Clinical Edge Journal Scan

Metastatic BC: Improved survival in long-term responders with no evidence of disease vs residual disease


 

Key clinical point: Women with metastatic breast cancer (BC) with long-term response to first-line human epidermal growth factor receptor 2 (HER2)-targeted therapy who achieved no evidence of disease (NED) showed improved survival than those with residual disease (RES).

Major finding: Women with NED vs RES achieved longer median progression-free survival (not reached vs 3.08 years; P < .001) and superior overall survival (not reached vs 5.38 years; P < .001) with premenopausal status ( P = .006) and de novo metastases ( P = .002) associated with higher chances of achieving NED.

Study details: Findings are from a retrospective study including 103 women with HER2-positive metastatic BC who received first-line chemotherapy+trastuzumab or taxane+trastuzumab+pertuzumab and showed a response duration ≥2-fold higher than those observed in pivotal trials.

Disclosures: This study did not report any source of funding. The authors declared serving as a member of a trial steering committee and/or receiving honoraria, funding, consultancy, and advisory fees from several sources.

Source: Veitch Z et al. Br J Cancer. 2021 Dec 20. doi: 10.1038/s41416-021-01676-4 .

Recommended Reading

Clinical Edge Journal Scan Commentary: Breast Cancer January 2022
Breast Cancer ICYMI
Omega-3 supplementation improves sleep, mood in breast cancer patients on hormone therapy
Breast Cancer ICYMI
Seventeen percent of breast cancer patients reclassified after risk score reassessment
Breast Cancer ICYMI
Breast cancer treatment worse for incarcerated patients
Breast Cancer ICYMI
Pill not enough for ‘sexual problems’ female cancer patients face
Breast Cancer ICYMI
Much lower risk of false-positive breast screen in Norway versus U.S.
Breast Cancer ICYMI
U.S. cancer deaths continue to fall, especially lung cancer
Breast Cancer ICYMI
Residual cancer burden prognostic across all breast cancer subtypes
Breast Cancer ICYMI
GnRHa protects ovarian function in premenopausal women receiving chemotherapy for breast cancer
Breast Cancer ICYMI
Tucatinib and trastuzumab+capecitabine combo offers survival benefit in HER2+ metastatic breast cancer
Breast Cancer ICYMI