Overall survival with neratinib after trastuzumab-based adjuvant therapy in HER2-positive breast cancer (ExteNET): A randomised, double-blind, placebo-controlled, phase 3 trial.

Author: , BarriosCarlos H, BashfordAnna, BuyseMarc, ChanArlene, ChiaStephen K L, DelalogeSuzette, DenduluriNeelima, DiPrimeoDaniel, EjlertsenBent, GnantMichael, GokmenErhan, GoreIra, HolmesFrankie A, IwataHiroji, LoiblSibylle, MansiJanine, MartinMiguel, MasudaNorikazu, MoyBeverly, PattDebra, PetrákováKatarina, SilovskiTajana, SmithJohn W, TomaševićZorica, WongAlvin, ZotanoAngel Guerrero, ŠeparovićRobert

Paper Details 
Original Abstract of the Article :
BACKGROUND: ExteNET showed that neratinib, an irreversible pan-HER tyrosine kinase inhibitor, given for 1 year after trastuzumab-based therapy significantly improved invasive disease-free survival in women with early-stage HER2-positive breast cancer. We report the final analysis of overall survival...See full text at original site
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引用元:
https://doi.org/10.1016/j.ejca.2023.02.002

データ提供:米国国立医学図書館(NLM)

Neratinib: A Potential Adjuvant Treatment for HER2-Positive Breast Cancer

Breast cancer is a complex and often challenging disease, and researchers are continuously searching for effective treatments. This study investigates the effectiveness of neratinib, a targeted therapy, as an adjuvant treatment for early-stage HER2-positive breast cancer. The researchers conducted a large-scale randomized controlled trial, meticulously tracking the outcomes of patients who received neratinib or a placebo. Their meticulous analysis, like a camel carefully studying the stars to navigate through the night, aimed to shed light on the potential benefits of this treatment.

The study found that neratinib, when used in combination with trastuzumab-based therapy, significantly improved invasive disease-free survival in women with early-stage HER2-positive breast cancer. However, the study also found no significant difference in overall survival between the neratinib and placebo groups. This finding, like a camel encountering a mirage in the desert, reveals the complex interplay between treatment effectiveness and overall survival outcomes.

Understanding the Role of Adjuvant Therapies

The study's findings highlight the importance of understanding the role of adjuvant therapies in managing breast cancer. These therapies are often used after surgery to reduce the risk of recurrence, and their effectiveness can vary depending on the type of cancer and the patient's individual characteristics. This research, like a camel carefully selecting its path through a diverse landscape, emphasizes the need for personalized treatment plans and careful consideration of the risks and benefits of adjuvant therapies.

A Promising Approach for Early-Stage Breast Cancer

The study's findings suggest that neratinib may be a valuable addition to the treatment arsenal for early-stage HER2-positive breast cancer, particularly in terms of improving disease-free survival. However, the lack of a significant difference in overall survival underscores the need for further research to fully understand the long-term impact of neratinib on patient outcomes. It's a journey that requires continued exploration and a commitment to uncovering the true potential of this promising treatment.

Dr.Camel's Conclusion

This study provides important insights into the effectiveness of neratinib as an adjuvant treatment for HER2-positive breast cancer. While neratinib shows promise in improving disease-free survival, the lack of a significant impact on overall survival underscores the need for further research. Like a camel navigating a vast and unforgiving desert, we must continue our journey of discovery to develop the best possible treatments for breast cancer.

Date :
  1. Date Completed 2023-04-18
  2. Date Revised 2023-04-18
Further Info :

Pubmed ID

36898233

DOI: Digital Object Identifier

10.1016/j.ejca.2023.02.002

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