Skip to main content
Top
Published in: Strahlentherapie und Onkologie 3/2016

01-03-2016 | Literatur kommentiert

Kardiale Toxizität von Trastuzumab in der adjuvanten Therapie von Mammakarzinompatientinnen

Ergebnisse der NCCTG-N9831-Studie

Author: Dr. med. David Krug

Published in: Strahlentherapie und Onkologie | Issue 3/2016

Login to get access

Auszug

Der monoklonale Antikörper Trastuzumab, der gegen den Wachstumsfaktorrezeptor HER2/neu gerichtet ist, wurde 2006 zur adjuvanten Therapie des HER2-positiven Mammakarzinoms in Europa zugelassen. Kardiotoxische Nebenwirkungen von Trastuzumab waren bereits in frühen Studien beschrieben worden, ohne dass deren Mechanismus hätte abschließend geklärt werden können. Die hier kommentierte NCCTG-N9831-Studie sollte eine Nutzen-Risiko-Abwägung der kardiotoxischen Effekte gegenüber den positiven Effekten ermöglichen. …
Literature
1.
go back to reference Chen T, Xu T, Li Y et al (2011) Risk of cardiac dysfunction with trastuzumab in breast cancer patients: a meta-analysis. Cancer Treat Rev 37:312–320CrossRefPubMed Chen T, Xu T, Li Y et al (2011) Risk of cardiac dysfunction with trastuzumab in breast cancer patients: a meta-analysis. Cancer Treat Rev 37:312–320CrossRefPubMed
2.
go back to reference Bowles EJA, Wellman R, Feigelson HS et al (2012) Risk of heart failure in breast cancer patients after anthracycline and trastuzumab treatment: a retrospective cohort study. J Natl Cancer Inst 104:1293–1305PubMedCentralCrossRefPubMed Bowles EJA, Wellman R, Feigelson HS et al (2012) Risk of heart failure in breast cancer patients after anthracycline and trastuzumab treatment: a retrospective cohort study. J Natl Cancer Inst 104:1293–1305PubMedCentralCrossRefPubMed
3.
go back to reference Chavez-MacGregor M, Zhang N, Buchholz TA et al (2013) Trastuzumab-related cardiotoxicity among older patients with breast cancer. J Clin Oncol 31:4222–4228PubMedCentralCrossRefPubMed Chavez-MacGregor M, Zhang N, Buchholz TA et al (2013) Trastuzumab-related cardiotoxicity among older patients with breast cancer. J Clin Oncol 31:4222–4228PubMedCentralCrossRefPubMed
4.
go back to reference Romond EH, Perez EA, Bryant J et al (2005) Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer. New Engl J Med 353:1673–1684CrossRefPubMed Romond EH, Perez EA, Bryant J et al (2005) Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer. New Engl J Med 353:1673–1684CrossRefPubMed
5.
go back to reference Advani PP, Ballman KV, Dockter TJ et al (2015) Long-term cardiac safety analysis of NCCTG N9831 (Alliance) adjuvant trastuzumab trial. J Clin Oncol. JCO.2015.61.8413 Advani PP, Ballman KV, Dockter TJ et al (2015) Long-term cardiac safety analysis of NCCTG N9831 (Alliance) adjuvant trastuzumab trial. J Clin Oncol. JCO.2015.61.8413
6.
go back to reference Romond EH, Jeong J-H, Rastogi P et al (2012) Seven-year follow-up assessment of cardiac function in NSABP B-31, a randomized trial comparing doxorubicin and cyclophosphamide followed by paclitaxel (ACP) with ACP plus trastuzumab as adjuvant therapy for patients with node-positive, human epidermal growth factor receptor 2-positive breast cancer. J Clin Oncol 30:3792–3799PubMedCentralCrossRefPubMed Romond EH, Jeong J-H, Rastogi P et al (2012) Seven-year follow-up assessment of cardiac function in NSABP B-31, a randomized trial comparing doxorubicin and cyclophosphamide followed by paclitaxel (ACP) with ACP plus trastuzumab as adjuvant therapy for patients with node-positive, human epidermal growth factor receptor 2-positive breast cancer. J Clin Oncol 30:3792–3799PubMedCentralCrossRefPubMed
7.
go back to reference Telli ML, Hunt SA, Carlson RW, Guardino AE (2007) Trastuzumab-related cardiotoxicity: calling into question the concept of reversibility. J Clin Oncol 25:3525–3533CrossRefPubMed Telli ML, Hunt SA, Carlson RW, Guardino AE (2007) Trastuzumab-related cardiotoxicity: calling into question the concept of reversibility. J Clin Oncol 25:3525–3533CrossRefPubMed
8.
go back to reference Halyard MY, Pisansky TM, Dueck AC et al (2009) Radiotherapy and adjuvant trastuzumab in operable breast cancer: tolerability and adverse event data from the NCCTG Phase III Trial N9831. J Clin Oncol 27:2638–2644PubMedCentralCrossRefPubMed Halyard MY, Pisansky TM, Dueck AC et al (2009) Radiotherapy and adjuvant trastuzumab in operable breast cancer: tolerability and adverse event data from the NCCTG Phase III Trial N9831. J Clin Oncol 27:2638–2644PubMedCentralCrossRefPubMed
9.
go back to reference Caussa L, Kirova YM, Gault N et al (2011) The acute skin and heart toxicity of a concurrent association of trastuzumab and locoregional breast radiotherapy including internal mammary chain: a single-institution study. Eur J Cancer 47:65–73CrossRefPubMed Caussa L, Kirova YM, Gault N et al (2011) The acute skin and heart toxicity of a concurrent association of trastuzumab and locoregional breast radiotherapy including internal mammary chain: a single-institution study. Eur J Cancer 47:65–73CrossRefPubMed
10.
go back to reference Tolaney SM, Barry WT, Dang CT et al (2015) Adjuvant paclitaxel and trastuzumab for node-negative, HER2-positive breast cancer. New Engl J Med 372:134–141PubMedCentralCrossRefPubMed Tolaney SM, Barry WT, Dang CT et al (2015) Adjuvant paclitaxel and trastuzumab for node-negative, HER2-positive breast cancer. New Engl J Med 372:134–141PubMedCentralCrossRefPubMed
Metadata
Title
Kardiale Toxizität von Trastuzumab in der adjuvanten Therapie von Mammakarzinompatientinnen
Ergebnisse der NCCTG-N9831-Studie
Author
Dr. med. David Krug
Publication date
01-03-2016
Publisher
Springer Berlin Heidelberg
Published in
Strahlentherapie und Onkologie / Issue 3/2016
Print ISSN: 0179-7158
Electronic ISSN: 1439-099X
DOI
https://doi.org/10.1007/s00066-015-0938-8

Other articles of this Issue 3/2016

Strahlentherapie und Onkologie 3/2016 Go to the issue