Final results of the real-life observational VICTOR-6 study on metronomic chemotherapy in elderly metastatic breast cancer (MBC) patients

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作者
B. Trevisan
F. F. Pepe
I. Vallini
E. Montagna
D. Amoroso
R. Berardi
A. Butera
K. Cagossi
L. Cavanna
M. Ciccarese
S. Cinieri
E. Cretella
E. De Conciliis
A. Febbraro
F. Ferraù
A. Ferzi
A. Baldelli
A. Fontana
A. R. Gambaro
O. Garrone
V. Gebbia
D. Generali
L. Gianni
F. Giovanardi
A. Grassadonia
V. Leonardi
S. Sarti
A. Musolino
M. Nicolini
C. Putzu
F. Riccardi
D. Santini
M. G. Sarobba
M. G. Schintu
G. Scognamiglio
P. Spadaro
C. Taverniti
D. Toniolo
P. Tralongo
A. Turletti
R. Valenza
M. R. Valerio
P. Vici
L. Clivio
V. Torri
M. E. Cazzaniga
机构
[1] Azienda Ospedaliera San Gerardo,
[2] Ospedale di Circolo e Fondazione Macchi,undefined
[3] European Institute of Oncology,undefined
[4] Ospedale Versilia,undefined
[5] Azienda Ospedaliera Universitaria Ospedali Riuniti,undefined
[6] Nuovo Ospedale San Giovanni Di Dio,undefined
[7] Ospedale Ramazzini,undefined
[8] Azienda Ospedaliera Piacenza,undefined
[9] Ospedale Vito Fazzi,undefined
[10] Ospedale A. Perrino,undefined
[11] Ospedale Bolzano,undefined
[12] ASL Asti,undefined
[13] Ospedale S. Cuore di Gesù Fatebenefratelli,undefined
[14] Ospedale San Vincenzo,undefined
[15] Azienda Ospedaliera Ospedale Civile Di Legnano,undefined
[16] Ospedale San Salvatore,undefined
[17] Azienda Ospedaliero-Universitaria Pisana,undefined
[18] ASST Fatebenefratelli Sacco,undefined
[19] Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,undefined
[20] Ospedale La Maddalena,undefined
[21] Istituti Ospitalieri Cremona,undefined
[22] Ospedale Infermi,undefined
[23] AUSL della Romagna,undefined
[24] Ospedale SS Annunziata,undefined
[25] Ospedale Civico,undefined
[26] IRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori,undefined
[27] Ospedale di Parma,undefined
[28] Azienda Ospedaliera-Universitaria,undefined
[29] Ospedale Antonio Cardarelli,undefined
[30] Università Campus Bio-Medico,undefined
[31] Ospedale San Francesco,undefined
[32] Ospedale Giovanni Paolo II,undefined
[33] Ospedale Valduce,undefined
[34] Casa di Cura Villa Salus-Messina,undefined
[35] Ospedale Molinette,undefined
[36] Ospedale di Circolo,undefined
[37] Ospedale Umberto I,undefined
[38] Ospedale Martini,undefined
[39] P.O. Vittorio Emanuele,undefined
[40] A.O.U. Policlinico Paolo Giaccone,undefined
[41] INT Regina Elena,undefined
[42] IRCCS Mario Negri Institute of Pharmacological Research,undefined
来源
Scientific Reports | / 13卷
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Nowadays, treatment of metastatic breast cancer (MBC) has been enriched with novel therapeutical strategies. Metronomic chemotherapy (mCHT) is a continuous and frequent administration of chemotherapy at a lower dose and so whit less toxicity. Thus, this strategy could be attractive for elderly MBC patients. Aim of this analysis is to provide insights into mCHT’s activity in a real-life setting of elderly MBC patients. Data of patients ≥ 75 years old included in VICTOR-6 study were analyzed. VICTOR-6 is a multicentre, Italian, retrospective study, which collected data on mCHT in MBC patients treated between 2011 and 2016. A total of 112 patients were included. At the beginning of mCHT, median age was 81 years (75–98) and in 33% of the patients mCHT was the first line choice. Overall Response Rate (ORR) and Disease Control Rate (DCR) were 27.9% and 79.3%, respectively. Median PFS ranged between 7.6 and 9.1 months, OS between 14.1 and 18.5 months. The most relevant toxicity was the hematological one (24.1%); severe toxicity (grade 3–4) ranged from 0.9% for skin toxicity up to 8% for hematologic one. This is a large study about mCHT in elderly MBC patients, providing insights to be further investigated in this subgroup of frail patients.
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