PMID- 11694788 OWN - NLM STAT- MEDLINE DCOM- 20011228 LR - 20221207 IS - 0030-2414 (Print) IS - 0030-2414 (Linking) VI - 61 Suppl 2 DP - 2001 TI - New combinations with Herceptin in metastatic breast cancer. PG - 50-7 AB - Preclinical data indicate that trastuzumab (Herceptin) has the potential for synergistic or additive effects in combination with therapies including chemotherapy and hormonal agents, providing the rationale for a number of clinical trials in women with HER2-positive metastatic breast cancer. A recently reported phase II trial has demonstrated that trastuzumab plus vinorelbine is both effective (overall response rate 75%) and well tolerated, with the major side effects being typical of single-agent vinorelbine. Other combinations of trastuzumab with a variety of other chemotherapeutic and hormonal agents are also being assessed. In an effort to overcome the cardiotoxicity observed with trastuzumab plus doxorubicin in the pivotal phase III trial, combination regimens involving potentially less toxic anthracyclines such as epirubicin and liposomal formulations of doxorubicin are ongoing. In addition, trials are investigating whether trastuzumab can reverse the resistance to hormonal therapy that develops in most women with metastatic breast cancer. These and other studies will identify the regimens that produce the best outcomes with the fewest possible side effects in women with HER2-positive breast cancer. CI - Copyright 2001 S. Karger AG, Basel FAU - Winer, E P AU - Winer EP AD - Dana-Farber Cancer Institute, Boston, Mass 02115, USA. ewiner@partners.org FAU - Burstein, H J AU - Burstein HJ LA - eng PT - Comparative Study PT - Journal Article PT - Review PL - Switzerland TA - Oncology JT - Oncology JID - 0135054 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents, Hormonal) RN - 0 (Nitriles) RN - 0 (Organoplatinum Compounds) RN - 0 (Triazoles) RN - 094ZI81Y45 (Tamoxifen) RN - 0W860991D6 (Deoxycytidine) RN - 2Z07MYW1AZ (Anastrozole) RN - 3Z8479ZZ5X (Epirubicin) RN - 5V9KLZ54CY (Vinblastine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - 905Z5W3GKH (Thiotepa) RN - P188ANX8CK (Trastuzumab) RN - P88XT4IS4D (Paclitaxel) RN - Q6C979R91Y (Vinorelbine) RN - U3P01618RT (Fluorouracil) RN - YL5FZ2Y5U1 (Methotrexate) RN - 0 (Gemcitabine) SB - IM MH - Anastrozole MH - Antibodies, Monoclonal/administration & dosage/adverse effects/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents, Hormonal/administration & dosage MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - Breast Neoplasms/*drug therapy/mortality/pathology MH - Clinical Trials, Phase II as Topic MH - Clinical Trials, Phase III as Topic MH - Cyclophosphamide/administration & dosage/pharmacology MH - Deoxycytidine/*analogs & derivatives/antagonists & inhibitors/pharmacology MH - Doxorubicin/administration & dosage/pharmacology MH - Drug Interactions MH - Drug Synergism MH - Epirubicin/administration & dosage/pharmacology MH - Female MH - Fluorouracil/antagonists & inhibitors/pharmacology MH - Heart Diseases/chemically induced MH - Hematologic Diseases/chemically induced MH - Humans MH - Methotrexate/administration & dosage/antagonists & inhibitors MH - Neoplasm Metastasis MH - Nitriles/administration & dosage MH - Organoplatinum Compounds/administration & dosage MH - Paclitaxel/administration & dosage/pharmacology MH - Tamoxifen/administration & dosage MH - Thiotepa/administration & dosage/pharmacology MH - Trastuzumab MH - Treatment Outcome MH - Triazoles/administration & dosage MH - Vinblastine/administration & dosage/*analogs & derivatives/pharmacology MH - Vinorelbine MH - Gemcitabine RF - 41 EDAT- 2001/11/06 10:00 MHDA- 2002/01/05 10:01 CRDT- 2001/11/06 10:00 PHST- 2001/11/06 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/11/06 10:00 [entrez] AID - 55402 [pii] AID - 10.1159/000055402 [doi] PST - ppublish SO - Oncology. 2001;61 Suppl 2:50-7. doi: 10.1159/000055402.