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Fatigue and quality of life (QoL) during and after adjuvant treatment by trastuzumab (Herceptin®) among breast cancer patients (BC pts): a case-control study

Date

10 Oct 2016

Session

Poster display

Presenters

Sabine Noal

Citation

Annals of Oncology (2016) 27 (6): 43-67. 10.1093/annonc/mdw364

Authors

S. Noal1, N. Heutte2, D. Allouache3, C. Delcambre3, A. Faveyrial3, C. Levy3, C. Segura3, J. Geffrelot4, C. Rieux2, A. Leconte2, B. Clarisse2

Author affiliations

  • 1 Oncology Departement, Centre Francois Baclesse, 14000 - Caen/FR
  • 2 Clinical Research Department, Centre Francois Baclesse, Caen/FR
  • 3 Oncology Department, Centre Francois Baclesse, Caen/FR
  • 4 Radiotherapy Department, Centre Francois Baclesse, Caen/FR
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Resources

Abstract 2934

Background

Trastuzumab (Herceptin®, Roche) has become a mainstay in the treatment of pts with human epidermal growth factor receptor-2 (HER2)-overexpressing breast cancer in the adjuvant setting. Trastuzumab treatment consists in 21-day cycles during the last 3 cycles of FEC100-Docetaxel chemotherapy (CT) and 15 additional cycles thereafter. Although adjuvant CT was shown to have a deleterious effect on QoL and fatigue in BC pts, no data are available on experience of BC pts during this additional one-year treatment period by Trastuzumab. This case-control study assessed fatigue and QoL during and after Trastuzumab treatment as compared to age-matched BC pts receiving the same CT without Trastuzumab.

Methods

70 pts were included (35 pts in each group) on day 1 of last cycle of CT (first day of Trastuzumab for case group). The primary endpoint was severe fatigue (FACIT-F 

Results

No statistically significant differences were noted at baseline between groups: age (48 ± 10 y); marital status (87%); surgery (mastectomy, 42%); CT (all pts received complete FEC100-Docetaxel treatment except one pt who received only 1 cycle of Docetaxel; dose reduction for 12 pts); radiotherapy (84%); hormonotherapy (69%); anxiety (41%); depression (23%); severe fatigue at baseline (66%). At 9 mo post CT, proportion of pts with severe fatigue (39%) did not statistically significantly differ between groups and a significant reduction of severe fatigue from baseline was noted (p 

Conclusions

Trastuzumab treatment was not shown to have a deleterious impact on fatigue and QoL in adjuvant setting as compared to CT with no indication to Trastuzumab treatment. CT-induced fatigue appears to improve similarly between women receiving or not Trastuzumab, despite a one-year longer duration of treatment.

Clinical trial identification

Clinical trial information: NCT01400438

Legal entity responsible for the study

N/A

Funding

Ligue contre le Cancer and Association “Le Cancer du Sein, Parlons-En !”, c/o Estée Lauder - Prix Ruban Rose

Disclosure

All authors have declared no conflicts of interest.

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