Skip to main content
Top
Published in: Medical Oncology 1/2013

01-03-2013 | Short Communication

Paclitaxel and bevacizumab in first-line treatment for HER2-negative metastatic breast cancer: single-center experience

Authors: Lorenzo Livi, Pierluigi Bonomo, Icro Meattini, Gabriele Simontacchi, Daniela Greto, Isacco Desideri, Fiammetta Meacci, Vieri Scotti, Sara Cecchini, Jacopo Nori, Luis Jose Sanchez, Lorenzo Orzalesi, Fabiola Paiar, Gianpaolo Biti

Published in: Medical Oncology | Issue 1/2013

Login to get access

Abstract

The aim of our analysis was to report the outcome and safety of patients treated with bevacizumab and paclitaxel as first-line treatment for HER2-negative metastatic breast cancer. Between February 2009 and August 2011, 62 consecutive patients received paclitaxel 90 mg/m2 on days 1, 8, and 15 and bevacizumab (BV) 10 mg/kg intravenously on days 1 and 15, every 28-day cycle. After 6 cycles of combined treatment, patients were given maintenance BV every 3 weeks (15 mg/kg) until progression disease or unacceptable toxicity. At time of analysis, median overall survival was 12.3 months (range 4.6–44.8 months), progression-free survival was 8.1 months (range 2.3–33.2 months), and time to treatment failure was 8.4 months (range 2.3–33.2 months). Our results confirmed the efficacy and the acceptable toxicity profile of bevacizumab plus paclitaxel as first-line regimen for metastatic breast cancer.
Literature
1.
go back to reference Miller K, Wang M, Gralow J, et al. Paclitaxel plus bevacizumab versus paclitaxel alone for metastatic breast cancer. N Engl J Med. 2007;357:2666–76.PubMedCrossRef Miller K, Wang M, Gralow J, et al. Paclitaxel plus bevacizumab versus paclitaxel alone for metastatic breast cancer. N Engl J Med. 2007;357:2666–76.PubMedCrossRef
2.
go back to reference Miles DW, Chan A, Dirix LY, et al. Phase III study of bevacizumab plus docetaxel compared with placebo plus docetaxel for the first-line treatment of human epidermal growth factor receptor 2-negative metastatic breast cancer. J Clin Oncol. 2010;28:3229–47.CrossRef Miles DW, Chan A, Dirix LY, et al. Phase III study of bevacizumab plus docetaxel compared with placebo plus docetaxel for the first-line treatment of human epidermal growth factor receptor 2-negative metastatic breast cancer. J Clin Oncol. 2010;28:3229–47.CrossRef
3.
go back to reference Robert NJ, Dieras V, Glaspy J, et al. RIBBON-1: randomized, double-blind, placebo-controlled, phase III trial of chemotherapy with or without bevacizumab for first-line treatment of human epidermal growth factor receptor 2-negative, locally recurrent or metastatic breast cancer. J Clin Oncol. 2011;29:1252–60.PubMedCrossRef Robert NJ, Dieras V, Glaspy J, et al. RIBBON-1: randomized, double-blind, placebo-controlled, phase III trial of chemotherapy with or without bevacizumab for first-line treatment of human epidermal growth factor receptor 2-negative, locally recurrent or metastatic breast cancer. J Clin Oncol. 2011;29:1252–60.PubMedCrossRef
4.
go back to reference Geiger-Gritsch S, Stollenwerk B, Miksad R, Guba B, Wild C, Siebert U. Safety of bevacizumab in patients with advanced cancer: a meta-analysis of randomized controller trials. Oncologist. 2010;15:1179–91.PubMedCrossRef Geiger-Gritsch S, Stollenwerk B, Miksad R, Guba B, Wild C, Siebert U. Safety of bevacizumab in patients with advanced cancer: a meta-analysis of randomized controller trials. Oncologist. 2010;15:1179–91.PubMedCrossRef
5.
go back to reference Smith IE, Pierga JY, Biganzoli L, et al. First-line bevacizumab plus taxane-based chemotherapy for locally recurrent or metastatic breast cancer: safety and efficacy in an open-label study in 2251 patients. Ann Oncol. 2011;22:595–602.PubMedCrossRef Smith IE, Pierga JY, Biganzoli L, et al. First-line bevacizumab plus taxane-based chemotherapy for locally recurrent or metastatic breast cancer: safety and efficacy in an open-label study in 2251 patients. Ann Oncol. 2011;22:595–602.PubMedCrossRef
6.
go back to reference Ghersi D, Wilcken N, Simes RJ. A systematic review of taxane-containing regimens for metastatic breast cancer. Br J Cancer. 2005;93:293–301.PubMedCrossRef Ghersi D, Wilcken N, Simes RJ. A systematic review of taxane-containing regimens for metastatic breast cancer. Br J Cancer. 2005;93:293–301.PubMedCrossRef
7.
