Table 11.2.1.4
Trials of combinations of endocrine therapies and targeted agents in metastatic breast cancer
Authors (reference) N Population Intervention Progression free survival (months) (ITT) Clinical benefit rate (%)
Endocrine alone Combination Endocrine alone Combination

Osborne et al. (33)

290

ER/PgR

tamoxifen +/− gefitinib

8.8

10.9

45.5

50.5

Valero et al. (34)

94

ER/PgR +

anastrazole +/− gefitinib

8.2

14.5

34

49

Mackey et al. (48)

208

HER2+ ER/PgR +

anastrazole +/− trastuzumab

2.4

4.8

27.9

42.7

Johnston et al. (49)

952

ER/PgR+ HER2 −

letrozole +/− lapatanib

≤6 months tama

3.1

8.3

32

44

≥6 months tamb

15

14.7

64

62

219

ER/PgR + HER2+

3

8.2

29

48

Baselga et al. (50)

92

ER/PgR+

Letrozole +/− temsirolimus

11.6

13.2

45

40

Chow et al. (51)

992

ER/PgR+

letrozole +/−temsirolius

9.2

9.2

43

40

Authors (reference) N Population Intervention Progression free survival (months) (ITT) Clinical benefit rate (%)
Endocrine alone Combination Endocrine alone Combination

Osborne et al. (33)

290

ER/PgR

tamoxifen +/− gefitinib

8.8

10.9

45.5

50.5

Valero et al. (34)

94

ER/PgR +

anastrazole +/− gefitinib

8.2

14.5

34

49

Mackey et al. (48)

208

HER2+ ER/PgR +

anastrazole +/− trastuzumab

2.4

4.8

27.9

42.7

Johnston et al. (49)

952

ER/PgR+ HER2 −

letrozole +/− lapatanib

≤6 months tama

3.1

8.3

32

44

≥6 months tamb

15

14.7

64

62

219

ER/PgR + HER2+

3

8.2

29

48

Baselga et al. (50)

92

ER/PgR+

Letrozole +/− temsirolimus

11.6

13.2

45

40

Chow et al. (51)

992

ER/PgR+

letrozole +/−temsirolius

9.2

9.2

43

40

a

Less than 6 months since prior adjuvant tamoxifen.

b

Greater than 6 months since prior adjuvant tamoxifen.

ER, oestrogen receptor; ITT, intention to treat, PgR, progesterone receptor.

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