanien, Frankfurt, Germany
[3] Natl Taiwan Univ Hosp, Taipei, Taiwan
[4] Natl Taiwan Univ, Coll Med, Taipei, Taiwan
[5] Inst Canc Estado Sao Paulo, Sao Paulo, Brazil
[6] NSABP Fdn, Orlando, FL USA
[7] Orlando Hlth Canc Inst, Orlando, FL USA
[8] NSABP Fdn, Pittsburgh, PA USA
[9] Univ Pittsburgh, Hillman Canc Ctr, Pittsburgh, PA USA
[10] AGO B, Berlin, Germany
[11] HELIOS Klinikum Berlin Buch, Berlin, Germany
[12] Ctr Henri Becquerel, Canc Ctr, Rouen, France
[13] Atrium Hlth, Charlotte, NC USA
[14] Skane Univ Hosp, Lund, Sweden
[15] Diakovere Henrietten Stift, Hannover, Germany
[16] Houston Methodist Canc Ctr, Houston, TX USA
[17] Karolinska Univ Hosp, Solna, Sweden
[18] Genentech Inc, San Francisco, CA 94080 USA
[19] F Hoffmann La Roche Ltd, Basel, Switzerland
[20] Univ Pittsburgh, Pittsburgh, PA USA
关键词
NEOADJUVANT CHEMOTHERAPY; HER2; PROGNOSIS;
D O I
10.1038/s41523-022-00477-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Following chemotherapy and human epidermal growth factor 2 (HER2)-targeted neoadjuvant therapy for HER2-positive early breast cancer, residual invasive breast cancer at surgery may be HER2-negative on retesting in some patients. We evaluated outcomes with T-DM1 and trastuzumab in patients randomized in the phase III KATHERINE trial based on HER2-positive central testing of the pre-treatment core biopsy with HER2-negative central testing on their corresponding surgical specimen after neoadjuvant treatment. In the 70/845 (8.3%) patients with HER2-negative residual disease on retesting at surgery, there were 11 IDFS events in the 42 trastuzumab-treated patients (26.2%) and none in the 28 T-DM1-treated patients, suggesting that T-DM1 should not be withheld in this patient population.
引用
收藏
页数:6
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