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Published on: June 13, 2014
Targeted anti-HER2 cancer therapy in elderly women diagnosed with breast cancer
M J Molina-Garrido, C Guillen-Ponce, A Mora-Rufete1
1Consulta de Cancer en el Anciano, Seccion de Oncologia Medica, Hospital General Virgen de la Luz in Cuenca, Hermandad Donantes de Sangre Street, Cuenca, Spain. mjmolinagarrido@hotmail.com.
Abstract:
Trastuzumab or lapatinib treatment with chemotherapy or hormonotherapy are the gold standard treatments for human epidermal growth factor receptor 2 (HER2)-positive breast cancer (early breast cancer or metastatic breast cancer). Older patients have been largely underrepresented in clinical trials, and few data on trastuzumab or lapatinib efficacy and toxicity have been reported for this subgroup. This article has reviewed the main articles that have analyzed these items.
Insights
Trastuzumab and lapatinib are standard treatments for HER2-positive breast cancer. This review examines their efficacy and toxicity in older patients, a group often underrepresented in clinical trials.
Area of Science:
- Oncology
- Clinical Pharmacology
Background:
- Human epidermal growth factor receptor 2 (HER2)-positive breast cancer is a significant clinical challenge.
- Standard treatments include trastuzumab or lapatinib combined with chemotherapy or hormonotherapy.
- Older adult populations are underrepresented in clinical trials for these therapies.
Purpose of the Study:
- To review existing literature on the efficacy and toxicity of trastuzumab and lapatinib in older patients with HER2-positive breast cancer.
- To address the data gap concerning this specific demographic.
Main Methods:
- Systematic review of published articles.
- Analysis of studies reporting on trastuzumab or lapatinib treatment in elderly patients with HER2-positive breast cancer.
Main Results:
- Limited data currently exist on the efficacy and toxicity profiles of trastuzumab and lapatinib in older adults.
- Further research is needed to establish optimal treatment strategies for this population.
Conclusions:
- Older patients with HER2-positive breast cancer require specific consideration regarding treatment efficacy and toxicity.
- Evidence-based guidelines are needed to optimize care for elderly individuals receiving trastuzumab or lapatinib therapy.
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