Stephanie Graff, MD, FACP, FASCO Profile picture
Director Breast Oncology, Brown University Health | Assoc Prof Legorreta Cancer Center Brown Univ | Views Mine | https://t.co/WVUQaIHeKn | COI ⬇

Jun 9, 2020, 6 tweets

T2
KAITLIN randomized patients after adriacymycin/cyclophosphamide to either paclitaxel/trastuzumab/pertuzumab or TDM-1/pertuzumab.
#bcsm

The two arms were nearly identical for primary endpoint IDFS, subsequently a “ negative “ trial. This trial raises all sorts of questions and controversies. Based on TRAIN-2, the administration of anthracycline to all patients likely could have been avoided #bcsm

Additionally, we have little data about the specific benefits of adding pertuzumab to TDM-1. #bcsm

But interestingly, the patient reports outcomes favored the TDM-1 containing arm with a HR of 0.71, which may be a signal that, if outcomes are the same, TDM-1 may offer a better tolerated treatment option for those with early stage Her2 positive breast cancer. #bcsm

That last point matters to me. We need to know how to better tailor Her2 treatment in early stage disease. #bcsm

Attn @SFDiva2 RE: Kaitlin #bcsm

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