Optimizing Postneoadjuvant Treatment of Residual Breast Cancer

Optimizing Postneoadjuvant Treatment of Residual Breast Cancer

Elisabetta Bonzano, Radiation Oncologist at IRCCS San Matteo Polyclinic Foundation, shared an article by Dario Trapani, et al. on X: 

“Optimizing Postneoadjuvant Treatment of Residual Breast Cancer With Adjuvant Bevacizumab Alone, With Metronomic or Standard-Dose Chemotherapy: A Combined Analysis of DFCI 05-055 and DFCI 09-134/TBCRC 012/ABCDE Clinical Trial.

Among patients with stage I-III breast cancer with residual disease after neoadjuvant chemotherapy, the 36-month recurrence-free survival (RFS) was 58.0% with adjuvant bevacizumab monotherapy, 62.3% with bevacizumab plus metronomic cyclophosphamide and methotrexate, 72.7% with bevacizumab and flat-dosed capecitabine, and 75.0% with bevacizumab and body surface area (BSA)-dosed capecitabine.

Grade 3-4 adverse events were most frequent among patients who received bevacizumab with flat-dosed capecitabine (72.5%) or bevacizumab with BSA-dosed capecitabine (71.4%).

Treatment with capecitabine was independently associated with improved RFS in patients with triple-negative breast cancer (TNBC) (HR: 0.47; 95% CI, 0.23-0.96).

Optimizing Postneoadjuvant Treatment of Residual Breast Cancer

Optimizing Postneoadjuvant Treatment of Residual Breast Cancer With Adjuvant Bevacizumab Alone, With Metronomic or Standard-Dose Chemotherapy: A Combined Analysis of DFCI 05-055 and DFCI 09-134/TBCRC 012/ABCDE Clinical Trials.

Authors: Dario Trapani, et al.

Optimizing Postneoadjuvant Treatment of Residual Breast Cancer