go back to reference Belotti D, Vergani V, Drudis T, et al. The microtubule-affecting drug paclitaxel has antiangiogenic activity. Clin Cancer Res. 1996;2:1843–9.PubMed Belotti D, Vergani V, Drudis T, et al. The microtubule-affecting drug paclitaxel has antiangiogenic activity. Clin Cancer Res. 1996;2:1843–9.PubMed
8.
go back to reference Sweeney CJ, Miller KD, Sissons SE, et al. The antiangiogenic property of docetaxel is synergistic with a recombinant humanized monoclonal antibody against vascular endothelial growth factor or 2-methoxyestradiol but antagonized by endothelial growth factors. Cancer Res. 2001;61:3369–72.PubMed Sweeney CJ, Miller KD, Sissons SE, et al. The antiangiogenic property of docetaxel is synergistic with a recombinant humanized monoclonal antibody against vascular endothelial growth factor or 2-methoxyestradiol but antagonized by endothelial growth factors. Cancer Res. 2001;61:3369–72.PubMed
9.
go back to reference Yanagisawa M, Yorozu K, Kurasawa M, et al. Bevacizumab improves the delivery and efficacy of paclitaxel. Anticancer Drugs. 2010;21:687–94.PubMed Yanagisawa M, Yorozu K, Kurasawa M, et al. Bevacizumab improves the delivery and efficacy of paclitaxel. Anticancer Drugs. 2010;21:687–94.PubMed
10.
go back to reference Chan A, Miles DW, Pivot X. Bevacizumab in combination with taxanes for the first line treatment of metastatic breast cancer. Ann Oncol. 2010;21:2305–15.PubMedCrossRef Chan A, Miles DW, Pivot X. Bevacizumab in combination with taxanes for the first line treatment of metastatic breast cancer. Ann Oncol. 2010;21:2305–15.PubMedCrossRef
11.
go back to reference Valachis A, Polyzos NP, Patsopoulos NA, Georgoulias V, Mavroudis D, Mauri D. Bevacizumab in metastatic breast cancer: a meta-analysis of randomized controlled trials. Breast Cancer Res Treat. 2010;122:1–7.PubMedCrossRef Valachis A, Polyzos NP, Patsopoulos NA, Georgoulias V, Mavroudis D, Mauri D. Bevacizumab in metastatic breast cancer: a meta-analysis of randomized controlled trials. Breast Cancer Res Treat. 2010;122:1–7.PubMedCrossRef
12.
go back to reference Pritchard KI, Thomssen C, Pierga JY, et al. Final overall survival results, including analysis of patients with triple-negative disease and aged ≥ 70 years, from the ATHENA study evaluating first-line bevacizumab-containing therapy for locally recurrent/metastatic breast cancer. Cancer Res. 2010;70(24 suppl):236s.CrossRef Pritchard KI, Thomssen C, Pierga JY, et al. Final overall survival results, including analysis of patients with triple-negative disease and aged ≥ 70 years, from the ATHENA study evaluating first-line bevacizumab-containing therapy for locally recurrent/metastatic breast cancer. Cancer Res. 2010;70(24 suppl):236s.CrossRef
13.
go back to reference Cortes J, Calvo V, Ramirez-Merino N, et al. Adverse event risk associated with bevacizumab addition to breast cancer chemotherapy: a meta-analysis. Ann Oncol. 2012;23:1130–7.PubMedCrossRef Cortes J, Calvo V, Ramirez-Merino N, et al. Adverse event risk associated with bevacizumab addition to breast cancer chemotherapy: a meta-analysis. Ann Oncol. 2012;23:1130–7.PubMedCrossRef
14.
go back to reference Broglio KR, Berry DA. Detecting an overall survival benefit that is derived from progression-free survival. J Natl Cancer Inst. 2009;101:1642–9.PubMedCrossRef Broglio KR, Berry DA. Detecting an overall survival benefit that is derived from progression-free survival. J Natl Cancer Inst. 2009;101:1642–9.PubMedCrossRef
15.
go back to reference Burzykowski T, Buyse M, Piccart-Gebhart MJ, et al. Evaluation of tumor response, disease control, progression-free survival, and time to progression as potential surrogate end points in metastatic breast cancer. J Clin Oncol. 2008;26:1987–92.PubMedCrossRef Burzykowski T, Buyse M, Piccart-Gebhart MJ, et al. Evaluation of tumor response, disease control, progression-free survival, and time to progression as potential surrogate end points in metastatic breast cancer. J Clin Oncol. 2008;26:1987–92.PubMedCrossRef
Metadata
Title
Paclitaxel and bevacizumab in first-line treatment for HER2-negative metastatic breast cancer: single-center experience
Authors
Lorenzo Livi
Pierluigi Bonomo
Icro Meattini
Gabriele Simontacchi
Daniela Greto
Isacco Desideri
Fiammetta Meacci
Vieri Scotti
Sara Cecchini
Jacopo Nori
Luis Jose Sanchez
Lorenzo Orzalesi
Fabiola Paiar
Gianpaolo Biti
Publication date
01-03-2013
Publisher
Springer US
Published in
Medical Oncology / Issue 1/2013
Print ISSN: 1357-0560
Electronic ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-012-0434-2

Other articles of this Issue 1/2013

Medical Oncology 1/2013 Go to the issue