Nab-paclitaxel plus carboplatin or gemcitabine versus gemcitabine plus carboplatin as first-line treatment of patients with triple-negative metastatic breast cancer: results from the tnAcity trial
Metastatic triple-negative breast cancer (mTNBC) has a poor prognosis and aggressive clinical course. tnAcity evaluated the efficacy and safety of first-line nab-paclitaxel plus carboplatin (nab-P/C), nab-paclitaxel plus gemcitabine (nab-P/G), and gemcitabine plus carboplatin (G/C) in patients with...
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
6 June 2018
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| In: |
Annals of oncology
Year: 2018, Jahrgang: 29, Heft: 8, Pages: 1763-1770 |
| ISSN: | 1569-8041 |
| DOI: | 10.1093/annonc/mdy201 |
| Online-Zugang: | Resolving-System, lizenzpflichtig, Volltext: https://doi.org/10.1093/annonc/mdy201 Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0923753419341225 |
| Verfasserangaben: | D.A. Yardley, R. Coleman, P. Conte, J. Cortes, A. Brufsky, M. Shtivelband, R. Young, C. Bengala, H. Ali, J. Eakel, A. Schneeweiss, L. de la Cruz-Merino, S. Wilks, J. O’Shaughnessy, S. Glück, H. Li, J. Miller, D. Barton & N. Harbeck |
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| 245 | 1 | 0 | |a Nab-paclitaxel plus carboplatin or gemcitabine versus gemcitabine plus carboplatin as first-line treatment of patients with triple-negative metastatic breast cancer |b results from the tnAcity trial |c D.A. Yardley, R. Coleman, P. Conte, J. Cortes, A. Brufsky, M. Shtivelband, R. Young, C. Bengala, H. Ali, J. Eakel, A. Schneeweiss, L. de la Cruz-Merino, S. Wilks, J. O’Shaughnessy, S. Glück, H. Li, J. Miller, D. Barton & N. Harbeck |
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| 500 | |a Im Titel erscheint "nab" klein geschrieben und schräg gestellt | ||
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| 520 | |a Metastatic triple-negative breast cancer (mTNBC) has a poor prognosis and aggressive clinical course. tnAcity evaluated the efficacy and safety of first-line nab-paclitaxel plus carboplatin (nab-P/C), nab-paclitaxel plus gemcitabine (nab-P/G), and gemcitabine plus carboplatin (G/C) in patients with mTNBC. - Patients and methods - Patients with pathologically confirmed mTNBC and no prior chemotherapy for metastatic BC received (1 : 1 : 1) nab-P 125mg/m2 plus C AUC 2, nab-P 125mg/m2 plus G 1000mg/m2, or G 1000mg/m2 plus C AUC 2, all on days 1, 8 q3w. Phase II primary end point: investigator-assessed progression-free survival (PFS); secondary end points included overall response rate (ORR), overall survival (OS), percentage of patients initiating cycle 6 with doublet therapy, and safety. - Results - In total, 191 patients were enrolled (nab-P/C, n=64; nab-P/G, n=61; G/C, n=66). PFS was significantly longer with nab-P/C versus nab-P/G [median, 8.3 versus 5.5months; hazard ratio (HR), 0.59 [95% CI, 0.38-0.92]; P=0.02] or G/C (median, 8.3 versus 6.0months; HR, 0.58 [95% CI, 0.37-0.90]; P=0.02). OS was numerically longer with nab-P/C versus nab-P/G (median, 16.8 versus 12.1months; HR, 0.73 [95% CI, 0.47-1.13]; P=0.16) or G/C (median, 16.8 versus 12.6months; HR, 0.80 [95% CI, 0.52-1.22]; P=0.29). ORR was 73%, 39%, and 44%, respectively. In the nab-P/C, nab-P/G, and G/C groups, 64%, 56%, and 50% of patients initiated cycle 6 with a doublet. Grade ≥3 adverse events were mainly hematologic. | ||
| 650 | 4 | |a chemotherapy | |
| 650 | 4 | |a gemcitabine | |
| 650 | 4 | |a nab-paclitaxel | |
| 650 | 4 | |a triple-negative breast cancer | |
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| 700 | 1 | |a Young, R. |e VerfasserIn |4 aut | |
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| 700 | 1 | |a de la Cruz-Merino, L. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Wilks, S. |e VerfasserIn |4 aut | |
| 700 | 1 | |a O’Shaughnessy, J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Glück, S. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Li, H. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Miller, J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Barton, D. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Harbeck, N. |e VerfasserIn |4 aut | |
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