Clinical Edge Journal Scan

HR+/ERBB2+ BC: Endocrine therapy-containing first-line regimens show benefits even without chemotherapy


 

Key clinical point: A first-line chemotherapy-free treatment regimen containing endocrine therapy (ET) and human epidermal growth factor receptor 2 (ERBB2)-targeted therapy led to excellent survival outcomes in patients with hormone receptor-positive (HR+) and ERBB2-positive (ERBB2+) metastatic breast cancer (BC).

Major finding: No significant difference was observed in overall survival (hazard ratio [HR] 1.03; P = .80) or progression-free survival (HR 1.00; P > .99) between patients receiving ERBB2-targeted therapy and chemotherapy with or without ET and patients receiving ERBB2-targeted therapy with ET only, regardless of the type of ERBB2-targeted therapy.

Study details: Findings are from a cohort study including 1723 patients with HR+/ERBB2+ metastatic BC who received ERBB2-targeted therapy and chemotherapy with or without ET (n = 1520) or ERBB2-targeted therapy with ET only (n = 203).

Disclosures: This study was supported by Unicancer. The authors declared receiving personal fees, research funding, grants, or travel expenses from several pharmaceutical companies.

Source: Carausu M et al. Association of endocrine therapy for HR+/ERBB2+ metastatic breast cancer with survival outcomes. JAMA Netw Open. 2022;5(12):e2247154 (Dec 15). Doi: 10.1001/jamanetworkopen.2022.47154

Recommended Reading

Prognostic impact of receptor conversion between primary breast cancer and bone metastases
MDedge Hematology and Oncology
Obesity and advanced stage at diagnosis worsen recurrence rate in BC patients
MDedge Hematology and Oncology
HR+/HER2− metastatic BC: Everolimus dose escalation+exemestane reduces grade ≥2 stomatitis
MDedge Hematology and Oncology
Commentary: Early Breast Cancer Treatment Strategies and Acupuncture, January 2023
MDedge Hematology and Oncology
Six obstacles in breast cancer detection and treatment
MDedge Hematology and Oncology
Oral minoxidil improves anticancer treatment–induced alopecia in women with breast cancer
MDedge Hematology and Oncology
Cancer clinics begin to accommodate patients demanding new cancer detection tests
MDedge Hematology and Oncology
People with cancer should be wary of taking dietary supplements
MDedge Hematology and Oncology
3D-printed tumor models could advance new cancer therapies
MDedge Hematology and Oncology
Canadian guidance recommends reducing alcohol consumption
MDedge Hematology and Oncology