First-line Bevacizumab-containing Therapy for HER2-negative Metastatic Breast Cancer: Final Results from a Prospective German Study

被引:2
|
作者
Schneeweiss, Andreas [1 ]
Forster, Frank [2 ,3 ]
Tesch, Hans [4 ]
Aktas, Bahriye [5 ]
Gluz, Oleg [6 ]
Geberth, Matthias [7 ]
Hertz-Eichenrode, Martin M. [8 ]
Schonegg, Winfried [9 ]
Schumacher, Claudia [10 ]
Kutscheidt, Andreas [11 ]
Kiewitz, Claudia [12 ]
Klawitter, Sandra [12 ]
Schmidt, Marcus [13 ]
机构
[1] Univ Heidelberg Hosp, Natl Ctr Tumor Dis, Heidelberg, Germany
[2] Outpatient Dept Gynecol Oncol Chemnitz, Chemnitz, Germany
[3] Univ Appl Sci Zwickau, Chemnitz, Germany
[4] Bethanien Hosp, Ctr Hematol & Med Oncol, Frankfurt, Germany
[5] Univ Duisburg Essen, Dept Gynecol & Obstet, Essen, Germany
[6] West German Study Grp, Monchengladbach, Germany
[7] Dept Gynecooncol Mannheim, Mannheim, Germany
[8] Praxis Hertz Eichenrode N Kolloch, Remscheid, Germany
[9] Praxis Winfried Schonegg, Berlin, Germany
[10] St Elizabeth Hosp, Breast Ctr Koln Hohenlind, Cologne, Germany
[11] WiSP Res Inst, Langenfeld, Germany
[12] Roche Pharma AG, Grenzach, Germany
[13] Univ Hosp Mainz, Dept Obstet & Gynecol, Mainz, Germany
关键词
Anti-angiogenic; bevacizumab; first-line; metastatic breast cancer; vascular endothelial growth factor; PHASE-III; PACLITAXEL;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: The German ML21165 study evaluated bevacizumab-containing therapy for metastatic breast cancer (mBC) in routine oncology practice. Patients and Methods: Patients received bevacizumab with chemotherapy until disease progression, unacceptable toxicity or consent withdrawal. Pre-specified end-points were safety and efficacy [response rate, progression-free survival (PFS) and overall survival (OS)]. Results: Between May 2007 and September 2009, 865 patients received first-line bevacizumab plus paclitaxel for mBC, of whom 16% were aged >= 70 years and 9% had ECOG performance status of 2 or more. At data cut-off (median of 15.9 months' follow-up), the median PFS was 9.6 months [95% confidence interval (CI)=9.0-10.4 months] and the median OS was 21.6 months (95% CI=19.4-23.5 months). The most common non-haematological adverse drug reactions of grade 3 or more were pain (9%), hypertension (5%), sensory neuropathy (3%) and proteinuria (3%). Prolonged bevacizumab was well-tolerated. Conclusion: The efficacy and safety of first-line bevacizumab-paclitaxel in routine oncology practice is consistent with results from randomized trials.
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收藏
页码:967 / 974
页数:8
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