» Articles » PMID: 27013890

Clinical Efficacy and Safety of T-DM1 for Patients with HER2-positive Breast Cancer

Overview
Publisher Dove Medical Press
Specialty Oncology
Date 2016 Mar 26
PMID 27013890
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: The aim of this study was to evaluate the therapeutic efficacy and safety of trastuzumab emtansine (T-DM1) for the treatment of patients with human epidermal growth factor receptor 2-positive breast cancer.

Methods: We performed a systemic review and meta-analysis of the relevant published clinical studies. A computerized search was performed for controlled clinical trials of T-DM1 in targeted treatment. Overall survival, progression-free survival, objective response rate, symptom progression free, and adverse events (AEs) were evaluated.

Results: Eight eligible trials with a total of 2,016 patients with breast cancer were included in the present meta-analysis. The treatment of patients with breast cancer with T-DM1 was associated with significantly increased overall and progression-free survival when compared with controls (P<0.0001). An analysis of the objective response rate and symptom progression free also demonstrated favorable results for T-DM1 treatment (P≤0.0001). There was no significant difference between the T-DM1 and control groups with respect to nonhematologic or hematologic AEs (P=0.99 and P=0.30, respectively).

Conclusion: Overall, T-DM1 is efficacious in the treatment of patients with human epidermal growth factor receptor 2-positive breast cancer and low rates of AEs compared with controls.

Citing Articles

Molecular and serological biomarkers to predict trastuzumab responsiveness in HER-2 positive breast cancer.

Abdullah N, Al-Mansouri L, Ali N, Hadi N J Med Life. 2024; 16(11):1633-1638.

PMID: 38406785 PMC: 10893566. DOI: 10.25122/jml-2023-0163.


Incidence and risk of fatal adverse events in cancer patients treated with HER2-targeted antibody-drug conjugates: a systematic review and meta-analysis of randomized controlled trials.

Fu Z, Gao C, Xie J, Zhang C, Li S, Gu M BMC Cancer. 2023; 23(1):960.

PMID: 37817092 PMC: 10563201. DOI: 10.1186/s12885-023-11250-1.


HER2-targeted antibody-drug conjugate induces host immunity against cancer stem cells.

Xia L, Wen L, Qin Y, Dobson H, Zhang T, Comer F Cell Chem Biol. 2021; 28(5):610-624.e5.

PMID: 33711257 PMC: 8141015. DOI: 10.1016/j.chembiol.2021.02.013.


Phase III, Randomized Study of Dual Human Epidermal Growth Factor Receptor 2 (HER2) Blockade With Lapatinib Plus Trastuzumab in Combination With an Aromatase Inhibitor in Postmenopausal Women With HER2-Positive, Hormone Receptor-Positive Metastatic....

Johnston S, Hegg R, Im S, Park I, Burdaeva O, Kurteva G J Clin Oncol. 2017; 36(8):741-748.

PMID: 29244528 PMC: 7444639. DOI: 10.1200/JCO.2017.74.7824.


Development of Tc-radiolabeled nanosilica for targeted detection of HER2-positive breast cancer.

Rainone P, Riva B, Belloli S, Sudati F, Ripamonti M, Verderio P Int J Nanomedicine. 2017; 12:3447-3461.

PMID: 28496321 PMC: 5422330. DOI: 10.2147/IJN.S129720.

References
1.
Yamamoto-Ibusuki M, Arnedos M, Andre F . Targeted therapies for ER+/HER2- metastatic breast cancer. BMC Med. 2015; 13:137. PMC: 4462184. DOI: 10.1186/s12916-015-0369-5. View

2.
Verma S, Miles D, Gianni L, Krop I, Welslau M, Baselga J . Trastuzumab emtansine for HER2-positive advanced breast cancer. N Engl J Med. 2012; 367(19):1783-91. PMC: 5125250. DOI: 10.1056/NEJMoa1209124. View

3.
Perez E, Hurvitz S, Amler L, Mundt K, Ng V, Guardino E . Relationship between HER2 expression and efficacy with first-line trastuzumab emtansine compared with trastuzumab plus docetaxel in TDM4450g: a randomized phase II study of patients with previously untreated HER2-positive metastatic breast cancer. Breast Cancer Res. 2014; 16(3):R50. PMC: 4229898. DOI: 10.1186/bcr3661. View

4.
Michel L, Lorenzo Bermejo J, Gondos A, Marme F, Schneeweiss A . T-DM1 as a New Treatment Option for Patients with Metastatic HER2-positive Breast Cancer in Clinical Practice. Anticancer Res. 2015; 35(9):5085-90. View

5.
Girish S, Gupta M, Wang B, Lu D, Krop I, Vogel C . Clinical pharmacology of trastuzumab emtansine (T-DM1): an antibody-drug conjugate in development for the treatment of HER2-positive cancer. Cancer Chemother Pharmacol. 2012; 69(5):1229-40. PMC: 3337408. DOI: 10.1007/s00280-011-1817-3. View