Clinical Edge Journal Scan

Long-term ovarian suppression with GnRHa safe in premenopausal early breast cancer


 

Key clinical point: Final 12-year results from the PROMISE-GIM6 study reassures safety of concurrent administration of g onadotropin-releasing hormone agonist (GnRHa), triptorelin during chemotherapy in premenopausal women with early breast cancer (BC).

Major finding: The 12-year disease-free survival (65.7 % vs 69.2%; hazard ratio [HR], 1.16; P = .50 ), overall survival (81.2 % vs 81.3%; HR, 1.17; P = .58 ), and posttreatment pregnancy (9 vs 4 patients; HR, 2.14; P = .20) were not significantly different in GnRHa+chemotherapy vs chemotherapy-only groups.

Study details: PROMISE-GIM6, a phase 3 superiority trial included 281 premenopausal women with hormone receptor-positive or -negative early BC who were randomly assigned to receive GnRHa+chemotherapy or chemotherapy alone.

Disclosures: This study was funded by IRCCS Ospedale Policlinico San Martino and Associazione Italiana per la Ricerca sul Cancro and the Italian Ministry of Health. Some of the authors declared serving as a consultant and/or receiving speaker honoraria and travel accommodation from various pharmaceutical companies.

Source: Lambertini M et al. J Natl Cancer Inst. 2021 Nov 25. doi: 10.1093/jnci/djab213.

Recommended Reading

Pembrolizumab improves event-free survival in early TNBC
Breast Cancer ICYMI
PD-L1 cutoff for pembrolizumab in mTNBC confirmed
Breast Cancer ICYMI
Sacituzumab govitecan effective in Black mTNBC patients
Breast Cancer ICYMI
More evidence ties some antipsychotics to increased breast cancer risk
Breast Cancer ICYMI
Breast cancer-related musculoskeletal pain alleviated with acupuncture
Breast Cancer ICYMI
Cancer risk tied to some manufactured foods
Breast Cancer ICYMI
Average-risk women with dense breasts—What breast screening is appropriate?
Breast Cancer ICYMI
Cardiovascular effects of breast cancer treatment vary based on weight, menopausal status
Breast Cancer ICYMI
Postmenopausal women with early breast cancer can go chemo-free
Breast Cancer ICYMI
Chemoendocrine therapy beneficial in premenopausal women with node+ breast cancer and low recurrence score
Breast Cancer ICYMI