Journals / European Journal of Breast Health / 2022 / Cilt: 18 - Sayı: 1

An Open-Label, Multinational, Multicenter, Phase IIIb Study with Subcutaneous Administration of Trastuzumab in Patients with HER2-Positive Early Breast Cancer to Evaluate Patient Satisfaction

Pages
63–73
Publication Date
2022-10-18
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

Four-year disease-free survival (DFS) and overall survival (OS) rates were 84.2% (±3.1) and 90.5% (±4.7), respectively.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study was designed to investigate treatment satisfaction in patients and Health Care Professionals (HCP) and to evaluate the safety and tolerability of subcutaneous (SC) trastuzumab in patients with human epidermal growth factor receptor 2 (HER2)-positive early breast cancer (eBC).
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Key Findings & Data:Materials and Methods: Two-hundred and twenty-three patients with eBC were screened, of whom 173 patients met the eligibility criteria and received at least one dose of SC trastuzumab.
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Conclusion & Impact:Four-year disease-free survival (DFS) and overall survival (OS) rates were 84.2% (±3.1) and 90.5% (±4.7), respectively.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study was designed to investigate treatment satisfaction in patients and Health Care Professionals (HCP) and to evaluate the safety and tolerability of subcutaneous (SC) trastuzumab in patients with human epidermal growth factor receptor 2 (HER2)-positive early breast cancer (eBC). Materials and Methods: Two-hundred and twenty-three patients with eBC were screened, of whom 173 patients met the eligibility criteria and received at least one dose of SC trastuzumab. The primary efficacy endpoint was to assess patient satisfaction via a questionnaire. Results: The majority of patients (n = 166, 97.6%) reported satisfaction with the SC route. Patients and HCPs stated that SC trastuzumab was easy to use (93.5% and 62.5%, respectively) compared to the intravenous (IV) route and all HCPs (n = 16) expressed satisfaction with the SC route. Progression, disease recurrence or death was reported in 24 patients (13.8%) by two years of follow up. Four-year disease-free survival (DFS) and overall survival (OS) rates were 84.2% (±3.1) and 90.5% (±4.7), respectively. A total of 1299 adverse events (AEs) were recorded over 4-years follow-up, nearly 97% of which were judged non-serious. The most common AEs were arthralgia (n = 54, 4.2%), flu-like symptoms (n = 41, 3.2%) and nausea (n = 39, 3.0%). Fifty-four cardiac events, including left ventricular dysfunction, left ventricular failure and cardiotoxicity, were reported. Ejection fraction (EF) decrease [median decrease 3.5% (0.12–19.0)] was reported in 5.4% of cases. SC trastuzumab treatment was interrupted due to decreased EF in two cases. Conclusion: SC trastuzumab was widely acceptable to both patients and HCPs. The safety and tolerability of SC trastuzumab was consistent with the known safety profile of SC and IV administration.

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Cite This Article

CİCİN, İ., OUKKAL, M., MEZLİNİ, A., LARBAOUİ, B., BELBARAKA, R., GÖKTAŞ, B., YUMUK, P. F., ALSALEH, K., ERRİHANİ, H., ÖZGÜROĞLU, M., MAHFOUF, H., AHMED, S. B. (2022). An Open-Label, Multinational, Multicenter, Phase IIIb Study with Subcutaneous Administration of Trastuzumab in Patients with HER2-Positive Early Breast Cancer to Evaluate Patient Satisfaction. European Journal of Breast Health, Cilt: 18 - Sayı: 1, 63–73. https://ajindex.com/articles/510651

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References (8)

  1. WHO Global Cancer Observatory. Breast cancer fact sheet Globocan 2018. Available at: https://gco.iarc.fr/today/data/factsheets/cancers/20- Breast-fact-sheet.pdf [Crossref ] 2. Mazzotta M, Krasniqi E, Barchiesi G, Pizzuti L, Tomao F, Barba M, et al. Long-term safety and real-world effectiveness of trastuzumab in breast cancer. J Clin Med 2019
  2. (PMID: 30781624) [Crossref ] 3. Wilson FR, Coombes ME, Wylie Q, Yurchenko M, Brezden-Masley C, Hutton B, et al. Herceptin® (trastuzumab) in HER2-positive early breast cancer: protocol for a systematic review and cumulative network metaanalysis. Syst Rev 2017
  3. (PMID: 29017563) [Crossref ] 4. Hartkopf AD, Brendel MH, Wallwiener M, Taran FA, Brucker S, Grischke EM. Trastuzumab administration in patients with metastatic breast cancer – experience of a large university breast center. Geburtshilfe Frauenheilkd 2014
  4. (PMID: 24976638) [Crossref ] 5. Furrer D, Paquet C, Jacob S, Diorio C (2018). The human epidermal growth factor receptor 2 (HER2) as a prognostic and predictive biomarker: molecular insights into HER2 activation and diagnostic implications. 2018 Nov 5. doi: 10.5772/intechopen.78271. [Crossref ] 6. Cameron D, Piccart-Gebhart MJ, Gelber RD, Procter M, Goldhirsch A, de Azambuja E, et al. 11 years’ follow-up of trastuzumab after adjuvant chemotherapy in HER2-positive early breast cancer: final analysis of the HERceptin Adjuvant (HERA) trial. Lancet 2017
  5. (PMID: 28215665) [Crossref ] 7. Romond EH, Perez EA, Bryant J, Suman VJ, Geyer CE Jr, Davidson NE, et al. Trastuzumab plus adjuvant chemotherapy for operable HER2- positive breast cancer. N Engl J Med 2005
  6. (PMID: 16236738) [Crossref ] 8. EMA Herceptin INN-trastuzumab summary of product characteristics 2014. Available at: https://www.ema.europa.eu/en/documents/productinformation/ herceptin-epar-product-information_en.pdf [Crossref ] 9. Dent S, Ammendolea C, Christofides A, Edwards S, Incekol D, Pourmirza B, et al. A multidisciplinary perspective on the subcutaneous administration of trastuzumab in HER2-positive breast cancer. Curr Oncol 2019
  7. e70-e80. (PMID: 30853812) [Crossref ] 10. Joensuu H. Escalating and de-escalating treatment in HER2-positive early breast cancer. Cancer Treat Rev 2017
  8. (PMID: 27866067) [Crossref ] 11. Jackisch C, Stroyakovskiy D, Pivot X, Ahn JS, Melichar B, Chen SC, et al. Subcutaneous vs intravenous trastuzumab for patients with ERBB2-positive early breast cancer: