Expert Point of View: A. Jo Chien, MD
A. Jo Chien, MD, Associate Professor at UCSF’s Helen Diller Comprehensive Cancer Center, San Francisco, was the formal discussant of this abstract. Dr. Chien said that a median follow-up of 3-years is relatively short for this trial, considering about 75% of patients had hormone receptor–positive breast cancer, and recurrences are more common with longer follow-up in that group of patients. “Due to the high rates of discontinuation in the T-DM1 arm, it is important to remember that the duration of toxicity is a contributor to overall tolerability, which often is not well characterized by standard toxicity assessments that often just report highest-grade toxicity at one point in time,” she continued. “High-grade toxicities that are short-lived may be acceptable [to patients], but low-grade toxicities for longer duration may not.”
According to Dr. Chien, some low-grade toxicities may have a greater impact on patients’ well-being. Thus, she noted, treatment should be individualized, taking patients’ circumstances and preferences into account.
DISCLOSURE: Dr. Chien has received institutional research funding from Merck, Puma, Seattle Genetics, Astellas, and Amgen.
Adjuvant Ado-Trastuzumab Emtansine vs Paclitaxel Plus Trastuzumab in Early HER2-Positive Breast Cancer
Results of the randomized, phase II ATEMPT trial showed that the antibody-drug conjugate ado-trastuzumab emtansine (T-DM1) failed to demonstrate improved safety when compared with paclitaxel plus trastuzumab as adjuvant therapy in patients with stage 1 HER2-positive breast cancer. These results of...